Doctor insights on:
Chemo Wash For Bladder Cancer
My dad was treated with chemo/rad for bladder cancer. A cytyscopy for bleeding found no cancer but bleeding is worse after wash. What can be done?
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
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
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
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
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
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
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
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
I had breast cancer double mascectomy and chemo in 2009. One year later I was diagnosed with bladder cancer. After many months of dusting and sweeping the cancer cells out of the bladder in 2013 it became a large tumor which had to be removed along with a
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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
My husband is on dialysis. He also has bladder cancer that may have metastasized to the lung. Is there any chance for him to have chemotherapy?
My father has bladder cancer, grade 4, stage less than 1 (aggressive but not spread). He is due an op and 6 chemical washes -what is like prognosis?
Good, probably: This information is best obtained from the urologist but these people are doing really well nowadays. ...Read more
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
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
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
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
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
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
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
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
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