Hi New2This,
Sorry to meet you here.
Was the tumor in the bladder dome? With the terminology on the path report - the focal glandular differentition - could mean as Wendy send, mixed or adenocarsinoma, but location may in the dome could also suggest urachal cancer (belly button cancer). Right now MD Anderson has a trial going on regarding this type od dx. They have posted criteria for eligibility on their website. Hope it helps.
From my understanding of urachal cancer, the cancer can metastisize without going thru the bladder wall as it grows in material external of the bladder. I was dx'd stage 3 grade 3 at time of RC/neobladder. The pathology after is what showed the urachal findings. I am doing 4 months of adjuvant chemo after the RC for micromets that are likely out there. If I wasn't being treated at Mayo's in MN....I would be opting for MD Anderson.
God Bless, you are in my prayers, Holly