Treatment Of Bladder Tumor By Specialist Doctors?
Good afternoon HealthReplies.com, reviewing my question beforehand, my cystoscopy results on September 16, 2019 were like this: CLINICAL DIAGNOSIS: fistulo-vesika ec susp ca buli / infiltration colon. MAKROSCOPIC: Receive 1 bottle containing grayish white volume 2cc ragged tissue, wrap all 1 cassette printed. MICROSCOPIC: Intra-bladder biopsy preparation showing connective tissue containing epithelial malignant tumor cells that are tubular and cribiform. Pleomorphic tumor nucleus, hyperchromatic, partially visible nucleus, eosinophilic cytoplasm and vacuol filled with mucin. Mitosis found. The stroma is called PMN inflammation cells, lymphoplasmasitic, some eosinophils and bleeding. CONCLUSION: Histologically shows moderately differentiated tubular adenocarcinoma. Is there a primary mass in the colon ?. Then, before my colonoscopy results on August 29, 2019 (before cystoscopy) were: COMPLAINTS AND HISTORY OF DISEASES: Lower Abdominal Pain. CLINICAL DIAGNOSIS: Abdominal Pain ec Colitis. PREMEDICATION: Fetanyl 75 mcg, Propofol 80mg, Midazolam 5mg. EXAMINATION RESULTS: Internal hemorrhoids are not visible. Ar descending colon, 20 cm from Anus looks Edematous mucosa, fragile, closing the Lumen so that the scope (camera) is difficult to enter the Proximal. DIAGNOSIS: Colitis and infective, IBD. according to dr. The urologist who handled me related to the results of cystoscopy above (he also studied the results of my colonoscopy from Dr. Internal Medicine), the tumor in my bladder wall is a descendant of the large intestine (originating from there), then made a channel that caused me to pass stool on when BAK, and because of unclean causes a tumor in the channel “formed” from sticking the bladder wall to the inflammation of my large intestine whose walls are “fragile”. what I want to ask is: Is it appropriate that my medical case is handled by general surgeons and urologists as scheduled by the hospital ?, and not directly by cancer doctors / oncologists and urologists? Please help with information and explanations. Thank you
Good evening, thanks for the question
In cases of malignancy in the bladder, it is appropriate to do the main treatment by a specialist in urology who is in charge of the male urinary tract and reproduction. In this case it is more precisely the field of urology oncology which is under the department of urology. If it turns out that the primary tumor mass is derived from the gastrointestinal tract (as in the suspicion of the results of anatomic pathology examination), then the treatment also needs to be consulted with a general surgeon, and it would be better if handled by a digestive consultant surgeon for future subspecialty measures. The main responsible doctor in cases that require joint care of several parts of the hospital like this is usually from the most severe part of the disease, for example if in your case the primary tumor mass is from the bladder then the possibility of a urology specialist will be the doctor in charge main, but still accompanied by surgeons from other parts in accordance with the final diagnosis of the disease so that treatment can be thorough.
That's all, hope you can help.