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Suggest Treatment For Lump On Prostate While Treating Bladder Cancer
Question: I had 6 bcg infusions for bladder cancer last summer. .. Latest bladder cysto was ok, but small lumpo on prostate alerted urlogist to have me have urine culture for TB,, swhich came back positive,, a few weeks ago I got a tender spotin lefttesticle and strange thing in tail of epid...
Had bladde scan zFriday and await resulys.. Iwant to avoid having testicle reoved if possible,, chest xray ok, blood ok exxcdept for elevated blood sed.
No doubt he will see granulomas in scan,, I am now on anti biotics for 4 days Rimafin and one other.. Cant we assume its tb not cancer and let treatments of antibiotic contine a while/
Had bladde scan zFriday and await resulys.. Iwant to avoid having testicle reoved if possible,, chest xray ok, blood ok exxcdept for elevated blood sed.
No doubt he will see granulomas in scan,, I am now on anti biotics for 4 days Rimafin and one other.. Cant we assume its tb not cancer and let treatments of antibiotic contine a while/
Brief Answer:
I would not want that they conclude prematurely on TB and ignore cancer!
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry so sorry to hear about this information and all the disturbing thoughts that this must have caused you.
I understand you do not want your testicle removed and that is totally understandable. However, I will not settle for a convenience approach and not pursue the necessary investigations to confirm or rule out the diagnosis of a possible cancer. Though the preliminaries ate in favor of Tb and would most likely end at that, we cannot stop at that that. Granulomas are not diagnostic of cancer. The can be found both in cancers and Tb and thus when we find them, we would continue to examine specimens under the microscope to understand what the exact nature of this is.
In all, I will recommend that we continue with the investigations. Granulomas are not conclusive of cancer and you would only get cancer treatment if the final results suggest so.
I hope this helps. If possible, upload an image also for review and more insights. If you have any further unanswered concerns, feel free to request for clarifications and more information.
I would not want that they conclude prematurely on TB and ignore cancer!
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry so sorry to hear about this information and all the disturbing thoughts that this must have caused you.
I understand you do not want your testicle removed and that is totally understandable. However, I will not settle for a convenience approach and not pursue the necessary investigations to confirm or rule out the diagnosis of a possible cancer. Though the preliminaries ate in favor of Tb and would most likely end at that, we cannot stop at that that. Granulomas are not diagnostic of cancer. The can be found both in cancers and Tb and thus when we find them, we would continue to examine specimens under the microscope to understand what the exact nature of this is.
In all, I will recommend that we continue with the investigations. Granulomas are not conclusive of cancer and you would only get cancer treatment if the final results suggest so.
I hope this helps. If possible, upload an image also for review and more insights. If you have any further unanswered concerns, feel free to request for clarifications and more information.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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