My Father was just diagnosed with High Grade Transitional cell carcinomy papillary and no papillary types. Stage 3
Tumor evades into lamina propria and superficial muscle wall. Lymphovascular space invasion is identified. Section of intramiral ureter is present and shows high evidence of high grade carnioma in situ.
The tumor is on the spot of the bladder where the uretha connects and blood vessels are located. It was a large tumor according to Dr. and was also wrapped around the uretha tube . Doctor says that it is high grade and highly aggressive.
His best option would be to have surgery and remove the bladder, uretha tube, and kindey but that is not an option as he has COPD and say he is not a canidate for surgery.
His options are radiation and chemo, or nothing.
At this time we are awaiting approval for CAT scan to see if it has spread with takes it stage four if it has.
His next appt is with the radiation oncologist to find out more, hopefully before that will have catscan done, than meet with oncologist and urologist.
The oncologist does not feel that is has spread which is good news, but still have to wait for the CAT scan. Its hard to belive that when at first by the family doctor, we were told your test showed a very tiny spot on your bladder and don't worry its a slow moving caner.
It is so frustrating obvioulsy because of the diagnois, but also wondering if this could have been caught sooner if his family doc had done a urine test.
We do know that not all of it was able to be scrapped off which worries me espeically due to location.
I know options change a bit if it has spread, but
Is treatment and prognosis different, case by case, depending on location of where the tumor is on the baldder?