Hello Sara. Sorry to hear about your worry. As I mentioned a couple weeks ago. My husband had two episode of hematuria. They were also two month apart. The first time his cytology was negative. Also was his soft cystoscope( at dr office). A week after he had more bleeding. That time he had to have a hard cystoscope under GA. Biopsy came back bladder urelatheral cancer non invasive low grade. TURB done. 8 weeks after. Bleeding came back. We thought it was inflammation due to mitomycin c. Or maybe an in situ cancer But unfortunately it wasn't an inflammation. But another lesion non invasive low grade. Dr said. He just need to have another screening cysto in three month. Hopefully your cysto will come back negative.
Yes this is not uncommon at all . Transitional cell carcinoma can appear either as papillary or “mushroom “ like growths or as carcinoma in situ which is like a rash on the surface of the
bladder. Because it is not always as immediately obvious, CIS is sometimes missed during a TURB especially when papillary growths are also present. This is why standards of good medical practice often suggest a second TURB several weeks after the first.
In my case there were some unidentified area of “irritation “ noted in the path report and a second TURB changed the diagnosis from low grade to high grade. CIS is always high grade. I had a complete series of BCG (the treatment of choice for CIS) as well as maintenance treatments and am now almost 9 years cancer-free.
Your husband is very fortunate that this was discovered. Of course you will need to wait for the second TURB and the path report to be sure of the diagnosis. If it is indeed CIS it is very treatable when found early. Wishing you the best of luck
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
Yes it can and does happen. Bladder cancer has two flavors, papillary and in situ. About 15 % of us have both .
The "red spot" could be CIS -cancer in situ - OR it could just be inflammation from the earler treatment.
Blood in the urine 2 weeks or so after a TURBT is very common.
What's with this Bleeding ? 6/2015
DX: HG Papillary & CIS
3 Years and 30 BCG/BCG+Inf
Tis 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
My husband is 55 years old. He was diagnosed two month ago with bladder transitional cell carcinoma non invasive low grade. The tumor was resected and they gave him a one time in he bladder chemo treatment that same day. He was a heavy smoker. He stopped smoking the day he was diagnosed and he's doing well. Anyway. his urologist was happy with the outcome of his pathology and said since it's detected early. We'll just do a cystoscope every three month. ...Before the 8 weeks after his diagnosis. He was seeing blood clots again. Went for another cystoscope. To find a red patch on his bladder on the other side of his first resection. Now the dr is saying it could be a carcinoma in situ!! And he's gonna have another cystoscope to remove and biopsy. My question is. Can this happen. Two different cancer in the same place. And could red patches inside the bladder indicate anything else.