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Upstaging to muscle invasive significance?

5 years 7 months ago #55766 by Jack R
Replied by Jack R on topic Upstaging to muscle invasive significance?
Frannie,

There are fairly "standard" treatment recommendations, based on stage at the time of first discovery of bladder cancer. Nothing is written in stone - overall condition of the patient, specific situation of the cancer, patient preference and doctor/care team practice all converge on a treatment.

As patients it is up to us to ask for recommendations and expected outcomes; alternative recommendations; second opinions and become comfortable with OUR choice(s).

The following link to an American Cancer Society paper - "Treatment of Bladder Cancer, by Stage" offers an overview, a STARTING point for understanding options and discussions with the doctor and care team.

www.cancer.org/cancer/bladder-cancer/treating/by-stage.html

Thank you for being there for your husband.

Best,
Jack
6/2015 HG Papillary & CIS
3 Years and 30 BCG/BCG+Inf
Tis CIS comes back.
BC clear as of 5/17 !
RCC found in my one & only kidney 10/17
Begin Chemo; Cisplatin and Gemzar
8/18 begin Chemo# 3
Begin year 4 with cis
2/19 Chemo #4
9/19 NED again :)
1/2020 CIS is back
Tried Keytruda, stopped by side effects
Workin on a new plan for 2021
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5 years 7 months ago #55763 by Alan
Replied by Alan on topic Upstaging to muscle invasive significance?
Sounds like when the stent was put in also the surgeon was able to do somethig close to a TURB and took a biopsy of the bladder. TURBs are often re-done anyway to be sure the stage is correct and check any other suspicious areas so that is good. Yes, 2nd biopsies will often change the staging. If it is T2 that would be muscle invasive. Protocols are different on T1 which is usually done with BCG (immunotherapy) or other bladder agents when high grade, and T2 usually means a cystectomy. Either way, it will be good to research what may happen once a plan is set. The big key is BOTH are treatable and beatable. Keep us posted and lets trust it is T1.
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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5 years 7 months ago #55760 by frannie72
Upstaging to muscle invasive significance? was created by frannie72
My husband recently had a kidney stent and doctor found bladder mass incidentally, removed it and path report show high grade urothelial papillary carcinoma T1.
October 4th doc says they will perform TURBT and maybe upstage it. So even though the diagnosis was T1 it's not for sure until the TURBT? If it's upstaged to T2 that means its invaded the muscle, correct?

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