It sounds like there is a recurrence? Big question, did the Doc after the second TURB suggest the cystectomy AFTER the pathology report? There are times where spots are irritation and not cancer. If the second path shows cancer in my opinion (remember none of us are doctors) you have basically 3 choices. Yes, do a cystectomy. Second, try a second round of BCG sometimes with interfuron helps. Or, get a second opinion to give fresh eyes to confirm which way to go and peace on mind. From what you have described personally I'd probably get a second opinion hoping for the best and prepare for the possible cystectomy.
DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.
We also are trying to make decisions of what to do. In December he had one spot, but yesterday during TURP the Dr. found 4 areas and recommends doing cystectomy.
He did the 6 weeks of BCG ending in November, and we were so relieved about his bladder looking good and functioning good in December, so now we are confused about what to do next.
If cystectomy is inevitable future, perhaps we should just do it.
Depends on whether the papillary was high grade or low grade. CIS is always high grade and so is more likely to spread than a low grade. If the papillary was high grade that means it has the potential to spread.
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
Which is most likely to spread....Papillary or CIS? I have CIS. Doing 3rd Gemzar treatment tomorrow then scope in 1st week September then if back they said R/C. Every cytology I've had since beginning has came back as CIS even after TURBTS so I guess my bladder just full of cancer and it's a wait for a tumor to do anything. Sounds sorta like a dangerous whack a mole game here. Seems more I learn about this less I know. Thanks for ur input.
My thoughts based on my history and not a recommendation. Diagnosed T1. To date, two TURBTS and 9 BCG treatments. At this point, several clear cystoscopes and FISH tests (for now, cancer free). In my case, BCG has proved highly effective. Pending resolution of the BCG shortage, planning for additional treatments.