Q. Biopsy report shows carcinoma of urinary bladder. Please suggest a treatment.

Answered by
Dr. Arshad Hussain Shah
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 01, 2018

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 together (M)2 .5CM(AE).
  • Microscopy: The sections show neoplasm arising from the transitional cells and still recognizable of transitional origin. The number of cell layers are increased, more than ten mitosis present. Loss of polarity seen variable in cell size, shape, and chromaticity seen.
  • Diagnosis: Grade II , Transitional cell carcinoma, urinary bladder.


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 need to comment on the biopsy report on muscle involvement, whether involved or not or maybe the surgeon did not take muscle biopsy. In that case, they have to do cystoscopy again.

Because treatment and diagnostic workup is different for superficial and deep (muscle invasive tumor). If superficial only, then simple surgery through cystoscopy to remove superficial tumors called TURBT surgery. After that, they may give weekly intrabladder BCG or chemo to prevent recurrence. Superficial urinary bladder tumor (TCC) is highly curable. But if the muscle is involved, then he must undergo further investigations like CT scan chest and abdomen, isotope bone scan and MRI pelvis to rule out the distant and local spread.

After staging workup he will be planned for management, that is, surgical removal of bladder plus chemotherapy. If you have it, upload cystoscopy report also.

For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist

Thank you doctor,

Please find the file attached.



Welcome back to icliniq.com.

The file attached is not cystoscopy report. It is medication list paper and the previous one was biopsy report.

Revert with more information to a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist

Was this answer helpful?


Related Questions:
What does SOL in USG mean?

Now, he found blood in urine ...   Read full

What is an opacity on the bladder?

My husband had kidney stones, recurrent urine infections and minimal blood in urine ... I would strongly suggest that we get urine for malignant cells checked ......   Read full

I have a small mass in my bladder. Other than cancer, could it be anything else?

.. 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.Su...   Read full


This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

7 Days COVID Care
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read

Frequently Asked Questions About COVID-19 Vaccines
COVID-19 vaccines can be a real lifesaver. Read this to know the answers to the common questions and doubts on COVID-19 ...  Read more»
Female Sexual Arousal Disorder: Break the Shackles and Seek Help!!
This article throws light on Female Sexual Interest/Arousal Disorder, a common but least discussed sexual health topic a...  Read more»
Covaxin Vs Covishield
The coronavirus vaccines, Covaxin and Covishield, have received a green signal for restricted emergency use in India. In...  Read more»

Ask your health query to a doctor online?

Ask a Medical Oncologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.