A member asked:

Bladder cancer path showed stage 1 noninvasive. instead of next step being chemo or bcg dr is doing another biopsy to "re-look". opinions please?

3 doctors weighed in across 2 answers

Rebiopsy possible: Pre invasive bladder Ca means lesion is confined to lining and has not invaded muscle. No problem in rebiopsy but after that even if neg. there is usually a field effect in which benign appearing cells adjacent to a tumor are p remalignant. On that basis it would be better to have BCG treatment after the second look and then follow carefully

Answered 6/9/2014

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Dr. George Klauber answered

Specializes in Pediatric Urology

Depends upon grade: Stage one is good news & follow-up cystoscopy in 3 months is standard of care. Hhowever presence of high grade bladder cancer or carcinoma-in-suitu (CIS) would be a different story & BCG might then be recommended. Good news is that your prognosis is very good. Please quit tobacco if UR a smoker.

Answered 6/9/2014

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