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Wednesday, April 16, 2014
Urinary Tract Cancers
Recurring Bladder cancer
From a prognosis standpoint, is there any significance to a superficial tumor recurring after 4 years, as opposed to one that develops within a few months of the original tumor removal. Also is there limit as to the number of times a TUR procedure can be used for recurring superficial tumors. Thank you.
Interesting question but time is not as much as a factor in prognosis as is the stage of the tumor (the degree of invasion into the wall of the bladder) and the grade ( the appearance of the tumor cells to the pathologist). The more invasive and the higher the grade, the poorer the prognosis.
I am not aware of any limitation on the number of TUR procedures. Again if the tumor is minimally invasive oftentimes TUR is a satisfactory approach.
I hope this information is helpful to you.
Martin I Resnick, MD
Formerly, Professor of Urology
School of Medicine
Case Western Reserve University