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Did waiting increase the chance of mets?

10 years 9 months ago #22221 by TheWifeAgain
Pat
Has anyone told you how wonderful you are?

Thanks
Pamela

Age 53 Currently
Bladder Cancer Diagnosis October 2006 T1G3
2011 Finally made it 6 month between Cystos
8/22/2011 Cysto in the OR
(BCG and BCG Maintenance over the years)
Graduated to yearly Cystos
Tumor found at first one year Cysto - TURBT 4/26/2013
Kidney pain - CT scan 5/1/2013

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10 years 9 months ago #22220 by Patricia
This from Dr. Steinberg a leading blc specialist
"Radical cystectomy

Although typically reserved for muscle-invasive disease, radical surgery is more appropriately used to treat some cases of non–muscle-invasive bladder cancer.
Thirty-five to fifty percent of patients who undergo cystectomy for Ta, T1, or CIS are discovered to have muscle-invasive disease, with 10-15% demonstrating microscopic lymph node metastasis.
The CIS in upwards of 80% of affected patients progresses to muscle-invasive disease, with 20% of patients found to have muscle-invasive disease at the time of cystectomy.
High-grade T1 tumors that recur despite BCG have a 50% likelihood of progressing to muscle-invasive disease. Cystectomy performed prior to progression yields a 90% 5-year survival rate. The 5-year survival rate drops to 50-60% in muscle-invasive disease.
Patients with unresectable large superficial tumors, prostatic urethra involvement, and BCG failure should also undergo radical cystectomy.
Pat

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10 years 9 months ago #22219 by TheWifeAgain
Has the past year and a half or so of being treated with BCG, Mitomycin and BCG with Interferon with poor results increase the possibility that the cancer may have spread?
This has been a concern of mine from day one. Aside from the intial scans for mets husband has not been rescanned.
Being at the end of the road as far as treatment options I am assuming they will rescan again if RC is looking like the answer to end this rollercoaster ride.
Has anyone been this route and found mets before RC?

Age 53 Currently
Bladder Cancer Diagnosis October 2006 T1G3
2011 Finally made it 6 month between Cystos
8/22/2011 Cysto in the OR
(BCG and BCG Maintenance over the years)
Graduated to yearly Cystos
Tumor found at first one year Cysto - TURBT 4/26/2013
Kidney pain - CT scan 5/1/2013

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