Comments for Bladder Cancer http://apps.pathology.jhu.edu/blogs/bladder at Johns Hopkins Fri, 16 Oct 2009 03:58:07 -0400 http://wordpress.org/?v=2.8.4 hourly 1 Comment on Welcome to the Johns Hopkins Bladder Cancer Blog by Jeri http://apps.pathology.jhu.edu/blogs/bladder/?p=6&cpage=2#comment-781 Jeri Fri, 16 Oct 2009 03:58:07 +0000 http://apps.pathology.jhu.edu/blogs/bladder/?p=6#comment-781 my mother is enrolled in hospice with advanced bladder. We are hoping that she will stay in her home until she passes. She has had episodes of bleeding for which she has been hospitalized. She does not want more transfusions or hospital stays. We know that she is at risk for another major hemorrhage. We need guidance in how to care for her at home when she does start to bleed again. Please advise. my mother is enrolled in hospice with advanced bladder. We are hoping that she will stay in her home until she passes. She has had episodes of bleeding for which she has been hospitalized. She does not want more transfusions or hospital stays. We know that she is at risk for another major hemorrhage. We need guidance in how to care for her at home when she does start to bleed again. Please advise.

]]> Comment on Welcome to the Johns Hopkins Bladder Cancer Blog by Dr. David Berman http://apps.pathology.jhu.edu/blogs/bladder/?p=6&cpage=2#comment-771 Dr. David Berman Sun, 11 Oct 2009 23:10:15 +0000 http://apps.pathology.jhu.edu/blogs/bladder/?p=6#comment-771 Paula, I'm not sure I understand your question.If you're asking whether the microscopic description is in accord with the diagnosis you mentioned in your earlier post, it is. It doesn't mean that it's correct-- I can't confirm the diagnosis without reexamining the slides on my own. Paula, I’m not sure I understand your question.If you’re asking whether the microscopic description is in accord with the diagnosis you mentioned in your earlier post, it is. It doesn’t mean that it’s correct– I can’t confirm the diagnosis without reexamining the slides on my own.

]]> Comment on Welcome to the Johns Hopkins Bladder Cancer Blog by Dr. David Berman http://apps.pathology.jhu.edu/blogs/bladder/?p=6&cpage=2#comment-770 Dr. David Berman Sun, 11 Oct 2009 23:04:56 +0000 http://apps.pathology.jhu.edu/blogs/bladder/?p=6#comment-770 Cheryll, Sorry for the very difficult circumstances you and your husband face. If your question is whether or not surgery is worth the risk, I think that question requires a thorough evaluation by a very experienced team. As to whether or not there is hope. I think there is always hope. Cheryll,
Sorry for the very difficult circumstances you and your husband face. If your question is whether or not surgery is worth the risk, I think that question requires a thorough evaluation by a very experienced team. As to whether or not there is hope. I think there is always hope.

]]> Comment on Current treatment options for bladder cancer by ziad tareq al saleh http://apps.pathology.jhu.edu/blogs/bladder/?p=10&cpage=1#comment-769 ziad tareq al saleh Sun, 11 Oct 2009 19:44:11 +0000 http://apps.pathology.jhu.edu/blogs/bladder/?p=10#comment-769 Sir, Im 43 years old man and been daignosed with small cell (very aggrasive)bladder cancer.the tuomer is invasive, after removing the 9mm toumr I took 2 cycle chemothearpy then we made a CT scan which shoud nothing wrong in the bladder.then i took the third cycle. after that I had costoscopy for two times in the last 4 month. finally i had the bet/CT scan and the result showed healthy bladder. no its been 5 month since i took th last cycle of chemo(the total is 3) as i told you.is it possible for such cancer to vanish in 3 chemo cycles. Sir, Im 43 years old man and been daignosed with small cell (very aggrasive)bladder cancer.the tuomer is invasive, after removing the
9mm toumr I took 2 cycle chemothearpy then we made a CT scan
which shoud nothing wrong in the bladder.then i took the third cycle.
after that I had costoscopy for two times in the last 4 month.

finally i had the bet/CT scan and the result showed healthy bladder.

no its been 5 month since i took th last cycle of chemo(the total is 3) as i told you.is it possible for such cancer to vanish in 3 chemo cycles.

