Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does The Following Test Result Indicate?
Question: w6/23/2014
Procedures
Scope of kidneys and bladder with biopsy and with fulguration
Results
Kidneys ok bladder has urothelial carcinoma in situ
___________________________________________________
7/14 to 8/14
Six BCG treatments
____________________________________________________
10/2/2014
Procedures
Cystoscopy bilateral ureteral catheterization with cytologies muliple bladder biopsies and fulguration.
Results
Urothelial carcinoma in situ
______________________________________________________
11/2014-12/2014
Six BCG/Interferon treatments
What should be done next?
Procedures
Scope of kidneys and bladder with biopsy and with fulguration
Results
Kidneys ok bladder has urothelial carcinoma in situ
___________________________________________________
7/14 to 8/14
Six BCG treatments
____________________________________________________
10/2/2014
Procedures
Cystoscopy bilateral ureteral catheterization with cytologies muliple bladder biopsies and fulguration.
Results
Urothelial carcinoma in situ
______________________________________________________
11/2014-12/2014
Six BCG/Interferon treatments
What should be done next?
Brief Answer:
Cystoscopy at frequent interval is mandatory to rule out recurrence.
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have Urothelial Carcinoma and TURBT was done followed by six cycles of intravesical BCG installation
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Do you have any irritative urinary symptoms?
2) Do you have hematuria?
3) What is the stage and grade of bladder cancer reported on histopathological examination ?
4) Was C.T Scan of the abdomen done to trace out any metastatic involvement of the lymph nodes in abdomen ?
Urethelial carcinomas have tendency to recur hence one has to get endoscopic examination of bladder and Urine Cytology done at frequent intervals to rule recurrence of the tumor.
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Cystoscopy at frequent interval is mandatory to rule out recurrence.
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have Urothelial Carcinoma and TURBT was done followed by six cycles of intravesical BCG installation
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Do you have any irritative urinary symptoms?
2) Do you have hematuria?
3) What is the stage and grade of bladder cancer reported on histopathological examination ?
4) Was C.T Scan of the abdomen done to trace out any metastatic involvement of the lymph nodes in abdomen ?
Urethelial carcinomas have tendency to recur hence one has to get endoscopic examination of bladder and Urine Cytology done at frequent intervals to rule recurrence of the tumor.
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by :
Dr. Prasad
do i get three follow up questions included
Brief Answer:
Yes you can ask three (Total)follow up questions .
Detailed Answer:
Hello thanks for follow up.
Yes you are allowed two more follow up questions .Please feel free to ask ,I shall be happy to address the same .
Thanks and Regards.
Dr.Patil.
Yes you can ask three (Total)follow up questions .
Detailed Answer:
Hello thanks for follow up.
Yes you are allowed two more follow up questions .Please feel free to ask ,I shall be happy to address the same .
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answers to your questions
1) Do you have any irritative urinary symptom.
yes I have urgency and frequency and painful.
I just finished a treatment 3 days ago
It gets better every day
2) Do you have hematuria?
No gross hematuria
microscopic
again I just finished my treatment
and symtoms from questions 1 and 2 are common
3) What is the stage and grade of bladder cancer reported on histopathological examination?
I don't know that
4) Was C.T Scan of the abdomen done to trace out any metastatic involvement of the lymph nodes in abdomen?
CT was fine
My Question 1.
I am due for a scope in 6 weeks. If I get scoped in the office, there is no tissue samples taken.
Biopsies are done in a hospital setting.
Should I have a scope with or without biopsies.
1) Do you have any irritative urinary symptom.
yes I have urgency and frequency and painful.
I just finished a treatment 3 days ago
It gets better every day
2) Do you have hematuria?
No gross hematuria
microscopic
again I just finished my treatment
and symtoms from questions 1 and 2 are common
3) What is the stage and grade of bladder cancer reported on histopathological examination?
I don't know that
4) Was C.T Scan of the abdomen done to trace out any metastatic involvement of the lymph nodes in abdomen?
CT was fine
My Question 1.
I am due for a scope in 6 weeks. If I get scoped in the office, there is no tissue samples taken.
Biopsies are done in a hospital setting.
Should I have a scope with or without biopsies.
Brief Answer:
Scopy is necessary to rule out recurrence of lesion .
Detailed Answer:
Hello
hanks for feedback .
Follow up Cystoscopy is essential to rule our recurrence of lesion and no biopsy is needed again.
Thanks and Regards,
Dr.Patil.
Scopy is necessary to rule out recurrence of lesion .
Detailed Answer:
Hello
hanks for feedback .
Follow up Cystoscopy is essential to rule our recurrence of lesion and no biopsy is needed again.
Thanks and Regards,
Dr.Patil.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
You did not really answer my question.
The question was should i have a cysto with or without biopsy 6 weeks after my
BCG/Interferon treatments.
My last question is if the cancer is still present in 6 weeks, what would be the next course of action?
The question was should i have a cysto with or without biopsy 6 weeks after my
BCG/Interferon treatments.
My last question is if the cancer is still present in 6 weeks, what would be the next course of action?
Brief Answer:
Cystoscopy is done 6-8 weeks after completion of BCG therapy.
Detailed Answer:
Hello
Thanks for follow up.
Ideally Cystoscopy is done 6-8 after completion of BCG therapy and decision regarding biopsy is taken by urologist while doing Cystoscopy Biopsy is done only if he finds recurrence of lesion .
If cancer is detected again one has to undergo resection of the tumor (TURBT)
again.
Thanks and Regards.
Dr.Patil.
Cystoscopy is done 6-8 weeks after completion of BCG therapy.
Detailed Answer:
Hello
Thanks for follow up.
Ideally Cystoscopy is done 6-8 after completion of BCG therapy and decision regarding biopsy is taken by urologist while doing Cystoscopy Biopsy is done only if he finds recurrence of lesion .
If cancer is detected again one has to undergo resection of the tumor (TURBT)
again.
Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
