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  • Why cystoscopy if mass found on CT?

    Posted by Jessica0927 on November 11, 2019 at 7:24 pm

    Why do they bother with the cystoscopy and not just go for the biopsy under anesthesia???? My dad has a small growth on bladder wall found on CT scan. Tomorrow he has a cystoscopy and if they see anything (which I assume they will considering the scan) then they bring him back under anesthesia for the removal. Why?!!! Seems like wasting time..:why not just remove it the first time you go in? It’s very frustrating.

    Jessica0927 replied 5 years, 2 months ago 2 Members · 5 Replies
  • 5 Replies
  • Jessica0927

    Member
    November 12, 2019 at 7:50 pm

    My dad is currently at his cystoscopy and I’m so scared!

  • Jessica0927

    Member
    November 11, 2019 at 8:43 pm

    Thanks let’s hope! That would be amazing!

  • Alan

    Member
    November 11, 2019 at 8:34 pm

    Let’s just hope the scope shows no reason to go any further! It does happen even if uncommon!


    DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.
  • Jessica0927

    Member
    November 11, 2019 at 8:26 pm

    Thanks so much! I guess We can hold that whatever the CT scan saw is not actually there and we wouldn’t have to go any further but I’m not sure of the likelihood of that situation. Tomorrow should reveal the rest of the plan I guess.

  • Alan

    Member
    November 11, 2019 at 7:49 pm

    Great question you asked. My URO did the same protocol. A cytology, then CT scan then the scope. Pure guessing on my part but, the scope confirms what the CT scan indicates. It is a double check and probably helps “map” out and makes sure there are not other issues.

    My CT scan tumor was actually missed by the radiologist (he wrote no tumors visible) and my URO saw the tiny shadow on the film. He was going to scope me either way as this all started with gross hematuria. So, the answer is your Doc is following a true and tried roadmap. In a few rare instances, the scope shows no reason to go to a more invasive test/surgery such as a TURB. They do the least invasive test and build up which is good medicine.


    DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.

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