Recurrent bladder tumor

Chief Complaint A 63 y/o male presents with the complaint of hematuria. History He was a chronic smoker for past 30 years His mother had h/o breast cancer and died at the age of 70 years. He was diagnosed with transitional cell carcinoma 5 months back. Transurethral resection was done sucessfully. Investigations He again complaint of Hematuria and folow up shows recurrence. CT scan shows thick and nodular bladder wall indicating recurrent bladder tumor. Treatment Now what is your opinion on the case?

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Recurrence 9f transitonal cell carcinoma is known fact You said surgical removal earlier was it removed or fulmigated as common practice is fulmigation and followed by radiotherapy and pallaiative therapy Now only option is palliative and chemotherapy

Thanx dr Dinesh Gupta
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Staging and grading important. RADIOTHERAPY with palliative surgery will be useful. Reassurance and counciling required. Look out for metastasis or other complications and eventuality.

Thanks Dr Kute Ankush
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Recurrent bladder tumor Adv Repeat TURBT to look for spread of tumor in bladder muscle, PET CT to look for metastatic lesion He may be a candidate for radical cystectomy

? BLADDER PATHOLOGY.. ? BLADDER MALIGNANCY.. NEED'S.. ONCOSURGEN'S OPINION..FOR.. RADIOTHERAPY.. SURGICAL INTERVENTION

As it is a case of recurrent bladder tumour - only option in this case is CYSTECTOMY with incontinent diversion using an ileal conduit is indicated

ADVISABLE COMBINED . P E T - CT. SCAN RULE. OUT DISTANT. METASTASES

Needs radiotherapy with plastic and palliative surgery

Chemoradiation and surgery

Adv: PET CT scan Start chemo and radiotherapy

Staging and grading is important. Cystectomy followed by chemoradiatio may be appropriate.

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