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Delayed side effects with Mitomycin

3 weeks 1 day ago - 3 weeks 17 hours ago #57729 by JigStep
HTXfire:
At November cystoscopy following my initial TURBT, doc saw "3 or 4 red patches" around the initial resection site. (Of course this news didn't help my state of mind.) Had a second TURB with intravesical Mitomycin in December, although no catheter. Doc resected one site and biopsied another; pathologist identified cystitis cystica, but no cancer in tissues. Between weeks seven and nine, following 2nd TURB, started having some discomfort when urinating (particularly getting flow started), with minor bleeding and passing small clots. Sounds like your reaction is much more severe, but timing seems similar. I don't know if my experience was a reaction to Mitomycin or just the healing process. At March cystoscopy, doc says "it's still healing in there." He'll be taking another look-see soon. Hope your symptoms diminish quickly. Stu

7/18 Gross hematuria
8/18 TURBT, papillary urothelial carcinoma, T1 LG
12/18 TURB, benign urothelial mucosa, focal features consistent with cystitis cystica

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3 weeks 1 day ago #57727 by Johno100
Similar to you , tumour removed six weeks ago , non invasive grade 3 , bleed a lot , had a UTI , catheter in and out twice , stopped seeing blood around ten days ago, still seeing the occasional scab , doc said its normal , due to start BCG in a week , doc is also sending me for a thorax CT scan to be on the safe side. stressful times.

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3 weeks 1 day ago #57726 by Alan
Wow! Thanks for posting. As mentioned earlier I have not read about such a delayed reaction but, I have learned many things are possible and as soon as I think I have seen it all here comes another change! You are correct nonetheless, that is good news I just hope you heal completely very soon.

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.

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3 weeks 1 day ago #57724 by HTXfire
My pathology report came back this morning and the Dr suspects I had a severe inflammatory response.

Bladder mass biopsies:
- Hemorrhagic cystitis.
- Urothelial hyperplasia with atypia, favor reactive.

This is good news, considering this time last week I thought I had another tumor. I’m still in a lot of pain though. I’ve almost finished my anti-inflammatory pack and I’m wondering if 7 days was long enough. Anyone else experienced hemorrhagic cystitis? I’m a very active 34yo male and it has kicked me to my knees. I still find it odd that I had such a delayed reaction to a single dose of localized chemo in my bladder following my first TURBT.

Would love to hear others thoughts and experiences...

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3 weeks 2 days ago #57722 by sara.anne
Yes, it is very common to have both papillary and CIS. I did. This is the same cancer, just a different form, arising from transitiional cells in the bladder wall.

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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3 weeks 2 days ago #57721 by HTXfire
So you can have both papillary urethral carcinoma & flat carcinomas CIS or SITU. Is that common? I’ll be sure and update my path report results here. Thanks for the reply Alan.

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