Top
30
Doctor insights on: Chemo Wash For Bladder Cancer

Share
Dr. Barry Rosen
4,344 Doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


2

2
Can you tell me of chemo pill for bladder cancer?

Can you tell me of chemo pill for bladder cancer?

None that is useful: There are no pills that are useful for bladder cancer. All the medicines used are Injectable drugs (chemotherapy) but they work well. So go ahead take them if your oncologist has recommended you to do so. ...Read more

3

3
What is the name of the chemo pill used for bladder cancer?

What is the name of the chemo pill used for bladder cancer?

I don't know!: There is no oral chemotherapy used for bladder cancer as far as I know. All the regimens are IV. There is a type of drug that is instilled directly into the bladder, but no chemo pill. Are you sure it's for bladder cancer? There are chemo pills for other types of cancer, like colon, but not bladder. ...Read more

4

4
Chemo after surgery for bladder cancer? Should I have chemotherapy after having my bladder removed because of bladder cancer? Why would this help, since I don’t have a bladder anymore?

Chemo after surgery for bladder cancer? Should I have chemotherapy after having my bladder removed because of bladder cancer? Why would this help, since I don’t have a bladder anymore?

Factor dependent: There are many factors that help to determine if it is safe and, or needed. Age, other medical problems, stage of tumor and other pathologic features of your tumor determine the risk of microscopic cells remaining and therefore your potential benefit of chemotherapy aimed at cleaning up microscopic cells in the blood stream and bladder bed. ...Read more

5

5
Husband 60 diag w/sm cell bladder cancer in May. 6 rounds of chemo then radical cystectomy last month. It spread to prostate + lymphnodes. Prognosis?

Husband 60 diag w/sm cell bladder cancer in May. 6 rounds of chemo then radical cystectomy last month. It spread to prostate + lymphnodes. Prognosis?

Bladder CA: Husband 60 diag w/sm cell bladder CA May. 6 rounds chemo then radical cystectomy last month. Spread to prostate/lymphnodes. Prognosis? ANS: This is a nasty cancer & everyone is different. Only his team can give reasonable prognosis & as in most of the real world prediction of the future is tricky esp medicine. There r teams n ur area specializing n this & suspect you are seeing them. Good Luck. ...Read more

7

7
Is BCG better than chemotherapy for bladder cancer?

Is BCG better than chemotherapy for bladder cancer?

Yes: Yes b c g is better tolerated by patients than intravenous chemotherapy. But if you thinking of intravesical chemotherapy than there is no difference in the tolarability or the effectiveness. ...Read more

8

8
I had BCG chemo for bladder cancer & developed serious infection requiring hospitalization. What other chemo drug can be used?

I had BCG chemo for bladder cancer & developed serious infection requiring hospitalization. What other chemo drug can be used?

It depends: Bcg sepsis is a known, yet uncommon complication of BCG treatment for bladder cancer. The next option really depends on your specific bladder cancer - your urologist will be bettre ablet o discuss this with you. The next option may be for intravesical mitomycing, intravesical valrubicin, or possibly cystectomy. ...Read more

9

9
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?

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 ...Read more

10

10
Hello Dr Bennett, I have experienced hardening of the bladder wall after chemo and radio treatment for stage 4 bladder cancer, will this condition go?

Hello Dr Bennett, I have experienced hardening of the bladder wall after chemo and radio treatment for stage 4 bladder cancer, will this condition go?

Will remain: Best results are for lesions of the mucosa. Once bladder wall invaded, especially with extension beyond the bladder then depending on overall situation, radical cystectomy with neobladder utilized. If lesion too advanced primary lesion therapy may be relegated to local RT chemo for control of symptoms. ...Read more

11

11
I had chemo and radio therapy for stage 4 bladder cancer, after 6 months a CT said it went to stage 1. No blood/pain but now thickened bladder wall?

I had chemo and radio therapy for stage 4 bladder cancer, after 6 months a CT said it went to stage 1. No blood/pain but now thickened bladder wall?

Here are some…: Congratulation for experiencing favorable response to chemo & radiotherapy for stage IV cancer. The bladder wall thickening with subsequent more urinary frequency is entirely expected. I'm sure your doctor will instruct you how to cope with it. Of note, despite favorable response, a lifelong follow-up it is still needed. For more individual detail, ask your urologist & oncologists. Best wish… ...Read more

13

13
Is BCG treatment for bladder cancer the same as chemotherapy?

Is BCG treatment for bladder cancer the same as chemotherapy?

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

16

16
Is bladder cancer serious?

Is bladder cancer serious?

Yes: Most bladder cancers diagnosed in the us are, however, very early in their presentations (stages 0 or 1), and therefore curable. However, a neglected bladder cancer will progress to a more advanced form of cancer that may become incurable and lethal. Therefore, it is important to take care of this as soon as possible. ...Read more

17

17
Is bladder cancer painful?

Is bladder cancer painful?

Maybe: Bladder cancer is generally not painful until it has spread to local organs and structures. If it contained to the superficial lining of the bladder without invasion, it is usually not painful. ...Read more

18

18
Is bladder cancer hereditary?

Is bladder cancer hereditary?

