Question Title: Is this "white patch" premalignant?

I am a 4 year survivor of breast cancer, Stage 1, Non lump involvement. I have recently been diagnosed through cystascope that I have a White Patch on the wall of my bladder. My doctor states that cyctology is (-) to malignant cells, therefore, biopsy is not warranted at this time, however, this should be watched. I am concerned that this is a premalignant condition. I have a very strong family history of cancer and I was the 6th woman, 3rd. generation, to develope breast cancer with the BRCA-2 gene factor. What should I do? Can this be the early stages of bladder cancer?
Thanks for you input.

BA

Dear BA,
You have to rely on your urologist’s judgment. Obviously there is an irregular area in the bladder that no one would fault a urologist to just biopsy. This would relieve the concern of whether the white patch is cancer, inflammatory, or a benign condition. I know you sound very concerned, but your urologist doesn’t want to subject you to a procedure that he or she doesn’t feel is necessary. I can’t tell you if this lesion is premalignant based on your history. I would need to look at the lesion myself and obtain a full history in order to make that judgment. Express your concern to your urologist and if they can assure you this is a benign condition that doesn’t need to be biopsied then I would follow the lesion conservatively over time.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).

Sincerely,
HFHS M.D.-AK
*keyword:Bladder Cancer

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