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experience with re-turbs at MSK
This is the latest from Memorial Sloan on the benefit of Re-turbs..very interesting.
http://www.urotoday.com/index.php?option=com_content&task=view_ua&id=2217583
Just go to the site and register..its free…say you’re a consumer and you’ll always have access to the site and articles.
Pat -
10 Replies
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I think one of the most important things i got from this presentation is having a Re Turb and again that the skill of the surgeon can make the difference in outcome. Pat
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DIB, Memorial Sloan Kettering does use Pa, P0, P1, etc. then notes that they follow the 1997 UICC clinical staging system. I googled that and came up with the same TNM – tumor, node, metastisis, ie. Ta, T0, T1 etc. So to make things simpler, I would go wih the 99.9% world wide usage and substitute T for P.
If anyone is a current patient at MSK, please ask them why they use the letter P for staging instead of T, and does it really correspond to the 1997 UICC clinical staging system?
Kathy
Pat, I couldn’t get my mind around your last link. All I figured out was that is was OK to put a lowercase p in front of the uppercase T for staging.
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Yep thats what i thought…….sorry about that…sometimes my multitasking gets mixed up……..heres the link
http://clincancerres.aacrjournals.org/cgi/content/full/11/19/7012
Not that this makes it any clearer!!!:P -
Pat–
That link just went to Dr. Josephson’s page. However, I’m guessing from what you said in that last e-mail, that the “P” prefix might be used when reporting the stage findings from a post-cystectomy pathology exam? And would “T” be used for staging that is done through cystoscopy and TURBT pathology results? :unsure:Ann
Small TA Grade 1, May-06; recur (2 tiny), same, June-08; TURBTs both times. BCG begun July-08, dosage to 1/3rd May-10, completed treatment December-11. All clear since 2008.
Sorry but this City of Hope link brings me to the bio of Dr. Josephson, not anything on path findings
Male Dx T1G3 5/08 @ Age 59. TURBT 5/08; TURBT+40 mg MMC 6/08; BCG (6) 7/08-8/08; Cysto & TURBT 9/08; BCG Maint(3) 10/08, 3/09; 7/09; 11/09; 5/10; & 1/11. Clean cystos 2/09, 9/09, 3/10, & 10/10.Another set of letters confuse us……maybe this will help……it has to do with pathological findings after cystectomy
http://www.cityofhope.org/directory/people/josephson-david/Pages/default.aspx
Pat
I just did some sleuthing, and believe that the “P” codes are the same as the familiar “T” codes. I think the “T” has always referred to the primary tumor, and possibly there is some shift to using “P” instead of “T” so it’s clearer that it’s the primary tumor being described. I’ve found no indication that that there is actually any new coding system. (But maybe somebody with more knowledge will have a more accurate explanation.) I did notice that it seemed to be largely people from MSK using the “P in publications.
Ann
Small TA Grade 1, May-06; recur (2 tiny), same, June-08; TURBTs both times. BCG begun July-08, dosage to 1/3rd May-10, completed treatment December-11. All clear since 2008.
kathy
I went to that page but there is no mention of any series of “P” codes.
Male Dx T1G3 5/08 @ Age 59. TURBT 5/08; TURBT+40 mg MMC 6/08; BCG (6) 7/08-8/08; Cysto & TURBT 9/08; BCG Maint(3) 10/08, 3/09; 7/09; 11/09; 5/10; & 1/11. Clean cystos 2/09, 9/09, 3/10, & 10/10.
Hi DIB. Go to the top bar on this site that has Home, BLC Information,,News, etc. Click on BLC Information and then staging/grading. That should explain what you want to know.
Thanks. But can someone explain what the terms:
P0,Pa/Pcis, P1 and P2 mean?
Male Dx T1G3 5/08 @ Age 59. TURBT 5/08; TURBT+40 mg MMC 6/08; BCG (6) 7/08-8/08; Cysto & TURBT 9/08; BCG Maint(3) 10/08, 3/09; 7/09; 11/09; 5/10; & 1/11. Clean cystos 2/09, 9/09, 3/10, & 10/10.Sign In to reply.
