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Hi everyone, just wanted to ask about Muscle Invasive Bladder Cancer Stage 3, my dad was diagnosed at Christmas and has just completed 6 rounds of Radiotherapy.  Back before his weekly treatment we were told without the treatment the cancer would start spreading at around 6 months.  He is too sick for anything other than the weekly blasts due to other issues, he is 85.  I've since had a conversation and the consultant has said it hasn't spread and he could be good for 2 to 3 years? I'm so confused.  Of course if he does have longer with us that's fantastic but how can they tell it hasn't spread without a scan?  Can they tell from his bloods?