Hello Swhite.
The summary Sarah Anne has given you sounds very similar to the advise and prognosis I received after my diagnosis with T1 Sarcomitoid carcinoma of the bladder. I took my case to 3 top urologist/ surgeons , and all strongly recommended immediate RC. The prognosis for my type of cancer( being very rare and aggressive) was dim at best, but equally rare was to catch it early at T1 because almost all presentations of this type are found at a later stage. I had 2 resections ( the second for margins and to verify that it was not muscle invasive, which it wasn’t ) and proceeded to RC. The pathology of the second resection and post RC showed no residual malignancies and thus did not need chemo. That was 20 months ago and so far so good. I have a neobladder and I’ve become quite fond of the little fellow, since my old bladder was highly retentive . I have studied bladder cancer extensively since and am positive that their advise and course of action was right on. I hope this helps you in some way. Orillia.