• sara.anne's avatar

    sara.anne

    Member
    February 4, 2019 at 1:09 am

    The second biopsy may very well have a different result. Usually a second TURB is done when there is a question about a diagnosis (maybe enough tissue wasn’t taken or not enough areas were sampled.) It is considered to be good medical practice to do a second TURB. The second time (if it is the same urologist…I understand that this is a new doctor for you) the surgeon knows where the problem areas are and can give them special attention.

    In my case, the first TURB/path report indicated low-grade papillary tumors, with “areas of unspecified irritation.” My urologist went back for a second TURB with emphasis on the areas of “unspecified irritation” and the diagnosis was clearly CIS (carcinoma in situ) which is high grade. My treatment plan was completely different than it would have been with only the first TURB for guidance.

    Sara Anne


    Diagnosis 2-08 Small papillary TCC; CIS
    BCG; BCG maintenance
    Vice-President, American Bladder Cancer Society
    Forum Moderator

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