Is it normal to remove small bladder cancer tumors instead of using bcg?

Yes: Yes. In fact it ithe standard of care to remove all tumors prior to bcg, if possible. All visible lesions are to be removed from the bladder. Depending on various factors such as the size, location, etc., the entire lesion may be able to be removed in its entirety. Depending on the type of cancer, size, and ability to remove the entire lesoin, BCG may then be an option for the patient.

Both are correct: Small bladder tumors are usually removed with surgical resection. However in cases such as multiple tumors, difficult to see tumors, in situ tumors, higher grade tumors, or larger tumors BCG may have additional benefits.

Yes: Your urologist needs to remove all visible cancer prior to any chemotherapy or radiation for bladder cancer.

Yes: Small tumors can effectively be treated by cystoscopic excision and fulguration. Intravesical BCG therapy can be used to help prevent recurrences of high grade tumors once removed