]]> Comment on Welcome to the Johns Hopkins Bladder Cancer Blog by Cheryll http://apps.pathology.jhu.edu/blogs/bladder/?p=6&cpage=2#comment-764 Cheryll Thu, 08 Oct 2009 03:32:21 +0000 http://apps.pathology.jhu.edu/blogs/bladder/?p=6#comment-764 My husband was recently diagnosed with bladder cancer . Had a turbt and found a very large tumor invasive. Did a pelvic ct and found that left kidney atrophied and rt. kidney has a large tumor. He has numerous health issues copd, cad/pad, high bp, diabetes, high cholesterol, 100lbs. overweight, sleep apnea and had polio(iron lung) when he was a child. The urol. gave him less than a yr. or remove kidney and go on dial. Before kidney issue was discovered a radical bladder resection was suggested but may not be a possibility as well as chemo and radiation because of poor health. During the turbt he did have an episode of not breathing so this is a concern for a long surgery as a 40 min procedure proved difficult. Is there any hope??? My husband was recently diagnosed with bladder cancer . Had a turbt and found a very large tumor invasive. Did a pelvic ct and found that left kidney atrophied and rt. kidney has a large tumor. He has numerous health issues copd, cad/pad, high bp, diabetes, high cholesterol, 100lbs. overweight, sleep apnea and had polio(iron lung) when he was a child. The urol. gave him less than a yr. or remove kidney and go on dial. Before kidney issue was discovered a radical bladder resection was suggested but may not be a possibility as well as chemo and radiation because of poor health. During the turbt he did have an episode of not breathing so this is a concern for a long surgery as a 40 min procedure proved difficult. Is there any hope???

]]> Comment on Welcome to the Johns Hopkins Bladder Cancer Blog by Paula http://apps.pathology.jhu.edu/blogs/bladder/?p=6&cpage=2#comment-755 Paula Sun, 04 Oct 2009 01:55:38 +0000 http://apps.pathology.jhu.edu/blogs/bladder/?p=6#comment-755 Dr. Berman, Thank you for your quick response, could you please tell me what these cells mean and if this report looks good or would it be considered for cancer: Microscopic Description: Two preparations are made and examined. Both preparations are highly cellular. They are composed of individual cellular elements displaying nuclei with chromatin clumping and clearing. At times, the nuclei very greatly in size and shape from cell to cell. In other areas, the nuclei are greatly enlarged and in some cells multinucleation is noted. At times, groups and clusters of cell occur suffesting a papillar growth pattern. I Dr. Berman,

Thank you for your quick response, could you please tell me what these cells mean and if this report looks good or would it be considered for cancer:
Microscopic Description: Two preparations are made and examined. Both preparations are highly cellular. They are composed of individual cellular elements displaying nuclei with chromatin clumping and clearing. At times, the nuclei very greatly in size and shape from cell to cell. In other areas, the nuclei are greatly enlarged and in some cells multinucleation is noted. At times, groups and clusters of cell occur suffesting a papillar growth pattern.
I

]]> Comment on Welcome to the Johns Hopkins Bladder Cancer Blog by Dr. David Berman http://apps.pathology.jhu.edu/blogs/bladder/?p=6&cpage=2#comment-754 Dr. David Berman Sun, 04 Oct 2009 01:54:54 +0000 http://apps.pathology.jhu.edu/blogs/bladder/?p=6#comment-754 Another thing we need help with: Doctors at Johns Hopkins Hospital are working night and day on new and better ways to treat and diagnose bladder cancer. Other cancers recieve much more research money than bladder cancer, making it a difficult area to work in. If you feel that our efforts are worth supporting and you can spare $20, $40, $100, or more, please click on the donation link on the upper right portion of the page at http://apps.pathology.jhu.edu/blogs/bladder/ Another thing we need help with:
Doctors at Johns Hopkins Hospital are working night and day on new and better ways to treat and diagnose bladder cancer. Other cancers recieve much more research money than bladder cancer, making it a difficult area to work in. If you feel that our efforts are worth supporting and you can spare $20, $40, $100, or more, please click on the donation link on the upper right portion of the page at http://apps.pathology.jhu.edu/blogs/bladder/

