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NO MUSCULARIS PROPRIA SEEN.  

4 years 3 weeks ago #47482 by sara.anne
OK Anne.....that is it!! You need a urologist you can feel comfortable asking questions!!

SA

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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4 years 3 weeks ago #47481 by AnneH
Thank you, I feel comfortable asking questions here, and not my uroligist.

Regards,

Anne.

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4 years 3 weeks ago #47477 by fighterm
I read that there are several layers (mucosa and submucosa) before the muscle, so it maybe that the tumor did not penetrate these mucosal and submucosal layers and they see clear margins without muscle. Maybe the urologist did not want to make a big injury in the bladder wall without necessity. The main question to ask your urologist is do they see clear margins on the biopsy.

66yo female, 1992-Non-Hodg. lymphoma(NHL) high grade, chemo, rads, 2007 NHL, low grade, rads, 2013 NHL low grade, stage 4, chemo till Jan 2015; 2014 TCC, first Turb 01/29/2015.

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4 years 3 weeks ago #47475 by sara.anne
This is a good question for the urologist. However, I would guess that there was a lot of other, non-muscle tissue included with no sign of spread into it.

If you do go for a second opinion, this would be a good thing to discuss. Not getting enough tissue samples is a good reason why a second TURB is often recommended.

SA

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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4 years 3 weeks ago #47471 by AnneH
Then how can they state non invasive if they didn't have muscle included? You have provided me with so many answers the past eight months. I want to thank you, I have been online for hour's trying to get the answer.

Thank you again Sara Anne

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4 years 3 weeks ago #47470 by sara.anne
No muscle was in the biopsy sample

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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