Pathology from Florida Hospital Orlando came back as non-invasive high grade papillary carcinoma. Johns Hopkins pathology report agreed with the diagnosis. However, there was no muscle tissue present in the sample. This meant that without muscle tissue, they cannot determine conclusively if the cancer was invasive or not. My surgeon was sure he had gotten a muscle tissue sample and was surprized to hear the pathologist did not find any. Because there is no way for a surgeon to easily determine whether they have gotten muscle tissue and they don’t want to perforate the bladder wall, they depend on the pathologist to determine if muscle tissue is found.
My surgeon recommended that he put me under general anesthesia again to obtain muscle tissue. And if it is non invasive, I would start immunotherapy six weeks after surgery.
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