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Elderly father with bladder cancer, stage 2

2 years 4 months ago #51713 by Jack R
Megan,

I assume that your father was diagnosed and is seeing a urologist, and that the urologist took a biopsy and received a pathology report stating that his cancer is at stage 2.

Has the urologist proposed a treatment plan ? Or was it a radiologist who diagnosed a stage 2 bladder cancer ?

You do need to consult a urologist who specializes in bladder cancer. An initial plan of bladder cancer treatment should be fairly straight forward. It seems unusual that you do not have a treatment plan already. At stage 2, it would be wise to schedule soon.

I hope this helps you care for your father.

Best
Jack

What's with this Bleeding ? 6/2015
DX: HG Papillary & CIS
3 Years and 30 BCG/BCG+Inf
T0 CIS comes back.
BC clear as of 5/17 !
RCC found in my one (only) kidney 10/17
Begin Chemo; Cisplatin and Gemzar
8/18 begin Chemo , round 3
Begin year 4 with cis T0

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2 years 4 months ago #51707 by sara.anne
Megan, I moved your post here to a place where more people who might be interested would see it.

I am sorry to hear about your father. He is lucky to have you as his advocate. The usual treatment for non-invasive (early) bladder cancer is a TURB (transurethral resection of the bladder) where the urologist removes the tumor while the patient is under very light general anesthesia. Radiation is not routinely used in these cases and can cause additional problems. The TURB procedure is usually done as an out-patient procedure and is not a difficult one, such as major surgery can be. After the tumor is removed, it is sent to a pathologist for analysis. Only after the pathologist's report is back can the doctors be absolutely sure what the stage and grade really is.

In cases of low grade, early bladder cancer, a TURB can be curative. The patient will be monitored by a cystoscopy exam every three months for about two years. If there is no sign that the cancer has returned, he will then go to every six month's monitoring.

The reason for the continual monitoring is that yes, bladder cancer does have a nasty habit of returning, so the monitoring allows it to be caught early if it does. In many many cases it never does reappear.

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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2 years 4 months ago #51704 by mcteague
Hello! I am my dad's medical proxy. He's elderly, and have dementia. For this reason, surgery with general anesthesia is problematic. Also, a radiologist recently told him that radiology would not be good for him. He'd previously had radiation for prostate cancer.

I'm looking for treatment alternatives. My dad is at stage 2, and the radiologist seemed to think that a surgeon could "scrape off" the cancer. Also, I've heard good things about laser surgery. Does anyone know about these procedures?

Also, I want to say that bladder cancer frequently grows back?


Thanks,

Megan

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