Posted by C S Loh on February 20, 1998 at 00:43:37:
In Reply to: Re: ca bladder posted by CLDing on February 19, 1998 at 11:01:52:
I choose to disagree with Chek Lang on this one (& hope that he doesn't get too
violent!). While I agree that the bladder should come out irrespective of CMG findings
(given that histologically, this was definitely a TCC), a CMG showing a neuropathic
picture would alert one to look at this guy's spinal cord and also make me more willing to
accept 2 separate pathology here, ie, a neuropathic baldder with an incidental superficial
tumour. If CMG shows just hypocompliance and sensory urgency, I would look harder for
diffuse CIS. Clinical neurological examination is too blunt an instrument to look for an
occult cord lesion although you can argue that you should just proceed to an MRI scan
without CMG. If the diagnosis of TCC is questioned, of course CMG would be even more
important as you are likely to reconstruct on this baldder!