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Hello SIr, Mr.Ranendra Is Under Treatment For Urothelial Carcinoma Since
Question: Hello SIr,
Mr.Ranendra is under treatment for Urothelial carcinoma since March 2020.
he still have Complain of Bleeding.
we are request you to help to understand followings :
1: is attached line of treatment correct or do we need to see any other doctor
2:what is scope of improvement in this case ?
3. what is recovery period ?
4. is there any other way to treat this disease
medical treatment papers are attached for your reference.(Password is rane1944)
Mr.Ranendra is under treatment for Urothelial carcinoma since March 2020.
he still have Complain of Bleeding.
we are request you to help to understand followings :
1: is attached line of treatment correct or do we need to see any other doctor
2:what is scope of improvement in this case ?
3. what is recovery period ?
4. is there any other way to treat this disease
medical treatment papers are attached for your reference.(Password is rane1944)
Brief Answer:
We need to know if muscle involved
Detailed Answer:
Ho
Thanks for your query.
He has a high grade bladder tumor. The biopsy doesn't contain muscle tissue, hence we don't know if muscle involved or not. If muscle involved, then it changes the treatment. This is especially important as the CT showed perivesical stranding, implying possibility of disease spread outside bladder wall.
Hence I recommend a check cystoscopy to see current position and also to take deeper biopsy from operative site to see if any residual tumor is there and if so, does it involve the muscle or not.
After this, we can decide if anything else required or not. If nothing found in cystoscopy then life expectancy is like normal even though regular checkup is required to detect any recurrence which is possible in 20% cases.
Hope this helps.
Regards
We need to know if muscle involved
Detailed Answer:
Ho
Thanks for your query.
He has a high grade bladder tumor. The biopsy doesn't contain muscle tissue, hence we don't know if muscle involved or not. If muscle involved, then it changes the treatment. This is especially important as the CT showed perivesical stranding, implying possibility of disease spread outside bladder wall.
Hence I recommend a check cystoscopy to see current position and also to take deeper biopsy from operative site to see if any residual tumor is there and if so, does it involve the muscle or not.
After this, we can decide if anything else required or not. If nothing found in cystoscopy then life expectancy is like normal even though regular checkup is required to detect any recurrence which is possible in 20% cases.
Hope this helps.
Regards
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