Similar to my case being treated at Georgetown University Hospital (Urology and Lombardi Cancer Center). My BC was diagnosed High Risk Non-invasive CIS in January 2018. I have gone through a first TURBT, then an MRI, then BCG induction. then another TURBT to remove tumor remnants, then BCG maintenance, then another TURBT to remove a small lesion. The latest diagnosis is pT1, that is invasion of lamina propia but not the muscle. I am waiting to know what doctors will recommend next. According to the Consensus Protocol I should continue with BCG maintenance (assuming that one can get BCG given the unexpected shortage). I thought I would share this story as others navigate the uncertainty.
BCG is usually only given after the first occurrence when the diagnosis is high grade. Low grade cancer is initially treated by removal of the tumor and frequent cystoscopy exams. BCG is more effective in high grade where the cells are rapidly dividing. Also, while BCG is relatively safe, it is not without side effects which are cumulative with increasing exposure, so it is best used when really needed.
If, however, low grade bladder cancer returns multiple times, BCG is often used.
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society