Just received pathology report associated with biopsy to remove "several tan-pink to white irregular slightly friable fragments of tissue ranging from 0.1 - 0.3 cm." This tissue was observed in September, during my third follow-up (9+ months) cystoscopy after my first TURBT in November, 2018. At that time the tissue was determined to be non-invasive, low grade. Unfortunately, this time the pathologist determined the tumor to be of
high grade. Report included the comment: "carcinoma shows borderline changes of high grade, including focal disorder hyperchromasia and increased mitotic activity." Fortunately no lamina propria invasion was observed and the muscularis propria that was examined was negative.
So my risk level increases a notch and I'm disappointed. Induction phase of BCG starts Tuesday before Thanksgiving with last dose on the last day of 2019.
My urologist said the BCG will be instilled at his office and I go home immediately after, holding it for as long as I can up to 2 hours. I was surprised to hear that I wouldn't remain in the office until "discharge." Is this practice unusual? Finally, my wife is somewhat apprehensive about BCG eventually ending up in our septic tank. Are her concerns valid? As a cancer survivor herself, she attempts to grow/raise/harvest as much food as possible herself (eggs, venison, vegetables, goat milk at times) and buy organic whenever possible. She almost divorced me when she learned I used Roundup in a ditch that runs along the road in front of our hobby farm.