New user with T1 G/3

15 years 6 months ago #21803 by Rosemary
Replied by Rosemary on topic New user with T1 G/3
Vince,

I am T1 G3 also. My Uro kept sending me back until there was enough muscle tissue for a good
sampling. This is of utmost importance!!

My recommendation based on my own experience is to go get a second opinion at a teaching hospital.
Ask a top Urological Surgeon to do the biopsy and make sure there is plenty of muscle tissue.
My second opinion doctor at UNC Hospital in Chapel Hill was part of a multidisciplinary team which
means that after my biopsy and CT scan, a whole bunch of different head doctors from various departments
(Oncology, Radiology, etc) sat around a table and discussed my case to form a consensus on the safest direction to take.

I urge you to get a second biopsy with a deep muscle sample. The fact that you are having recurrances while on BCG is not such a good thing with your Stage and Grade.

Your Bud,
Rosemary

Rosemary
Age - 55
T1 G3 - Tumor free 2 yrs 3 months
Dx January 2006

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15 years 6 months ago #21799 by Cynthia
Replied by Cynthia on topic New user with T1 G/3
Vince,
First off please remember that it is always advisable to have a second opinion done at a center that does a high volume of bladder cancer. What follows is some reading that may help.

AUA 2008 - Prognostic Value of Re-TURB of High Risk Non Invasive Bladder Cancer

www.urotoday.com/287/conference_coverage/aua_2008_bladder_cancer_highlights/aua_2008__prognostic_value_of_returb_of_high_risk_non_invasive_bladder_cancer.html

The Best Treatment for High-Grade T1 Bladder Cancer is Cystectomy - Abstract

www.urotoday.com/37/browse_categories/bladder_cancer/the_best_treatment_for_highgrade_t1_bladder_cancer_is_cystectomy__abstract.html

AUA 2006 - High Grade T1 Bladder Cancer: Who Should Undergo Early Cystectomy?

www.urotoday.com/browse_categories/bladder_cancer/aua_2006__high_grade_t1_bladder_cancer_who_should_undergo_early_cystectomy.html

E-medicine Partial Cystectomy

www.emedicine.com/med/TOPIC3043.HTM

Cynthia Kinsella
T2 g3 CIS 8/04
Clinical Trial
Chemotherapy & Radiation 10/04-12/04
Chemotherapy 3/05-5/05
BCG 9/05-1-06
RC w/umbilical Indiana pouch 5/06
Left Nephrectomy 1/09
President American Bladder Cancer Society

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15 years 6 months ago - 15 years 6 months ago #21797 by Webs
Replied by Webs on topic New user with T1 G/3
Vince,

All I can say is get a second opinion. Your life is nothing to full around with. While they briefly thought of giving me a partial cyctectomy, until they confirmed there was muscle involvement, they decided a radical cyctectomy was my best chance at survival. It is very important to have a good doctor and a good pathologist.

Wishing you the best

Webs

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15 years 6 months ago #21793 by Patricia
Replied by Patricia on topic New user with T1 G/3
Vince...i'm concerned that no muscle tissue was present for evaluation at your TURB. I think there is quite a controversy on partial cystectomy. I remember my local uro wanting to do one on me and when i went for my second opinion to MSK in New York my surgeon there just rolled his eyes ........
www.sciencedirect.com/science?_ob=ArticleURL&_udi=B7XMT-4HMVSN6-3M&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_version=1&_urlVersion=0&_userid=10&md5=9079fbf7bb6eec6a6e2dddea63dc0fb7
I would maybe seek a second opinion and a second TURB with muscle tissue present for pathology.
And i don't know of one person who has to wear a catheter after receiving a neobladder or Indiana Pouch....they may have to catherize..especially the females......but nothing indwelling.
Pat

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15 years 6 months ago #21792 by Cynthia
New user with T1 G/3 was created by Cynthia
It is interesting that in one day I should get two email dealing with partial cystectomy. Vince gave me a call and we talked he is now dealing with facing a second TURB and is worried about the possiblility of Radical Cystectomy. I have told him that getting a second opinion is important to easing his mind on this and helping him make an infomed decition.

Cynthia Kinsella
T2 g3 CIS 8/04
Clinical Trial
Chemotherapy & Radiation 10/04-12/04
Chemotherapy 3/05-5/05
BCG 9/05-1-06
RC w/umbilical Indiana pouch 5/06
Left Nephrectomy 1/09
President American Bladder Cancer Society

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