My 65 year old father was diagnosed about 4 1/2 years ago with stage 2 bladder cancer. they removed the bladder and put in an Indiana pouch. He did chemo afterwards, although I don't know which protocol - it was 2 drugs. he has had clean scans since finishing chemo 4 years ago, but on his most recent scan it came back in a lymph node on the bladder. I don't know any details about it other than size-wise it was in a gray area that insurance didn't want to cover the PET scan, but thankfully he got one anyway.
He is starting chemo this week, and again, sorry for my ignorance since i don't know the names of teh drugs, but I do know it is a more toxic chemo drug and different than the protocol he did the first time. this time it is 3 drugs.
My parents are dealing with alot so I don't want to burden them with all my questions, so I was hoping you all could help give me some guidance as well as help me narrow down what questions I can ask my parents.
I know that the recurrence rate is high in bladder cancer, but what are the mortality rates once the cancer has returned in a lymph node?
What are the chances that it will return again after chemo?
What are the different characteristics of the recurrence that I should get clarified - i.e. do they give it a stage? are there different types of recurrences? etc
What tips can I relay to him of ways to make the chemo process easier - acupuncture? certain foods to eat?
How fast do these types of recurrences grow and spread?
Is there a "maximum" for how much chemo your body can take over a lifetime. My fear is what if it comes back again, does he have to undergo chemo each time - isn't that too draining for one's body?
As you can see I am very concerned/scared yet don't feel like I can ask my parents all these questions, and in trying to do my own research I feel like I am missing some pieces inthe diagnosis, but not really sure what details I need to get clarity on.
Any insight, input or support you could provide would be most helpful as I try to sort through everything, both information and emotion.
thanks.