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Confused and a feeling rushed without pathology

3 years 11 months ago #47943 by DougG
Patrick,

I'm wondering if the doctor put that on your paperwork because of insurance. Insurance can be a pain if the wording/codes are not to their liking. Best wishes. Hope everything goes well.

Anita

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3 years 11 months ago #47942 by sara.anne
No...as you now know, the pathology report is from the TURB. We will be thinking really good thoughts for you!!

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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3 years 11 months ago #47939 by normax
You both have made me feel much better. I assumed that a TUR was after pathology diagnosis. We did find some reddish patches on inner lining.
Thanks again for infomation
Patrick

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3 years 11 months ago - 3 years 11 months ago #47938 by Alan
Almost all of us gone through the cystoscope, CT scan and TURB. As Sara Anne said the TURB is a big part of the overall picture. CIS or flat lesions are often found which is can be an aggressive form of bladder cancer. You want to find out why you are passing blood. Often it is a stone, a stone nicking the ureters, and infection, bladder cancer or kidney cancer/disease. In some RARE cases-and this has come from a few friends- they will bleed infrequently microscopic blood and no one know why. Sometimes long distance runners will jostle their insides and cause light bleeding. Anyway, you want do the TURB for sure. It is part of most protocols.

DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.

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3 years 11 months ago #47936 by sara.anne
The only way for a urologist to get a pathology exam of whatever is there is by doing a TURB(T). There are types of bladder cancer that do not look like big tumors ,,,,CIS (carcinoma in situ) looks more like a rash on the bladder lining. This is usually high grade and is not something to fool with. It is a good thing that the urologist is going to do the biopsy procedure. Only then will he...and you...know if there is cancer there or not.

The abbreviation for what you are having is sometimes called TURB (transurethral resection of the bladder) or TURBT (transurethral resection of the bladder tumor)
and this does NOT mean that there is necessarily cancer there. That is what they are going to determine. Until this is done, no one knows for sure what is there.
And this is why it should be done as soon as possible.

Good luck to you!

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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3 years 11 months ago #47935 by normax
After a routine urine test it can back with an Occult blood 3+ and went to see a Urologist. He does a in house blood and microscopic test and says, "yep there is blood." Being a biologial scientist I ask to see the blood cells under the scope which he felt understandably uncomfortable. Nothing was seen but they well could be me. He schedules a CTR scan, a cytoscopy and put me on Cipro in the advent there is a bug up there. The lab test says is bug resistance to my specimen..

CT comes back with no issues. I go in for the cytoscopy and was told no tumor was found but he wants to do a followup biopsy. I tell him I have to do a 3 week travel trip and says no problems.
I returned and today I get the hospital pre op orders I am to go through a Transurethial transresection of BLADDER TUMOR. Of course I can not call him and he will not return calls.

I feel totally rushed into this TUR and I though pathology was essential to call anything a tumor. Any suggestion eg 2nd opinions. My occult blood dropped to 1+ btw

Thanks in advance
Patrick

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