bcg

10 years 10 months ago #33358 by red
bcg was created by red
Hi everyone.
I have a question does it matter if you skip one week of your bcg treatment then go for 3 weeks then skip 2 weeks etc... as long as you do all 8.. My question is it more likly for the cancer to grow back because you are not doing 8 treatment in a row? i have superifical bladder with high grade

thank you
carolyn

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10 years 10 months ago #33359 by Nix
Replied by Nix on topic bcg
Carolyn,
No, it doesn't matter if a patient skips a week or two. If it isn't for medical reasons, it is probably preferred to just do the treatments straight through.
I had to skip one or two weeks due to reaction to BCG and it did not change anything. My first course of BCG was 6 treatments, then 3 doses @ a clip for maintenance.
Hope this helps.

Nancy

Nancy S
Ta CIS
dx Ta 11/06
dx Ta CIS 10/07

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10 years 10 months ago #33361 by sara.anne
Replied by sara.anne on topic bcg
I'll echo Nancy's comments. Several times I have had to postpone for a week due to other medical issues.

Sara Anne

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

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10 years 10 months ago #33364 by mmc
Replied by mmc on topic bcg
It's OK to skip now and then. If any trace blood shows up in the test on the day they plan to do BCG they will skip it that week.

Usually, it is six weeks, then a break for three to six months and then 3 weeks, then a break, then 3 weeks.
The maintenance doses are very important.

This is from Dr. Lamm's web site: (Click the link to read the full article, which is well worth your while)

Mike

Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...

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10 years 10 months ago #33366 by red
Replied by red on topic bcg
thank you guys i dont know why i am doing a 8 week then off for 2 weeks and getting my cycscpoe then as long as everything is ok back on once a month.
carolyn

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10 years 10 months ago #33369 by mmc
Replied by mmc on topic bcg
You are very welcome. You may want to talk to your doctor about the regimen.

Just thinking about it from a logic standpoint, it makes sense to do a once a month instillation if the single dose triggers a reaction.

If it does not trigger a reaction, then two weeks in a row or three weeks in row should as it has some cumulative effect.

Dr. Lamm has done the most research on BCG (as far as I know).

Again, good luck with the treatment. I hope it works out well for you!

Mike

Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...

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