My dad (age 66) was recently diagnosed with stage0a non-invasive papillary urothelial carcinoma High grade and a TURBT was performed last Friday.
Doctor said he got all of tumor out but now my question is this- doctor said no further surgery and my dad is meeting with the doctor to discuss medical management. I think the doctor was under the assumption that this would be low grade so he advised early no further treatment would be necessary.
My dad has Lupus so would the BCG even be an option?
Also What is the prognosis? I am so heart broken right now I don’t even know where to begin? Can my dad live another 5 or 10
Years? He’s in otherwise really good health. Active, eats healthy, lifelong non-smoker.
I am thinking of getting a second opinion from Stanford. If anyone has any opinions on Stanford, I welcome comments/ suggestions....
Welcome and pat yourself on the back being involved in your Dad's treatment! With lupus you need a complete "team" in this complex situation. Be sure whoever he sees on that is involved. Being high grade BCG is normally used but, I don't know with lupus to even guess as no one here are doctors. Stanford does sound like a good idea if nothing else for a set of fresh eyes and peace of mind! Keep posting, someone smarter than me may have better observations. And, yes, your Dad can easily live another 10+ years.
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.
I was diagnosed with high grade non-invasive bladder cancer over 11 years ago and am still fine, with no signs of bladder cancer. (pTa means the bladder cancer is still confined to the very top layers of the bladder and has no signs that it has gone any further....a "good" diagnosis!)
The lupus is a complicating factor, of course. So whatever treatment your father has needs to be coordinated with all his physicians. For non-invasive bladder cancer, there is no additional surgical treatment. BCG is the treatment most used when the cancer is high grade and it is very effective in over 70% of the cases. There are many of us here on the Forum who have had it and are doing great. It does have its side effects, but they are nothing compared to what people who need systemic chemotherapy go through. IF your dad does have BCG there is lots of information about it on this Forum if you just use the SEARCH function. There are other options than BCG such as Mitomycin, that are not quite as effective but are used if a patient is not able to receive BCG.
Since lupus might be a complicating factor in your dad's case, a consultation at Stanford would not be a bad idea. It is an excellent place for bladder cancer treatment.
It is great that you are an advocate for your dad and that he does not need to go through this by himself. The odds are that he will be fine!!
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
Thank you so much for responding. I really do appreciate it!
I am almost in tears when I found out it as high grade- from all the medical literature I have read, it appear that there is a high reoccurence with "high grade" tumor. My dad's pathology report reads "high grade papillary urothelial carcinoma." Does this mean that the cancer will definitely come back and will come back more aggressive? In searching through Dr. Google- I have read studies which show it will reoccur at a higher rate but comes back in the same form- non-invasive papillary (if caught early during monitoring) and other studies that indicate this cancer will come back more aggressive and individuals with this type of cancer are at increased risk of muscle invasive cancer?
Gosh I just feel so overwhelmed with grief right now. My dad is meeting with his doctor on Monday and we are working on getting a second opinion at Stanford.