The treatment and the prognosis depend upon the clinical diagnosis, which showed >3m tumor and at multiple locations. Also, it depends upon the pathology report of the tumors that the urologist had removed.
If the pathology report says the tumor had progressed to the muscle layer, it is classified as muscle-invasive bladder cancer. Usually, the doctor will recommend the removal of the bladder, or they may recommend bladder preservation treatment.
If it is not muscle-invasive, it is classified as non-muscle-invasive bladder cancer. The treatment for non-muscle-invasive bladder cancer depends upon the risk. Because the tumor was > 3.4 cm and other tumors were found, it is classified as high-risk non-muscle-invasive bladder cancer. Usually, high-risk non-muscle invasive bladder cancer will receive intravesical BCG treatment. The prognosis of non-muscle-invasive bladder cancers is much better than muscle-invasive bladder cancer.
The test they have done seems to indicate no lymph nodes positive and no metastasis.
The staging for bladder cancer depends on how far cancer has progressed, how many lymph nodes are positive, and if it is metastasized to other organs. How far deep cancer progressed is shown as Tx. Nx shows how many lymph nodes are positive, and Mx shows if it has metastasized to other organs or not.
If it is non-muscle-invasive bladder cancer, It will be TaN0M0, TisN0M0 as Stage 0. If it has progressed to the connective tissue ( also called lamina propria), it will be T1N0M0 as Stage 1.
If it is muscle-invasive bladder cancer, it will be Stage 2 (T2N0M0) if cancer has not progressed beyond the muscle tissue of the bladder.
And so on. Over 70-75% of the people who are diagnosed with bladder cancer are non-muscle-invasive bladder cancer. Their prognosis (survival rate) is very good.
Best wishes