Doctor insights on:
BCG: Treatment is usually given once a week for 6 weeks. After this, you may be treated again every month for 6 to 12 months or every 3 to 6 months over the next 2 years. ...Read more
Bcg is a strain of the attenuated (weakened) live bovine tuberculosis bacillus used as a vaccine against tuberculosis.
Its used in treatment of superficial bladder cancer since late 1980s. Instillation of bcg into the bladder is an effective form of immunotherapy in this disease. While the mechanism is unclear, it appears a local immune reaction is mounted against the tumor. Its not contagious. ...Read more
Are BCG treatments for cancer a danger to others in the home who come into contect with the patient?
NO: Bcg is a strain of the attenuated (weakened) live bovine tuberculosis bacillus used as a vaccine against tuberculosis. Its used in treatment of superficial bladder cancer since late 1980s. Instillation of bcg into the bladder is an effective form of immunotherapy in this disease. While the mechanism is unclear, it appears a local immune reaction is mounted against the tumor. Its not contagious. ...Read more
I have had 4 turb's for non invasive bladder cancer and have decided not to have BCG treatments. Can I just have my bladder removed?
Not standard: Local bladder therapy such as BCG and others can put off the need for bladder removal for quite a period. Bladder removal can be done but urine pathway reconstruction will need to be surgically done too. Your urologist can discuss other local treatment drugs besides bcg. Finally, many centers are looking at robotic bladder surgery. ...Read more
I had six times BCG n check scopy once after that in which no malignancy was shown. How much more time will it take for treatment to be completed?
Detected of low grade ureothelial papillary carcinoma. Suggested to go for BCG treatment. It is of ta stage. Approx how long to recover?
Short: Bcg treatments are over in a short time frame of several weeks. It is usually not a difficult treatment. Your urologist can address any and all your concerns...Please ask him/her. ...Read more
Immune system based: Bcg is a weakened bacteria in the family of germs that causes tuberculosis. In bladder cancer, it is believed that interactions of BCG and molecules in the cellular structure of the bladder itself induces an immune-mediated response which can cause superficial cancers of the bladder to regress and can delay or prevent recurrence in many cases. It is usually given weekly for 6 weeks to start. ...Read more
No: Bcg is a topical therapy that is essentially a type of immune based therapy applied only to bladder cells. Traditional chemotherapy is given intravenously and thus all body cells are exposed. Some chemotherapy drugs can be given topically like BCG and probably exert their effect via typical cancer cell-killing compared to immune stimulating effects of BCG similarly administered. ...Read more
BCG plus interferon: There is evidence that BCG plus ifn can salvage or successfully treat people who have failed BCG alone. Also, your overall risk depends on the grade and stage of your original cancer. If it is low grade low stage, then the overall risk is quite different than patient with high grade superficial bladder cancer. ...Read more
For a 70-year-old man who was recently diagnosed with bladder cancer, is BCG a reasonable 1st treatment?
Maybe: Bcg is a first good step but depends on the biopsy specimen. Bcg is standard treatment for certain types of bladder cancer and if the patient meets those criteria, then it is a good first step. It is not necessarily dependent on age. ...Read more
Dear dr., I have a 5month old nephew having a small lump on his armpit. It started to appear after his bcg. What's its cause and best treatment? Thank u!
BCG and lumps: It is unlikely that the lump has any relationship to the BCG but you should it checked by your pediatrician. If it doe snto reolve you may need to biopsied and excised. ...Read more
I was diagnosed with bladder cancer in 1980 and one treatment with BCG 1990, since then one tumor and haven't had tumor since 2000. Do I need a cysto?
Maybe: I think you can avoid a cystoscopy if you do not have any symptoms and your urinalysis is normal. Also, I would base it on your original pathology. If it was a low grade tumor you can hold off. You could do a urine cytology, urine sample looking for abnormal cells, to insure there is no evidence of a more aggressive tumor. ...Read more
See below: Intravesical BCG used to both treat and prevent recurrence of urothelial bladder cancer. Despite its widespread common usage, its specific mechanism of action poorly understood. BCG is an attenuated form of the bacteria that causes TB (much like a vaccine) that "stimulates" (not weakens) ones immune system in such a way to kill the tumor cells. Pts with weak immune systems have poorer responses. ...Read more
No: Bcg toxicity is generally not associated with staph infections but rather toxicity from the BCG itself. This is form of tuberculosis which may cause tuberculosis type symptoms which is direct result of absorption of the BCG itself. ...Read more
Normal reaction: 1-2% of BCG vaccine recipients develop local reaction such as swollen gland. ...Read more
I failed interferon treatment and BCG treatment for bladder cancer. Is surgery the only option left?
Probably best option: If you have failed tretament with BCG and interferon, some patients may reposnd to treatment with valstar (valrubicin). However, depending on the specifics of your bladder cancer, cystectomy and urinary diversion may be your best option. You should discuss this with your urologist. ...Read more
Not really: Neither one has any benefit but they also do no harm. ...Read more
Just got first dose of BCG treatment. Had low grade papillary ureothelial cancer. Minimum how much water intake should b thr? Can I take alpex. 5?
Sorry: This kind of question should be asked of your doctor. ...Read more
My mom 68 is diagnosed with bladder cancer t1 grade 2-3. They’re suggesting a second TURBT 3 weeks after the first and BCG treatment will start later. How serious is her case? Will she be ok?
Not very serious:
This is early stage of bladder Cancer which is superficial (not going into the muscle layer).
After the bulk of the tumor is removed with TURBT, BCG treatments are instilled into the bladder cavity once week. This is a form of immunotherapy which can control early bladder cancer in most cases. She will need periodic monitoring to follow the tumor and see how she is doing over the next several years ...Read more
Yes.: Ask your doctor, of course, since your particular circumstance may differ...but intravesicular (in the bladder) BCG treatment for superficial bladder cancer does not make shingles vaccine dangerous or ineffective. Your age and medical history put you at enough risk of shingles that a vaccination is beneficial. ...Read more
Will treatment with BCG for bladder cancer cause possible complications to a recent aortic tissue valve replacement?
Not likely: This is a reasonable concern, but this would be an unusual complication. A 2010 study in journal of urology found that this complication is no more likely in patients with valves and other prostheses than in the general population, and that having a valve should not prevent you from receiving this treatment. ...Read more
My mom went through 30 sittings of radiation therapy when she was diagnosed with bcg, very close to her eye whivh blocked her tear duct. Any treatment?
Yes: I assume you meant a bcc (basal cell carcinoma). Sometimes this will improve on its own after radiation but if it does not there are a number of procedures that can be done to either open the duct or create a new drainage pathway to the nose so that your mother is bothered so much by excessive tears dripping in her cheek. Speak with an experiences opthalmologist or oculoplastic surgeon. ...Read more
BCG on arm after many yrs has become very itchy red blistering I have dermititus from itchy lesions in both Ears and around scalp, treatment advice?
Dermatologist: Need to see an experienced dermatologist, can't really help you without full history and good physical examination, good luck ...Read more
Bladder: I hope it is not perforated. See a urologist. ...Read more
Both: A cath will allow them to look inside the arteries. If there is a significant blockage they can fix it. ...Read more