Thank you all for your helpful perspectives and questions. It turns out that the urologist did, indeed, "see something". The CT scan mentioned calcification and the
cycstoscope turned out to be a turbt -- a 1 cm calcified tumor was removed. The urologist said it would have functioned like a bladder stone and would have grown to be a big bladder stone. The pathology report is consistent with that of my primary tumor from about a year ago.
I'll see my medical oncologist this Thursday morning. I believe my husband will go with me this time. I did get a copy of the CT scan report and it appears to me that
my most recent chemotherapy did not prevent additional growth of existing lesions/nodules and that lesions/nodules are more numerous than before (Nov. 15).
The literature I've read suggests that tcc with the sarcomatoid varient doesn't respond well to many tcc chemotherapy combinations and, so far, that's been true in my case. However, radiation significantly shrunk my primary tumor and I think I
should ask about radiation for at least some of my mets. Also, I might be a good
candidate for the "Rational Therapeutics" testing since I have at least two
"pathological" (biopsy-sized) mets. In any case, I'm feeling physically well but
terrified that my cancer continues to grow and spread. And I believe I'll seek a consultation with a "rare bladder cancer" specialist who is doing some clinical trials related to rare cancers.
-- Susan (mssmr)