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9 years 4 months ago #37640 by GKLINE
Nicely said, and explained, Sara Anne. This is a great un-clinical answer for all of un un-clinical people


Light a man a fire and he is warm for an evening.
Light a man ON fire and he's warm forever.

08/08/08...RC neo bladder
09/09/09...New Hip
New Man! [/size]

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9 years 4 months ago #37633 by motomike
Thank you Sara Anne
That same question had been on my mind also.

I'm 70, retired heat/air contractor. After 4 months of keymo ileal conduit (IC) surgery removed bladder & prostate May 2010

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9 years 4 months ago #37625 by mmc

Sorry if my earlier answer confused you.

Read this: http://www.cancerhelp.org.uk/type/bladder-cancer/treatment/bladder-cancer-stage-and-grade .

Sara Anne gave a great description above but this has even more information. You will become an expert in time. None of us were born knowing this stuff.

Hang in there and keep the questions coming.


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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9 years 4 months ago #37619 by sara.anne
Dana, "Aggressive" and "non-invasive" are talking about two totally separate things.

First, there are several different "kinds" of bladder cancer. Some are very slow growing and might just sit around causing minor problems for years without spreading. These are considered "non-aggressive." Then there are some that have the potential to spread rapidly. These can advance into the lymph nodes, the kidneys, and elsewhere in the body. These are called "aggressive" and include CIS (carcinoma in situ) and some of the papillary tumors. When the sample of the tumor is sent to the pathologist, he can determine by looking at the cells of the tumor if it is aggressive or not.

"Invasive" refers to how far the tumor has progressed AT THE PRESENT TIME. If you are fortunate, an aggressive tumor can be found early, while it is still non-invasive. If it had not been found for another year, for example, it might have become invasive.

Your husband is extremely lucky to have been diagnosed while his tumor was still non-invasive. But, since it apparently is an aggressive type of cancer, it is important to keep on top o9f it. It sounds as if your urologist is doing the right things. A second TURB helps to be sure that the diagnosis is correct. And it also appears that the urologist is going to have your husband treated with BCG. There is a lot of information on BCG elsewhere on this web-site.

One thing about bladder cancer is that it has a tendency to return. BCG treatment is one way to try to keep it from coming back.

Keep asking your questions and, in a little while, you will be an expert!!! Remember that all of us started out right where you are.

Sara Anne

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

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9 years 4 months ago #37617 by Dana
Every time I ask a question I got an answer that just gives me more questions. I am too confused but thank you to everyone that tries to help me.
I thought that Invasive and Non Invasive cancer were two different types of cancer but now I doubt that this is true.
If my husband's cancer is aggressive does it mean that it is Non Invasive because we caught it on time? what I mean is if it had been left undiagnosed another couple of months or so would it now be invasive?
Am I just getting my hopes up? Is this unbeatable?
I am afraid and confused and am trying to understand if this cancer will be back soon as Invasive without a hope.

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