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Hello Doctor, I Have Two Questions. One For My Daughter

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Posted on Wed, 17 Apr 2019
Question: Hello Doctor,
I have two questions. One for my daughter who is 20 and one for my son who is 23.
My daughter had a blood in her urine once last December. And she went to the Doctors and she was told she has a growth in her bladder.
She will be operated soon and they will test if the cells are cancerous.
Please what is the cause of this growth in her bladder. No one has it in the family history. I don't know where it came from.

Please is this a dangerous growth? And if taken out, will it grow again? And hope nothing will be affected.
doctor
Answered by Dr. Monish De (6 hours later)
Brief Answer:

CT scan abdomen followed by cystoscopy and biopsy

Detailed Answer:

Hi

The growth in your daughters bladder can be due to bladder cancer that occurs in the tissues of the bladder, which is the organ in the body that holds urine.

I will advise her to d a CT scan of abdomen and since there is blood in urine CT scan to be followed by cystoscopy and biopsy

Since there is always a chance to miss bladder tumors on imaging investigations (ultrasound/CT/MRI) and urine cytology, it is recommended that all patients with bleeding in the urine, without an obvious cause, should have a cystoscopy performed

This entails the use of a thin tube-like optical instrument connected to a camera and a light source (cystoscope).

It is passed through the urethra into the bladder and the inner surface of the bladder is visualized on a video monitor. Small or flat tumors that may not be visible on other investigations are visible by this method, and a piece of this tissue can be taken as a biopsy for examination under the microscope.

This method effectively diagnoses the presence and type of bladder cancer.

In addition fluorescence cystoscopy may be performed at the same time.

Fluorescent dyes are placed in the bladder and are taken up by cancer cells. These cancer cells are visible (fluoresce) when a blue light is shined on them through the cystoscope and thus become visible, thereby making identification of cancer cells easier with this

If bladder cancer is detected then so that the growth does not happen again chemotherapy after surgery is recommended

Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2229 Questions

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Hello Doctor, I Have Two Questions. One For My Daughter

Brief Answer: CT scan abdomen followed by cystoscopy and biopsy Detailed Answer: Hi The growth in your daughters bladder can be due to bladder cancer that occurs in the tissues of the bladder, which is the organ in the body that holds urine. I will advise her to d a CT scan of abdomen and since there is blood in urine CT scan to be followed by cystoscopy and biopsy Since there is always a chance to miss bladder tumors on imaging investigations (ultrasound/CT/MRI) and urine cytology, it is recommended that all patients with bleeding in the urine, without an obvious cause, should have a cystoscopy performed This entails the use of a thin tube-like optical instrument connected to a camera and a light source (cystoscope). It is passed through the urethra into the bladder and the inner surface of the bladder is visualized on a video monitor. Small or flat tumors that may not be visible on other investigations are visible by this method, and a piece of this tissue can be taken as a biopsy for examination under the microscope. This method effectively diagnoses the presence and type of bladder cancer. In addition fluorescence cystoscopy may be performed at the same time. Fluorescent dyes are placed in the bladder and are taken up by cancer cells. These cancer cells are visible (fluoresce) when a blue light is shined on them through the cystoscope and thus become visible, thereby making identification of cancer cells easier with this If bladder cancer is detected then so that the growth does not happen again chemotherapy after surgery is recommended Regards