]]> Comment on Welcome to the Johns Hopkins Bladder Cancer Blog by Dr. David Berman http://apps.pathology.jhu.edu/blogs/bladder/?p=6&cpage=2#comment-753 Dr. David Berman Sun, 04 Oct 2009 01:49:43 +0000 http://apps.pathology.jhu.edu/blogs/bladder/?p=6#comment-753 Paula, The cytology report as you describe it expresses concern for cancer, not infection. The report does not reflect a diagnosis, just a suspicion. Based on that suspicion, a more thorough test (cystoscopy) is recommended. Hope this helps. Paula,
The cytology report as you describe it expresses concern for cancer, not infection. The report does not reflect a diagnosis, just a suspicion. Based on that suspicion, a more thorough test (cystoscopy) is recommended. Hope this helps.

]]> Comment on Welcome to the Johns Hopkins Bladder Cancer Blog by Paula http://apps.pathology.jhu.edu/blogs/bladder/?p=6&cpage=2#comment-752 Paula Sun, 04 Oct 2009 01:36:31 +0000 http://apps.pathology.jhu.edu/blogs/bladder/?p=6#comment-752 Hello, I am very new to this whole Bladder Cancer world. My husband is 44 years old his doctor discovered blood in his urine and ordered a Urine Cytology. We got the report back and under the final diagnosis it stated Highly suspicious for papillary transitional cell carcinoma and strongly recommended a Cystoscopy. I have been on the web looking for anything that suggest that this means he has Bladder Cancer or does it mean something else. I have a friend that is a nurse that keeps telling me that this test does not mean anything and that it is just an infection and take a antibotic. Please help. Hello, I am very new to this whole Bladder Cancer world. My husband is 44 years old his doctor discovered blood in his urine and ordered a Urine Cytology. We got the report back and under the final diagnosis it stated Highly suspicious for papillary transitional cell carcinoma and strongly recommended a Cystoscopy. I have been on the web looking for anything that suggest that this means he has Bladder Cancer or does it mean something else. I have a friend that is a nurse that keeps telling me that this test does not mean anything and that it is just an infection and take a antibotic. Please help.

]]> Comment on Welcome to the Johns Hopkins Bladder Cancer Blog by Micky http://apps.pathology.jhu.edu/blogs/bladder/?p=6&cpage=2#comment-676 Micky Fri, 18 Sep 2009 22:47:17 +0000 http://apps.pathology.jhu.edu/blogs/bladder/?p=6#comment-676 Hi, I had six rounds of bcg following cis diagnosis (no tumors just irritative voiding symptoms, biopsy showed cis in the lining, not invasive). This week, six weeks after last bcg, had a cysto and cytology. Cysto showed bladder looked healthy, and cytology said "benign, no cancer". I know cis will likely recur, but is the clear cytology report a good indicator that bcg worked well? How reliable is cytology? I am going for bcg maintenance per SWOG protocol starting next week. Thanks for any comments! Micky Hi, I had six rounds of bcg following cis diagnosis (no tumors just irritative voiding symptoms, biopsy showed cis in the lining, not invasive). This week, six weeks after last bcg, had a cysto and cytology. Cysto showed bladder looked healthy, and cytology said “benign, no cancer”. I know cis will likely recur, but is the clear cytology report a good indicator that bcg worked well? How reliable is cytology? I am going for bcg maintenance per SWOG protocol starting next week. Thanks for any comments! Micky

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