What's next after my father's bladder cancer surgery at 64?
Patient's Query
Hi doctor,
I am writing on behalf of my father, who is 64 years old. He is a diabetic patient, but his diabetes is completely under control. A few weeks before, he found some blood coming out along with his urine. He consulted a few doctors and underwent some tests.
He was found to have a tumor in his urinary bladder. His doctor advised him to undergo surgery and a biopsy test. His surgery went fine, and we have collected his biopsy report. Please share your feedback with us and also advise us on our next course of action.
Please find the reports attached.
Kindly help.
Hi,
Welcome to icliniq.com.
As the biopsy is showing a high-grade tumor and involves the muscularis propria, this makes a T2 stage. The latest guideline suggests a cisplatin-based chemotherapy followed by radical cystectomy (bladder removal).
Pelvic node dissection should be done even if the CT scan did not show any regional lymph nodes. Also, whether he is fit to undergo surgery is the decision of the surgical team.
The choice of chemotherapy is based on general conditions and creatinine clearance. As your father is a diabetic, he should get a 24-hour urine creatinine clearance. If creatinine clearance is normal, then dd-MVAC will be my choice (dose-dense Methotrexate, Vinblastine, Doxorubicin, and Cisplatin).
As a basic staging, workup may include a CT chest and bone scan. It appears to be fairly early, and your father should do well.
Feel free to reach out in case of any further queries.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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