Bladder cancer involves abnormal malignant tumors of the urinary bladder. The most common type of bladder cancer is urothelial carcinoma, where the transitional epithelial cells that line the inside of the urinary bladder grow out of control in numbers. Bladder cancer can be invasive, where it spreads to the adjacent layers of cells, or noninvasive, where it remains contained in the innermost layer alone.
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Is hematuria associated with bladder cancer?
Query: Hi doctor, I am a 40-year-old female. Three months back, I started to have frequent urination and a heavy feel in the lower abdomen during urination after sex. I had gross hematuria after urination three times. I consulted a doctor and she gave me tablet Fosfomycin for two days. I took it immediate... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. You have an unlikely chance to have bladder cancer considering your age and your symptoms do not associate with cancer. Bladder cancer occurs in aged peoples having prolonged smoking habits with painless hematuria. Your symptoms are related to infection and cystitis of ... Read Full »
My mother had a bladder tumor removal surgery two months ago, and the doctor suggested TURBT again without doing a cystoscopy. Why?
Query: Hello doctor,My mother had a bladder tumor and had the surgery two months ago. The pathological result is urothelial carcinoma, low grade (G2), pTa. The doctor who did the surgery said he wants to do the TURBT once more if something is left over. Is this a normal procedure to repeat the TURBT withou... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query. It is indicated to do a TURBT (transurethral resection of the bladder tumor) once again because if there was any residual tumor in the previous tumor site, it had to be removed completely. Even if there is no visible tumor, the scar o... Read Full »
What are the next steps for my father's bladder cancer?
Query: Hi doctor,My father, who is 72, was diagnosed with bladder tumor a month ago when he went to the local doctor for the treatment of blood drops in the urine. I have attached the diagnosis report for your reference. The doctors advised to operate it as soon as possible, and the operation took place 10... Read Full »
Answer: Hi, Welcome to icliniq.com. This report (attachment removed to protect patient identity) of high-grade TCC (transitional cell carcinoma) with large tumor with muscle invasion is not a good tumor. At this stage, we need to do a metastatic evaluation to rule out any distant spread of this tumor... Read Full »
Kindly examine my father's biopsy report and suggest a treatment plan.
Query: Hi doctor, I am writing on behalf of my father, who is 64 years old. He is a diabetic patient, but his diabetes is completely under control. A few weeks before, he found some blood coming out along with his urine. He consulted a few doctors and went under some tests. He was found to have a tumor in ... Read Full »
Answer: Hi, Welcome to icliniq.com. As the biopsy is showing high grade tumor and involves muscularis propria, this makes a T2 stage. The latest guideline suggests a Cisplatin based chemotherapy followed by radical cystectomy (bladder removal).Pelvic node dissection should be done even if CT scan did not... Read Full »
What is the cause behind the small mass present in the bladder?
Query: Hi doctor, I went to the doctor last week after I got my period 10 days early. I was worried because I have had a history of cervical dysplasia. My pap smear came back normal but my doctor wanted me to have an ultrasound just to be sure. Everything came back fine except for a small mass of 1.3 cm on... Read Full »
Answer: Hi, Welcome to icliniq.com. Bladder mass of 1.3 cm needs cystoscopy biopsy and resection transurethrally. A solitary mass papillary may turn out to be a very mild tumor. All bladder tumors are of different biological behavior. The things will become more clear only after biopsy report. ... Read Full »
My father was diagnosed with muscle-invasive bladder cancer. Is it advisable to remove the bladder?
Query: Hi doctor,My father was diagnosed with muscle-invasive bladder cancer seven months back and some enlarged local nodes, and then three months back, it moved to his sacrum bone. He received four cycles of Gem (gemcitabine)/Cis (cisplatin) over the course of three months. Last month, he was scheduled f... Read Full »
Answer: Hi, Welcome to icliniq.com. I have reviewed the information (attachment removed to protect patient identity) provided. In my very limited opinion (as I have not seen the patient myself, and there can be other information that has been omitted in this query), surgery in the form of Complete Bladde... Read Full »
Biopsy report shows carcinoma of urinary bladder. Please suggest a treatment.
Query: Hello doctor, This is the biopsy test report of my father which we received today. Please suggest what treatment should be done. Clinical findings: Multiple papillary tumors in the bladder. Clinical diagnosis: T.C.C urinary bladder. Tissue forwarded: TURBT. Macroscopy: Gray white tissue bit t... Read Full »
Answer: Hello, Welcome to icliniq.com. The report is showing transitional cell carcinoma (TCC) of the urinary bladder (cancer of urinary bladder). In biopsy report, there is no comment on muscle involvement. That means we need to know whether the tumor is superficial or deep (involving muscle) also. They ... Read Full »
My father is having cough and is prescribed with Keytruda. Will it cause lung inflammation?
Query: Hello doctor, My father has started Keytruda end of October and has received two treatments. His third is coming up early next week. For the past three weeks, he has developed this tickle cough that comes in jags, and he coughs very hard to try and pull up what he says feels like a thin stick subst... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query, and I understand your concern about Keytruda being the last hope. As I can gather from your question, your father has received two dosages of Keytruda, and third is due soon. But I could not figure out the exact indication or natur... Read Full »
What are the warning signs of bladder cancer?
Query: Hi doctor,My father found out he has bladder cancer. It was confirmed today with a scope. The doctor said most tumors look like polyps, but in his case, it was different in shape. I have attached an image of what my dad said it looked like when he glanced at it. The doctor also said it looks pretty ... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Thanks a lot for consulting. This picture shows classical, transitional cell carcinoma of the bladder (attachments removed to protect the patient's identity). Management is by resection and staging CT scan, then the decision on the treatment can be taken. Bladder... Read Full »
Does getting a few drops of blood while urinating with no pain need physician examination?
Query: Hello doctor, I use toilet paper to soak up excess urine after going to the bathroom. I run my finger along the base of my penis to help get out the excess after the stream ends. The last couple of times, I noticed some droplets of blood on the toilet paper. The urine itself was not red or discolor... Read Full »
Answer: Hello, Welcome to icliniq.com. You have not mentioned your age which is key. It looks like you are doing urethral milking which is usually adviced for post-void dribble. I suspect it is because of your age, which would mean you are above 50 at least. Anyway, blood per urethra is not normal and... Read Full »