Size of tumor

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Hi Everyone, my dad just found out he has a recurrence of his bladder cancer (it’s been about 15 years since last recurrence). His report from the cystoscope says the tumor is “3 cm x 5 cm patch”. Plus a few multifocal points. His doctor is telling him he will have a TURBT and followed by BCG just like 15 years ago. But I’m concerned about the size. My question is, how big was your tumor if it was large and still non muscle invasive? Of course my hope is that it will still be non muscle invasive despite the size of the “patch”. I appreciate any replies, signed an anxious daughter who really loves her dad.

  • Hi Sjs,

    Welcome too this friendly forum, but sorry to hear about your dad's reoccurrence. 

    My tumor was 3cm and was "like a golf ball" plus carpeting around the tumor.

    My diagnosis was non muscle invasive.

    I understood that the size of the tumor wasn't really a factor f it was muscle or non-muscle invasive as such .

    Hope you get the results from the TURBT back soonest.

    Wish you and your dad all the best.

    Trevor 

  • Hello Sjs,  My understanding is the same as BFG's i.e. from general comments on here, there does not appear to be significant correlation between tumour size and muscle invasion. In some patients the cancer can be termed 'aggressive' and requires similarly strong treatment e.g. chemotherapy or surgery to remove the bladder and other structures at risk. I would regard it as a promising sign that your dad's tumour has been slow to recur but the TURBT should provide further information and will hopefully scrape the recurrence away, possibly taking a biopsy whilst they're at it to assess whether it's muscle invasive.

    My tumour was 7cm and took medium dose radiotherapy and two TURBTs to control it in 2017/18. Like your dad's, it is slowly growing back. Mine has remained non-muscle invasive so far, the data coming from CT scans only as the TURBT material did not enable path lab analysis, much to the confusion of subsequent urologists who've handled my case. I was not offered BCG, chemo or major surgery because a heart condition was discovered during pre-op. It is always a matter of balancing the risks for each patient in order to give the best outcome/quality of life. Best wishes to both of you.  Ray  

  • My first one was 1cm and NMI, I've had several small recurrences and one large recurrence. Anything under 0.5cm is classed as small and anything over is classed as large according to my consultant. 

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