Carcinoma In Situ diagnosis

2 months 4 weeks ago #60832 by Alan
Replied by Alan on topic Carcinoma In Situ diagnosis
You are the way t. Glad for the good updates!o making this a distant memory

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.

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2 months 4 weeks ago #60831 by joea73
Replied by joea73 on topic Carcinoma In Situ diagnosis
Great news to hear !!

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3 months 1 week ago #60807 by Clyde
Replied by Clyde on topic Carcinoma In Situ diagnosis
Update: Last week I had a Cystoscopy and cytology test. Thank God they were both negative. Now I start the BCG maintenance program. 

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7 months 1 week ago - 7 months 1 week ago #60537 by mikequestions
Replied by mikequestions on topic Carcinoma In Situ diagnosis
Hy Clyde,

I think it's standard procedure for them to do a follow-up turbt afterward. With this turbt, they typically look really closely at the area and sample anything remaining that looks suspicious. They also clean up the margins of the previous surgery. For me, there was a 6 week period between the 2 turbts - This gives it time to heal a bit, and for the swelling to decrease. It also allows some time for pathology of the biopsies.

The last time I had a cystoscopy (less than 2 weeks ago), my urologist took a couple biopsies. The sampling equipment looks like small alligator jaws, and I was able to watch on the monitor while the biopsies were taken. Subsequently, the areas were cauterized to prevent further bleeding. The whole thing was relatively painless, and I recommend it (as opposed to the complications of a turbt). Maybe they could do this for you, since there's not really been a formal diagnosis of CIS.

Mike

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7 months 1 week ago #60535 by Clyde
Replied by Clyde on topic Carcinoma In Situ diagnosis
Hi Mike,

The cystoscopy was done in the office and he did not do any biopsies. He didn't think the subtle red area was a concern at the time but now with the suspicious cytology results he wants to go back in and take a more thorough look and scrape out and biopsy any area that doesn't look normal. He didn't see any lesions. The only concern is CIS, He didn't say anything about a second turbt. I know when I was originally diagnosed that URO-oncologist didn't suggest a second turbt. He wanted me to just start BCG. I was feeling pretty good about my bladder after the cystoscopy, I seen the bladder and I didn't see any red at all. The last time I had a cystoscopy I had allot of red which he thought was inflammation.

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7 months 1 week ago #60534 by mikequestions
Replied by mikequestions on topic Carcinoma In Situ diagnosis

Hi Clyde,
When they did the cystoscopy, did they perform a biopsy, and if so, did they send biopsy(s) to a pathology lab for analysis? It seems they could sample this area without doing a turbt.

Correct me if I'm wrong, but if they do a turbt, won't they have to another follow-up turbt after the biopsies are analyzed? -I believe it's standard procedure to have a "clean-up" turbt following the first turbt.

Mike

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