How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17680
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

My mother, 71, was recently diagnosed with high grade muscle

Customer Question

My mother, 71, was recently diagnosed with high grade muscle invasive bladder cancer with possible spots on her lungs. It has been two weeks since the tumour inside the bladder was removed and now we are waiting on an appointment with the oncologist. She is not a candidate for radical cystectomy despite very good health, it will probably be radiotherapy. What is the prognosis for this type of cancer and will the wait time on an oncologist and start of treatment affect this. Thank you so much!
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. D. Love replied 2 years ago.
Hello from JustAnswer.

I'm sorry that your mother is having to deal with this. My mother also has had to deal with bladder cancer this past fall.

When we speak of prognosis for cancers, we typically measure the 5 year survival rate. In her case, you state that there are possibly spots in the lung, but whether these spots represent metastases of the cancer will make a significant difference in the prognosis. There also would be a difference in the degree of local invasion by the primary tumour.

The 5 year survival for people with bladder cancer that has invaded into the muscle layer is 63%. If the local tumour has invaded through the muscle layer and into the fatty tissue surrounding the bladder, then the 5 year survival drops to 46%. However, if there are metastases outside the bladder, such as to lymph nodes, liver, or the lung, then the 5 year survival is only 15%.

One of the issues whenever a patient or family asked for prognosis is that it is important to realize that the best that can be said is statistical averages for populations of patients. It is impossible to predict how a specific individual will respond.

Regardless of the extent of the tumour, a delay of a couple weeks typically will not adversely affect prognosis, and there is a reason to allow some amount of healing of the surgery site before treating metastases, so that the wounds will heal properly.

If I can provide any further information, please let me know.











Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17680
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
Dr. D. Love and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
I am sorry that you and your family have had to go through this as well. Can you tell me why radical cystectomy would not be an option for my mother, is it because the cancer is too advanced for this procedure or do they prefer radiotherapy as a treatment for aged patients in good health. Your expertise in this is much appreciated, thank you!
Expert:  Dr. D. Love replied 2 years ago.
If it has spread beyond the bladder, then there is no benefit from performing a radical cystectomy. It is also true that performing a radical cystectomy carries significant risks and difficulties that is greater in older persons, but it is more likely in her case that the more aggressive surgery does not offer benefit when the tumour has already started to spread.

Customer: replied 2 years ago.
Is radiotherapy treatment successful in these cases? And What affect does it have on the tumour? Thank you for your time
Expert:  Dr. D. Love replied 2 years ago.
Both radiotherapy or chemotherapy may be used, depending the evaluation to ascertain whether these lung spots are metastatic disease. The prognosis statistics that I noted above are in people in whom these treatments are used. So the success rate is essentially the 5 year survival rates. Both modalities work by killing the cancer cells and shrinking the remaining tumours in the body. Chemotherapy is better at total body killing of the cancer cells, whereas radiotherapy is better for specific treatment of a particular tumour or treatment of the local area to prevent local recurrence.

Customer: replied 2 years ago.
Thank you so much, I am extremely grateful to you as you have eased my concerns. Kindest regards Jacqui
Expert:  Dr. D. Love replied 2 years ago.
You're welcome. I hope that everything goew well.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions