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Pathlogy Report

1 year 1 week ago - 1 year 1 week ago #55810 by Alan
While I am not familiar with Rutgers other than it is a big school (state school if I remember correctly so it may be the best there) others may chime in with better knowledge. I know Sloan Kettering and Johns Hopkins have great reputations that are also in the east. You definetely want to move quickly on an action plan or 2nd opinion assuming that lymphovascular involvement is correct. This is still treatable and beatable!

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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1 year 1 week ago #55809 by ferminpaul
I live in New Jersey had this done at Rutgers Cancer Institute.

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Ferminpaul

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1 year 1 week ago #55807 by Alan
Ferminpaul,

Welcome, we are always sorry when one has the reasons to be here. 1st, none of us are doctors so any interpretation should always be with your doctor. That said I see " MUSCULARIS PROPRIA IS PRESENT AND IS UNINVOLVED BY TUMOR." which to me means the tumor has not invaded the muscle and usually calls for treatment other than a cystectomy. Most often it is BCG or immunotherapy. I would want clarity on that of the path report. However, I also read "UROTHELIAL MUCOSA WITH TUMOR CEL LS PRESENT WITHIN LYMPHATICS CONSISTENT WITH LYMPHOVASCULAR INVASION" so there may be other involvement elsewhere because of the lymph nodes, this sounds serious. Taking both of these I would ask more questions and often a 2nd opinion is helpful and done at a major bladder cancer center or teaching hospital, one that sees at lot of this as so many practices see mostly prostate issues. What area of the country do you live? Someone reading often has a good place to head to.

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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1 year 1 week ago - 1 year 1 week ago #55791 by ferminpaul
Can someone please help decipher this patholgy report. Thank you for any assistance. Dr. says i should have a radical cystectomy. Do not understand the report. Thank you for any help. Fred M.

Surgical Pathology
Surgical Pathology Report Accession Taken: 7/24/2018 Received: 7/24/2018 Reported: 7/26/2018 Specimen(s) Received Bladder tumor Clinical History TURBT Clinical Diagnosis: Bladder tumor Gross Description Specimen A is received in formalin, and "bladder tumor" and consists of 2 fragments of soft tan tissue measuring between 0.4 and 0.6 cm in greatest dimension. Specimen is entirely submitted in one cassette labeled A1. (FZ) spro/7/25/2018 Zaldana, Francisco, DO Final Pathologic Diagnosis BLADDER TUMOR: PREDOMINANTLY DENUDED UROTHELIAL MUCOSA WITH TUMOR CEL LS PRESENT WITHIN LYMPHATICS CONSISTENT WITH LYMPHOVASCULAR INVASION. MUSCULARIS PROPRIA IS PRESENT AND IS UNINVOLVED BY TUMOR. SEE NOTE. NOTE: CK7 immunostain highlights the epithelial cells. CD34 immunostain highlights the lymphovascular lining.

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