ADVERTISEMENT

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.
ADVERTISEMENT
#

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 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.

#

Hello,

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?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
I am a 40-year-old non-smoker woman with hematuria. Do you think I have a bladder cancer?

On the next day, I took a urine test and analysis ... After getting a smell in my urine, I started to drink a lot of water for a couple of days and I frequently urinated for the next two days ......   Read full

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

.. 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) al...   Read full

Maintenance drugs in kidney carcinoma patient has been stopped. What is your opinion?

His potassium levels were high too and ESR was 120, lymphocytes were low ... He was advised to rush to a nephrologist because his creatinine was 37 and his HB was 7...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  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. Read our Editorial Process to know how we create content for health articles and queries.