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Urology (Expert Forum)
bladder cancer - worried - blood in urine/ colics do not stop after BCG - other
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
bladder cancer - worried - blood in urine/ colics do not stop after BCG - other
by breno0, Nov 24, 2006 12:00AM
A -- WOMAN 63 YEARS OLD
B.- CANCER IN BLADDER
-- TRANSURETHRAL RESECTION area of resection of 3 or 4 sq.cm. tumor was totally removed / not arrived to the muscles.
C - RESUME OF HISTOPATHOLOGIC EXAMINATION:
-- (bladder)carcinoma urothelial cells high grade pappilary not invasive.
-- (tumor) several fragments/pieces of irregular tissue, "slightly grainy", firm and elastic color clear/brown, being the measure of the entirety/set 50x36x14mm.
D --TREATMENT/BCG DETAILS: instillation in the bladder for three weeks with a solution of 80 mg of BCG weekly during 45/60 minutes. After that, due to strong reactions(blood and colics)only used BCG on the 5th week ( two weeks interval) with only 40 mg ( treatment interrupted due to colics etc...)
FINAL WOULD THANKS FOR IDEAS/ORIENTATION/EXPERIENCES AND MODERN KNOWLEDGE, specially regarding:
BASIC QUESTION : Is it normal that 30 days after the final of BCG treatment there are still reasonable problems of blood in urine and colics???
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
THANKS FOR OTHER INFORMATIONS - Is it correct that in her case the cancer do not goes to other organs ( methastesis ) and, normally, only attacks/goes inside the bladder?; with adequate bladder treatment and follow-up we do have a big possibility of "no methastesis"?.
- Are there any help/remedies or unnoficial trial remedies to improve her immunity, to help? Please: informations about possible future treatment and suggestion of period/examinations.
- we are treating the problem with a good urologist; is it very important to contact oncologists to see/hear other possible ideas?
B.- CANCER IN BLADDER
-- TRANSURETHRAL RESECTION area of resection of 3 or 4 sq.cm. tumor was totally removed / not arrived to the muscles.
C - RESUME OF HISTOPATHOLOGIC EXAMINATION:
-- (bladder)carcinoma urothelial cells high grade pappilary not invasive.
-- (tumor) several fragments/pieces of irregular tissue, "slightly grainy", firm and elastic color clear/brown, being the measure of the entirety/set 50x36x14mm.
D --TREATMENT/BCG DETAILS: instillation in the bladder for three weeks with a solution of 80 mg of BCG weekly during 45/60 minutes. After that, due to strong reactions(blood and colics)only used BCG on the 5th week ( two weeks interval) with only 40 mg ( treatment interrupted due to colics etc...)
FINAL WOULD THANKS FOR IDEAS/ORIENTATION/EXPERIENCES AND MODERN KNOWLEDGE, specially regarding:
BASIC QUESTION : Is it normal that 30 days after the final of BCG treatment there are still reasonable problems of blood in urine and colics???
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
THANKS FOR OTHER INFORMATIONS - Is it correct that in her case the cancer do not goes to other organs ( methastesis ) and, normally, only attacks/goes inside the bladder?; with adequate bladder treatment and follow-up we do have a big possibility of "no methastesis"?.
- Are there any help/remedies or unnoficial trial remedies to improve her immunity, to help? Please: informations about possible future treatment and suggestion of period/examinations.
- we are treating the problem with a good urologist; is it very important to contact oncologists to see/hear other possible ideas?
Doctor's Answer
by Kevin Pho, MD, Nov 24, 2006 12:00AM
, Nov 24, 2006 12:00AM
To answer your questions:
1) The resolution of the hematuria after treatment can vary from patient to patient.
2) It is still possible for bladder cancer to spread outside the bladder. Appropriate treatment will minimize this risk.
3) I am not a urologist, so I do not have personal knowledge of studies that can help with the cancer. I would discuss this question and other options with an oncologist.
4) Other opinions is always recommended since the treatment course can vary from provider to provider. An academic medical center would be a suggested choice.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
1) The resolution of the hematuria after treatment can vary from patient to patient.
2) It is still possible for bladder cancer to spread outside the bladder. Appropriate treatment will minimize this risk.
3) I am not a urologist, so I do not have personal knowledge of studies that can help with the cancer. I would discuss this question and other options with an oncologist.
4) Other opinions is always recommended since the treatment course can vary from provider to provider. An academic medical center would be a suggested choice.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
