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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes calcified nodules in the bladder wall while treating low-grade bladder cancer?

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Dr. Deepak Sundriyal

Oncologist

Practicing since :2005

Answered : 1415 Questions

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Posted on Mon, 3 Apr 2017 in Cancer
Question: I have had bladder low grade cancer 11 yrs, had cystogram found no tumors but for the first time cytology positive. Took ct scan found 2 non calcified nodules 3mms and 7mms should I be concerned?
doctor
Answered by Dr. Deepak Sundriyal 18 minutes later
Brief Answer:
Hello. Please upload the reports

Detailed Answer:
Hello dear. I have gone through the details. So you had a low grade tumor quite a long back and now the cytology is again postive. Ct scan as per your details doesnot give evidence of cancer, but yoh require a bladder examination by cystoscopy and biopsy if required. Biopsy can be taken from the nodules.
If the biopsy is positive, then further treatment can be decided.
Please revert back with reports.
Thanks and regards
Feel free to ask further
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Deepak Sundriyal 13 minutes later
This is the first time in 11 yrs I had a positive cytology I had a cystoscope and they found no tumors in the bladder Ct show noncalcified 3mm&7mm on lower lungs
doctor
Answered by Dr. Deepak Sundriyal 2 minutes later
Brief Answer:
Cancer may behave in bizarre fashion

Detailed Answer:
Hello dear.

If the cystoscopy and CT are negative, then you must get urine cytology repeated.
Treatment can only be done when there is mass in the bladder on cystoscopy.

Feel free to ask further.
Thanks and regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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