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After radical Cystoscomy, what chances of cancer returning???
My husband just had a radical cystoscomy, removing his bladder, lymph nodes and prostate. He had Stage 1, Grade 3 cancer tumors at the time of surgery. The pathology report came back with no cancer in any of the lymph nodes and no cancer found outside the bladder or prostate. Our M D Anderson doctor told us that Ron would not need chemo or radiation because he was clear of cancer.
Does anyone know what the chances are the cancer will return at a later date? Or does this mean it’s over for good???
Husband's RC 9/24/07
Ron is 66 yrs old and retired
DX 6/13/07, T1 G3 Cancer
Hospital: MD Anderson Caner Center
Surgeon: Dr Colin Dinney5 Replies-
There are some stats here on survival after cystectomy from this site. but remember they are only stats and that you are not a stat!
http://blcwebcafe.org/cystectomy.asp
all the best
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Well for right now no cancer no chemo which is great. I know right now I am getting checked every 3 months now & my first is the end of this November but even when it gets to 6 months I will not go a year without a checkup the rest of my life. Joe ;)
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[quote author=dar link=topic=1279.msg9040#msg9040 date=1192721922]
Does anyone know what the chances are the cancer will return at a later date? Or does this mean it’s over for good???
[/quote]Hi Dar,
His chances for a ‘cure’ (yes, a cure) are very good, about 80 to 85%. This number comes from a study from a large group of patients at USC/Norris studied over 15 years. I’ll send the article to you.
As Tim pointed out, cancer can recur in the urethra or ureters or pelvis of the kidneys (or elsewhere), but is unlikely. Your husband is very, very likely one of the fortunate people who will not have to worry about this disease again.
Best wishes,
Dan
Dx 7/04, CIS + T1G3, Age 50
2 TURBTs
12 BCGs
Cystectomy 8/05 USC/Norris
So far, so good (kow)Dar,
Being we had the same result with our path report but being Stage 3 T-2, our Doctor said 80 percent chance, free from any cancer for life.. I am sure they can’t say 100 percent, otherwise if it returned he would look like an idiot so I would be very surprised if Ron gets it again. You found it so early, good job.
Ginger
Your husband’s pathology sounds excellent and indicates that there is very little chance that cancer from this tumour will be found anywhere else in his body. If cancer is found in the lymph nodes then the chances can be higher and that’s why chemo is often used to finish off any stray cells. I think he can relax on that one. No doc is every going to guarantee anything but i’ve had the same op as your hub and it is considered to be largely “curative” here in the UK.
However, the ureters and urthra which he still has, are also lined with the same epithelium in which the bladder cancer started and, although he’d be pretty unlucky, tumours can still arise in these areas. the two bits of good news are (1) your husband has massively reduced the chances of a recurrence by having the surgery and (2) he will still be followed up so in the unlikely event that a tumour does appear it will be nipped in the bud. but hopefully that won’t be the case.
It’s important after this op to rest on your laurels and bask in the new lease of life it has bought you.
all the best
tim
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