Will try to answer both your questions, Sam. BCG is not given when the diagnosis is low grade unless it comes back. It is not as effective in most low grade cases as it is in high grade, and it does have some side effects which are cumulative so they sort of save it for when you might REALLY need it. However, if the low grade returns several times BCG is worth a try.
IF low grade bladder cancer returns multiple times and fails treatment with BCG the urologist would probably recommend bladder removal. Usually this does not happen.
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
2 years 6 months ago - 2 years 6 months ago#53767by Alan
Those are great questions. Depends on the involvement and your doctor as those are best left to them. Hopefully, it simply won't happen again. Typically 1 or 2 recurrence it is "wait and watch" cutting or burning them out. Again, depends on how often, how fast and involvement. If it is several then BCG is often used.
DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.
Many thanks for all the great efforts and support.
I want to ask in case of recurrence of low grade non invasive tumor, and the recurrence is low grade as well, for how long we can keep doing resection, if it is still low grade non invasive? Can we keep doing resection and bcg for unlimited times?