Patricia,
I think it is my confusion of his explanation. What I read from the responses here is the WHO has classified Urothelial papilloma as two types (low-grade & High-grade). If I further understand the grading, American Cancer Society grades non-invasive as either Ta or T1. So when he was talking about the depth of the tumor being a 2 or 3, might he be talking about G2 or G3? I thought he said it was not into the lamina propria. I’m still confused. The reason he sent the slides to John Hopkins; he stated, was to obtain an additional opinion about the margin between the involved tissues. He said for his edification it would determine if it was a 2 or 3. The Pathologist here classified it as non-invasive high-grade papillary carcinoma. I brought up the staging of the Ta, etc. and it was in his conversion that I most likely got confused. He further stated that this was strictly for his knowledge and that it would not change the treatment plan (BCG). You and others here are such a rich source of knowledge and experience that I don’t question your responses. However, I think it often some of us novices that confuse the facts. I also feel that as a patient, you either have to have confidence in your doctor or you should be searching for one that you do. But I also feel that you shouldn’t have blind faith in everything your doctor says and does. You have a responsibility to educate yourself to a comfortable level of confidence and security. Again, I thank you and the others for your support.
Chuck
