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Is A Benign Tumor In The Bladder According To An MRI Report A Serious Concern?

Posted on Tue, 22 Sep 2020

Question: Just uploaded my brothers Mri report.

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
MRI does not reveal any involvement beyond bladder wall .

Detailed Answer:
Hello
Thanks for query .

I have gone through our previous discussion on the issue pertaining to your brother
His MRI does not reveal any spread of the tumor beyond mucosa of bladder .

Histopathology of the tumor has reported to be a benign in nature involving blood vessel and further recurrence of growth could be arrested by embolization of vessel.
as advised by your Uro Oncologist .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (12 minutes later)

1) what is the procedure of angio embolization
2) what are the chances of recovery and how many percentage
3) side effects of angio embolization
4) other options

Is there anything to worry in Mri report ? My brother just asked me these question which i sent you

Doctors are saying This is not 100% cure but we can try this step. And you told me Dr XXXXXXX that this is the only procedure with permanent cure.

Answered by Dr. Dr. P. T. Patil (15 minutes later)

Brief Answer:
There is nothing to be worried about .

Detailed Answer:
Hello
Thanks for follow up .

Hemangioma or AV malformation are congenital anomalies of vascular architecture and not neoplastic in nature .The procedure of embolization stops blood flow through thee abnormal vessels resulting in to necrosis of tumor .However the possibility of new channel opening in future can not be ruled out .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (3 minutes later)

Any side effect dr XXXXXXX ?

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
There are no side effects

Detailed Answer:
Hello
Thanks for follow up .

Since embolization blocks the vessel involved selectively there is side effect of the procedure .

It is a non invasive procedure done under local anesthesia.

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (18 minutes later)

What kind od side effect doctor ?

What is the procedure of angio embolization ? How long it will take?

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
It takes 20-30 minutes for procedure

Detailed Answer:
Hello
Thanks for follow up .
In Angio Embolization either a coil or small tiny piece of muscle is placed at the communication between the abnormal channel that communicates between a artery and a vessels that carries blood to tumor or bunch of vessels and thus cut off the blood going to a bunch of vessels or tumor leading to avascular necrosis of the tumor mass .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (44 minutes later)

Ok thanks for the input.
I have asked more in detail with my brother and he said that :
"Doctor had told me there will be 2 types of procedure we will perform one is PVJ and other is coil he also said that (if necessary) glue will also be placed but that depend upon the condition i have." Also, please clarify me that as you said that it would be necrosis tumor mass then how could new channel get open? Like what i understand that tumor will be dead then what will it it trigger back to get open new channels? And doctor are keep saying that it is a temporary solution. What does they mean by that?

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
There are multiple channels in AV malformations

Detailed Answer:
Hello
Thanks for follow up
In AV malformation there are multiple communication between vessels and all the communications can not be embolizedThey normally block the major communicating channels This is the reason for new channels may develop after few years.

As regards details of technical aspects of procedure it will be intervention cardiologist who will elaborate you in details. If you are very curious to know about the procedure consult intervention cardiologist.

The necrosis of the Tumor occurs only in the part which is supplied by a particular vessel.

Thanks and Regards
Dr. Patil

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. P. T. Patil (34 minutes later)

Thanks for the reply but cardiologist?? how will they give answer? dont they do for heart? So it means there is no absolute cure for this? It will re-occur and after few years he has to go through again??

Answered by Dr. Dr. P. T. Patil (3 hours later)

Brief Answer:
Intervention Cardiologist is the specialist who performs these procedures

Detailed Answer:
Hello
Thanks for follow up .

If required AV malformation does require repeated embolization .However it being a non invasive procedure there is no harm or involve any risk .

Thanks and Regards.
Dr,Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (58 minutes later)

Hi Dr XXXXXXX

Sorry to bother you again and again but i am still confused, Can you please clarify me one thing that let say after blocking the vein which is going to that mass once we block that vein you are saying that mass will become dead and it will removed by it self from its place, thats fine, but what really confusing is as you mentioned earlier new channel may develop means once that mass is removed is there any chance that it will come again through a new channel ? I totally understand the procedure as you described, which is clear but the only thing i didn't understand is will that mass appear in future if the new channels develop in future ? i hope you can understand my what i am trying to ask you, and i hope you will give me the right briefing on this query according to my question.

Thank you
Dr XXXXXXX

Answered by Dr. Dr. P. T. Patil (57 minutes later)

Brief Answer:
Vascular tumor has multiple blood vessels supping arterial blood

Detailed Answer:
Hello
Thanks for follow up .

Vascular tumor has always multiple abnormal communicating channels and only major channels are embolized Some of the channels may become active and open up over a period of time and need repeat embolization.

I here by close discussion on this issue .Is you still have any query please consult the treating urologist/surgeon

Thanks and Regards
DrPatil

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar