Carcinoma in situ…..

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Hi.  Could you advise me, please.  I had originally been diagnosed after a biopsy as having a grade 3 tumour on the inside lining of the bladder.    I then had another biopsy of the bladder muscle to see if the cancer had invaded the muscle and was therefore invasive. I was told by the oncology nurse that she had read the report of the latest biopsy (my second one, taking a biopsy of the bladder muscle) and that this second biopsy had revealed a carcinoma in situ at the site of the previous biopsy, (which they removed) but that the cancer was non invasive. She said that I would receive confirmation of this by post and that a date would be given for me to have an MRI scan of my abdomen and a CT scan of my chest, after which I would have a discussion with the consultant about the treatment going forward (she said to me over the phone that this would probably be TBG / immunotherapy).

My worry is that I have just received that letter, and while it confirms that the second biopsy revealed a carcinoma in situ, and the future MRI and CT scans, it said NOTHING about the diagnosis (which she told me about on the phone) of the bladder cancer being non invasive. I’ve left a message for her to call me back. However, could any of you tell me if its possible to have a grade 3 tumour and a carcinoma in situ and STILL be diagnosed as having Non Invasive bladder cancer?  Sorry this is so long, thank you of you’ve read this far, and thanks for any advice! 

  • Hi . You should have been given a stage as well as a grade. The stage is how far anything has progressed in to the bladder lining. CIS is flat and sits on the bladder lining. Tumours can also be non invasive. The CT scan is a general body scan to make sure nothing else is going on elsewhere. The MRI focuses on the abdomen area and gives a far more detailed image of what they are dealing with and this determines the treatment plan. I hope you get a return phone call. Keep us posted

    Best wishes to All,   rily.

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  • Thanks so much, Rily.  I’m a bit up and down emotionally at the moment, …….but will certainly keep you posted as this whole thing unfolds.  

  • Hi Seamoth,I hope you hear back soon as it sounds like you need some clarification.Once you have a stage,grade and treatment plan it becomes easier to cope with emotionally.Best wishes Jane x

  • Hi Seamoth, judging from everything you have written , I would think that the stage of your diagnosis is probably less than T1 . It is possible to have a grade 3 Ta tumour. It just means that it has been found early. If it had been T2 they would no doubt been pushing for a cystectomy, if it had been T1 , they would have been throwing out the option of RC or BCG. The presence of CIS in the site of the previous turp adds a new wrinkle but doesn’t really change the path forward which is BCG treatment if in fact my BIG guess is correct. Not knowing the full picture is a very very discomforting state to be in and  all of the people on this site know Exactly how you feel because we’ve all been there. Coming to grips with the fact that you have cancer is a big shock to the system and it takes time to get settled with that realization. Once you have all the facts then you need to proactively take the steps to get as healthy both physically and mentally as you can to better your life. I personally am stronger now in both of those realms than I was 5 years ago when I was diagnosed. Put your head down and charge forward with this crap in tow ... and then leave it behind. Orillia.

  • Thanks, Winkers60. I can’t seem to get through to the oncology nurses so will try again tomorrow. Pray

  • Thanks for your reply, Orillia.  I feel a bit stupid not knowing all the facts about the biopsy results, apart from what I wrote. I will attempt to find out from the oncology nurses who have access to the biopsy results what STAGE the grade 3 tumour was. And whether T1,2 or 3. Your advice sounds really good and I will try to follow it.  A bit wobbly right now Smirk

  • I had T1aG3. And my consultant said that, although I can be sure one day I will die, it won't be from this cancer. I nearly kissed him!

  • Yes in haste, my husband was PTa G3 and CIS and non invasive. 6 years on he still has his bladder and everything which goes with that for a man which matters a lot to him [and me].

    Denby

  • Hello again  Orillia.  I have now found the stage of my grade 3 tumour, -it is a stage 1. Is this worse than a T1 or T2? 
    I’m having another MRI bladder scan and a CT scan on 17 th September, and then an appointment with the consultant on 30th September to discuss treatment options, which, according to the oncology nurse will (probably) be either BCG treatments or bladder removal (gasp!!).  In your experience, and appreciating its entirely my decision, do you think I should opt for the BCG?  

  • Hi. Stage 1 is T1. Better than T2. I would rather do BCG... But normally BCG is given to superficial cancers, cancers that have only developed on the surface and have not gone too deep into the bladder.. if it is confirmed type 1 (and not 2) then I would go for the BCG...