Doctor insights on:
Is Bcg Better Than Chemotherapy For Bladder Cancer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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?
Not really: Neither one has any benefit but they also do no harm. ...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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
For a 70-year-old man who was recently diagnosed with bladder cancer, is BCG a reasonable 1st treatment?
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 moreSee 3 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Inc in creatinine (2.0 vs 1.6) post hosp for kidney reaction (creat 5, then ret to normal) to BCG for 0-stage bladder cancer. 79 yo cauc m good health?
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
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 moreSee 1 more doctor answer
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
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