No: Tobacco and environmental exposures to dyes for urothelial cancer; schistosoma hematobium, a parasite in egypt and chronic csatheterization for squamous cancr, and adenocarcinoma related to remnants of the urachus, the foetal conduit of urinary exretion through umbilicus into placental circulation...In this last case one might say "inborn error" but not genetic or hereditary. ...Read more

19

19
How serious is bladder cancer?

Serious: One can die from bladder cancer if that helps you understand it's gravity. The most common risk factor for bladder cancer is smoking. Do not smoke! ...Read more

20

20
Can you die from bladder cancer?

Can you die from bladder cancer?

Yes: Bladder cancer can invade from the lining into the muscle and deeper. From that point it can spread to pelvic lymph nodes or into the bloodstream. If it gets this far even with therapy with chemotherapy the disease may not be controlled and eventually kill the patient. ...Read more

21

21
How dangerous is bladder cancer?

Depends: There are various grades of bladder cancer to determine how aggressive the cancer is. Cancers that are very aggressive and multifocal tend to be much more dangerous than other types of bladder that are more similar to normal bladder cells. If these very aggressive tumors are not treated appropriately, they tend to metastasize and spread over time. Once this occurs, the long term prognosis is poor. ...Read more

22

22
How is bladder cancer diagnosed?

Cystoscopic biopsy: Presents with blood in urine and biopsy by cystoscopic examination will give the correct diagnosis. ...Read more

23

23
What usually causes bladder cancer?

Several factors...: Smoking tobacco increases your risk of bladder cancer by causing harmful chemicals to accumulate in your urine.
Chemicals linked to bladder cancer risk include arsenic and chemicals used in the manufacture of dyes, rubber, leather, textiles and paint products.
Urinary schistosomiasis (a parasitic infection endemic in egypt, africa and the middle east) is associated with bladder cancer. ...Read more

24

24
Can bladder cancer occur in teenagers?

Yes, but very rarely: Bladder rhabdomyosarcoma is a rare, but very dangerous type of bladder cancer, usually occurs in much younger children, but occasionally in teenagers. Some children can survive with very invasive treatment. I have seen and treated a low grade transitional cell cancer in a ciggarette smoking boy who was also exposed to 2nd hand smoke from both parents from whom he stole ciggarettes! ...Read more

25

25
How likely is surviving bladder cancer?

How likely is surviving bladder cancer?

Bladder cancer: Very good with superficial bladder cancer. With muscle invasive cancer, the grade and stage of the cancer will determine survival. 30-50% 5 year survival with higher stage cancers. ...Read more

26

26
What tests are there for bladder cancer?

What tests are there for bladder cancer?

Urinalysis, scope.: A bladder tumor is suspected if blood is found in the urine without obvious cause. An abnormal urinalysis with blood is followed by a urine cytology (look for tumor cells in the urine under the microsope), an ultrasound or ct scan to rule out problems in the kidneys, bladder or elsewhere in the pelvis, and cystoscopy (a scope placed into the bladder via the urethra) is used for biopsy. ...Read more

27

27
What are the symptoms of bladder cancer?

What are the symptoms of bladder cancer?

Blood in urine: The most common symptom of bladder cancer is blood in the urine (hematuria), however, some types of bladder cancer may not present with hematuria. Other less common symptoms include dysuria (pain while urinating), urgency and frequency of urination. ...Read more

28

28
Describe the features of bladder cancer.?

Describe the features of bladder cancer.?

Malig. Bladder tumor: Transitional cell bladder cancer is most common and presents with different grades of malignancy and different degrees of +depth of infiltration. Low grade is similar to a polyp+ rather benign. High grade (anaplastic) with deep muscle invasion, or even through bladder is very dangerous. Lymph node invasion is a poor prognostic sign. Squamous cell cancer, a worse type with worse prognosis than tcc. ...Read more

29

29
Which are the symptoms of bladder cancer?

1, 2;3 Blood in urine: Most common symptom, in absence of pain or burning on urination. Possible to have sensation of incomplete bladder emptying on urination. Possible to have kidney/flank pain if bladder tumor is obstructing ureter on that side. ...Read more

30

30
What are the endstage symptoms of bladder cancer?

What are the endstage symptoms of bladder cancer?

See below: Hematuria (blood in urine), pain, cachexia (weight loss) and voiding problems are common in this most unfortunate situation. ...Read more

Bladder (Definition)

The bladder is a muscular organ in the pelvis that accepts urine from the kidneys, stores the urine at low pressure, & expels the urine during voluntary voiding. Though seemingly a simple reservoir, the bladder is a complex organ intricately connected with the brain and spinal cord with sensory, motor, and autonomic circuits. The muscular layer that contracts during voids ...Read more


Dr. Terence Chapman
288 Doctors shared insights

Bladder Cancer (Definition)

The bladder is the organ which holds urine. As any other organ, it can develop cancer. There are two types: superficial bladder cancer and muscle invasive bladder cancer. The differences are important as they ...Read more