Specimen= HPE OF TUR-BT SP (1) superficial So (2) deep Gross. = spicmen (1) Received in 10% buffered neutral. Formalin labelled with pt's name (Dharamshibhai bhimani) consist of multiple tan soft to firm tissue pieces. Measures in aggregate: 3.5*3.8*1.5 cm. Entire specimen submitted for study. Slide/block no. (H/3239/16: A, B. OPINION = *_Infiltrating papillary urothelial Carcinoma-high grade. _lamina propria invasion present. _deep smooth muscle invasion present.

Dr. Pritam MohapatraAlternative Medicine Specialist22yrs exp

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Hi Mr. Lybrate-user, I appreciate you seeking help. Well, the biopsy report is indicative of invasion to the lamina propria. But, can you doubly check with your doc if there is any invasion into the lymphatics too? so far as I know, such cases are treated with bcg vaccination, assuming there is no lymph node invasion. Additionally, given to understand that its a high grade carcinoma, there always is a high risk of metastasis despite a tur-bt surgery. Hence, the need to aggressively manage it, to the extent of even going for a full bladder cystectomy should it so demand, to help avert a futuristic metastasis and improve prognosis. Anyways, do clarify the above-mentioned through an expert second opinion with an oncologist specializing in urology cancers. From a dietary standpoint, try including more of fresh turmeric, carrots, tomatoes, cabbage, broccoli, green tea (twice daily) etc all besides other leafy greens. Pomegranate juice & vitamin c (can try'amalaki') helps too in this condition. Hope this helps. Do take care and all the very best to you. 

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