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Dad’s Cancer was Up-staged and NOW really scared
So my dad’s pathology:
Microscopic Description:
Specimen A.: Sections demonstrate involvement by high grade papillary urothelial carcinoma with
lamina propria invasion. Muscularis propria is identified and uninvolved by tumor. Background
biopsy changes are present.Specimen B.: Sections demonstrate involvement by high grade papillary urothelial carcinoma with
lamina propria invasion. Additionally, some fragments show a flat layer of atypical urothelial
cells without definite fibrovascular cores.which may be consistent with adjacent urothelial carcinoma in situ (due to specimen proximity to
bladder tumor, an
adjacent “shoulder” lesion cannot be definitively excluded). Muscularis propria is identified and
uninvolved by tumor Background biopsy site changes are present.Representative slides have been reviewed in the daily intradepartmental consensus conference.
Synoptic Comment:
A. Right posterior bladder wall: SPECIMEN
Procedure:
TUMOR
Tumor Site: Histologic Type: Histologic Grade: Tumor Extension:
Muscularis Propria Presence: Lymphovascular Invasion: COMMENT
pT1NxMxTransurethral resection of bladder (TURBT)
right posterior wall
Papillary urothelial carcinoma, invasive High-grade
Tumor invades lamina propria (subepithelialconnective tissue)
Muscularis propria (detrusor muscle) present Not identifiedSo what does this mean- the doctor still says BCG? I am loosing hope. I am terrified.