Final Pathological Diagnosis:
A. Transurethral Resection, Bladder Tumor: Noninvasive Papillary Urothelial Carcinoma, High Grade
B. Transurethral Resection, Base of Bladder Tumor: Benign, Partially Denuded Urothelial-Lined Tissue. (Health Care Provider- Kaiser Permanente - Riverside, CA)
After multiple emails and voice mails doctor finally responded with a voicemail.
Since my Ta HG tumor was a single papillary tumor on a stalk he is confident that no further treatment is needed other than 3 month cystoscopy's. He said that there was no cancer found in the superficial lining and he is confident that it has not spread to the muscle since the lining didn't have any cancer in it. There was NO muscle present in the pathology sample.
He said that sometimes a second TURBT is done to recheck, but is confident this isn't needed.
He also said that since it was a single tumor on a stalk, he thought BCG wasn't necessary because although it can help, it does come with possible side affects.
From all that I have read regarding BC that comes back from pathology as High Grade, this is a very non aggressive approach. Everything I have read suggest a second TURBT followed by BCG.
I have already pathology off to Johns Hopkins for a second opinion. They received it yesterday and I hope to hear back from them in a couple of days. Hoping to hear that they think is is Low Grade.
Definitely looking at a second opinion on the treatment plan.
I would love to hear feed back. My wife and I are very nervous and frustrated.
Thanks,
Frank
