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TCC hg t1 with cis

1 week 3 days ago #54006 by Alan
I am bladder cancer free for 9+ years, thanks for asking. There are many of us that frequent these boards as long or longer than me I get me. It is treatable and beatable. My annual cystoscope is next month (I just scheduled it)! Going deep into the muscle is what protocol says to do, to be sure. I'd guess all is well in that department. A lot of times a second is done because the pathologist may write it was "close" or other reasons. The main thing is the tumor has not invaded the muscle, so that is good. As far as BCG, it has been proven thousands of times it is the best course of treatment for your type of bladder cancer. I won't quote stats because all they are is states but, the bigger majority of cases it works eradicating this. Plus, it is so much better than systemic chemo which is brutal. The mytomycin wash is also a normal event after the TURB to kill any reseeding.

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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1 week 3 days ago #54002 by user
Hi Alan,

Thank you for the fast response.
the doctor told us that the sample was very deep,
and allso in the histolgy report writen that deep smooth
muscle free of tumer present.
his answer sounds strange to me because what is the
reason that in a lot of other cases doctors do 2nd look biopsy as you mentioned?
is other doctors dont know this "trick" of deep biopsy?

by the way how you doing now?

BR Yan

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1 week 3 days ago - 1 week 3 days ago #54001 by Alan
Yan,

Welcome! Your English is better than mine and my typing is terrible (laughing at myself)! Most of us that have had high grade bladder cancer get a second TURB. This is to make sure "margins", meaning clean or no cancer around what is biopsied is clear on cancer. Especially to make sure muscle samples are clear for staging. It does look like your Dad's stage was rated T1 meaning it hasn't invaded the muscle so, IF your urologist is CERTAIN the sample was good you are probably good to go and continuing eradicating this disease. Is it too late to do another TURB? Probably not too late but, I'd raise that question with your URO as none of us are doctors. Keep posting as someone will be here to listen and help.

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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1 week 3 days ago #54000 by user
hello all,

my father is 67 years old.
8 weeks ago my father diagnosed with TCC HG T1 with CIS.
got MYTOMICIN after TURBT.
started BCG treatment without 2nd look TURBT.
this week he had his 6/6 BCG.

what can be the reason for not doing 2nd look TURBT? is everybody here
with the same histolgy had 2nd look?
is it too late for 2nd look TURBT now?

sorry foor poor english.
BR, Yan

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