My father has urotheliale papillare carcinoma - high grade. I know this is a high-grade cancer. It was quite small, about 1 cm. and the lump was excised. Currently, in about a month, Dad is to have another surgery to collect biopsies from other places in the bladder, because the doctor found that there are disturbingly red areas in it. How dangerous is it? What are the treatments? And where is it best to treat it? And to what extent is it life threatening?

The management of urothelial bladder cancer depends on the determination of risk factors for disease progression and recurrence. The described changes in the bladder may recur, and most often it does not result from incomplete excision of the lesion, but from the properties of this neoplasm. High grade lesions (G3) are lesions with a high risk of recurrence and infiltration. I do not know how deeply the bladder lesion has infiltrated, which is also important in prognosis and further management. Depending on the precise assessment of the stage of advancement, further management is determined, it may only be observation or intravesical administration of chemotherapeutic or BCG infusion. The untreated and neglected disease leads to the infiltration of the tumor beyond the bladder and the formation of metastases, and ultimately death. Treatment is carried out in urology departments and, if necessary, in oncology centers.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Adam Zakościelny

Urinary Cancer Clinic, Oncology Center in Warsaw, ZZOZP Oncology consultation room (without procedures), Warsaw, ul. Nowolipie 31.

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