sarcomatoid bladder cancer

11 years 11 months ago #41953 by CatherineH
Replied by CatherineH on topic sarcomatoid bladder cancer
I am not familiar with the issues surrounding diabetes, but here is some info about possible surgical complications for a person whose diabetes is not under control. There are some life-threatening potential situations listed. A radical cystectomy is a very invasive and complicated surgery so I do understand why doctors may be extremely cautious. I do hope they are able to help your friend soon.

diabetes.about.com/od/whatisdiabetes/a/diabetes-and-surgery-post-op-concerns.htm

Best wishes... Catherine

TURBT 1/21/10 at age 55
Dx: T2aN0M0 Primary Bladder Adenocarcinoma
Partial Cystectomy 2/25/10
Vanderbilt Medical Center
Nashville, TN

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11 years 11 months ago - 11 years 11 months ago #41951 by upnorth
Replied by upnorth on topic sarcomatoid bladder cancer
Welcome,

That is one of the rarest cancers out there. I can't answer why they would wait so long to start treatment. If it were me, I would be asking why no one has suggested a radical cystectomy (RC). This is a very aggressive and dangerous cancer.

Here is a quote from a study done in Mexico on 2007.

The management of such tumors has not been standardized, due to their low incidence.

In any case, most published studies point to radical cystectomy as the treatment of choice, generally followed by chemotherapy or radiotherapy. However, the benefit of complementary therapy with respect to surgery alone, in terms of the reduction in relapse risk and improved global patient survival, is not clear.

Here is another link stating the same:

www.ncbi.nlm.nih.gov/pmc/articles/PMC2695712/

I think she should find a qualified cancer treatment facility, to get another opinion.

What clinic is she at now? If we know where you are, we can try and make a referral to a know good clinic near you.

Mark

Age 55
Diagnosed BC 12/20/2011 Ta No Mo 0a Non-Invasive At age 48
"Please don't cry because it is over..... Smile because it happened!" {Dr. Seuss} :)

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11 years 11 months ago #41949 by tdfitz
sarcomatoid bladder cancer was created by tdfitz
A friend of mine is 67 yrs old. She just got her 2nd opinion yesterday on her cancer. Was diagnosed about 5 weeks ago. The 1st doc said it was advanced more than he could treat. 2nd doc just told her to go home, lose some weight, eat 5 meals a day to get her diabetes under control and they will call her next week to set up chemo. All this before they would do surgery. The cancer has already spread to the muscle tissue surrounding the bladder and told her it is an agressive fast acting cancer. So I don't understand whey they won't do surgery now. Anyone have any suggestions? Thank you.

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