Good morning. I have been a observer of the forum for quite some time, this is my first post. I am a 57year old male, 1 ½ years out from RC with a neobladder done at MD Anderson after being diagnosed with T2b Stage II Transitional Cell Carcinoma. Had chemo before surgery. At a recent checkup had a Urine Cystology test and results were disturbing - “Atypical single cells with an increased nuclear cytoplasmic ratio and hyperchromatic nucleus are seen in background of numerous cells (neutrophils), some necrotic cellular debris, hemosiderin laden macrophage and occasional RBCs. No Papillary groups are present.” The comment said that the ‘presence of atypical cells in a background of necrotic cellular debris and acute inflamation are not specific, however, a malignancy cannot be ruled out.’
This was surprising as I have had no problems with the bladder, kidneys or checkups since surgery. Has anyone had this kind of report in the past? I have an IVP scheduled with my urologist but it is 3 weeks out and I am trying to get better educated in the meantime.
Any thoughts would be appreciated.
Rick