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What are the symptoms of aggressive bladder cancer?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's 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 aggressive. Can you tell me what we are likely dealing with? He gets his CT scan this week.

Thanks.

Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I can understand your concern.

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 a CT (computed tomography) scan, and then the decision on the treatment can be made. Bladder cancer is usually aggressive and should be treated as soon as possible. Sometimes after initial resection, there will be re-resection, which all depends on the histological result of the first resection.

I hope this information will help you.

Thank you.

Patient's Query

Hello doctor,

Thanks for the reply.

What are some signs to know that it has gone to stage 4? We are not getting the CT scan this week, and I am so scared of that stage.

Thanks.

Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I can understand your concern.

There are different stagings. One is pathological staging, which we can see on the histology of the resected tissue. The other one is radiological staging on the CT scan. Stage 4 means the disease has gone on to invade surrounding tissues like the rectum or even the body wall and spread to the liver, bones, and lymph nodes. So, a classical person could have yellow discoloration of the eyes, constant bone pain, and significant weight loss if a CT scan is done. If you have any more queries, please do not hesitate to ask. You can update me after the CT scan results.

I hope this information will help you.

Thanks.

Medically reviewed by iCliniq medical review team
Published At March 27, 2021
Reviewed At March 10, 2026

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

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