Ferminpaul,
Welcome, we are always sorry when one has the reasons to be here. 1st, none of us are doctors so any interpretation should always be with your doctor. That said I see " MUSCULARIS PROPRIA IS PRESENT AND IS UNINVOLVED BY TUMOR." which to me means the tumor has not invaded the muscle and usually calls for treatment other than a cystectomy. Most often it is BCG or immunotherapy. I would want clarity on that of the path report. However, I also read "UROTHELIAL MUCOSA WITH TUMOR CEL LS PRESENT WITHIN LYMPHATICS CONSISTENT WITH LYMPHOVASCULAR INVASION" so there may be other involvement elsewhere because of the lymph nodes, this sounds serious. Taking both of these I would ask more questions and often a 2nd opinion is helpful and done at a major bladder cancer center or teaching hospital, one that sees at lot of this as so many practices see mostly prostate issues. What area of the country do you live? Someone reading often has a good place to head to.
