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BCG treatments for Low grade urothelial carcinoma

7 months 3 weeks ago #58783 by sara.anne
Confusion is a good reason for a second opinion!!

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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7 months 3 weeks ago #58782 by Jessica0927
No he didn’t biopsy that area. He just treated it with fulguration. The path report states no CIS in what he did biopsy. The doctor said he would recommend the BCG to make sure no cells got left behind. He didn’t mention anything about thinking it was CIS. He said he was pleased it was low grade and that it was all good news. I’m so confused!

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7 months 3 weeks ago #58781 by sara.anne
Did the doctor biopsy the red "angry" area? IF he did then he should know if it is CIS (carcinoma in situ) or not.
If he is unsure he may be afraid that it is. CIS is always high grade and requires treatment, usually with BCG.
This might be a good time for your dad to seek a second opinion from someone who treats a LOT of bladder cancer patients such as at a major cancer center or medical school.

BCG would be a good idea IF it is high grade but it is not usually effective for low grade bladder cancer.

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
Forum Moderator

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7 months 3 weeks ago #58780 by Jessica0927
My dad had a TURBT last week and the path came back as low grade!!!!

Non invasive low grade urothelial carcinoma.

Architectural: papillary
Flat carcinoma in situ: not present
Lamina propria: present but not involved by Tumor
Muscularis propria: present but not involved by tumor

Dad had his follow up today and doctor is thrilled it’s low grade but he is still recommending BCG for 6 weeks. Said he saw an area near the tumor that he thought looked angry. He used the cautery to remove this. His idea is that the cancer could have been shedding there. Therefore he would like to do the BCG to wipe any escaped cells away. Thoughts???????

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