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when to get a second opinion for surgery to remove Bladder?

Again identified is urinary bladder wall thickening, more prominent on the
right. An approximate 3.7 x 2.5 cm partially calcified mass is identified along
the floor the urinary bladder on the right. There is also a probable
noncalcified 1.3 x 0.9 cm mass along the floor of the urinary bladder on the
left. The previously seen right-sided hydronephrosis is no longer visualized.
The right kidney is mildly atrophic. There is minimal right perinephric fat
stranding. The left kidney is grossly normal in appearance. The prostate gland
is not enlarged.

A 6 mm low attenuating mass is identified in the inferior tip of the right lobe
of the liver. This is too small to further characterize but may represent a tiny
cyst. The liver is otherwise unremarkable. The spleen, pancreas and adrenal
glands are grossly normal in appearance.

There are no inflammatory changes within the mesenteric fat. There is no
evidence of free air, free fluid or lymphadenopathy. The abdominal aorta is

normal in course and caliber.

The osseous structures are intact. There are mild degenerative changes of the
visualized spine. No suspicious lytic or sclerotic osseous lesions are
visualized.

My son has never had a PET Scan , only a CT Scan, should I be worried that he may not need a Robotic XI Laparoscopy Prostatectomy Retropubic Radical

  1. Evelyn my only thought is if you would gain some comfort with a second opinion I would discuss it with your treating doctor. I failed to do one and missed some stuff-so nothing to lose by talking with your medical folks and seeing what they have to say. --DanFranke-moderator-BladderCancer.net

    1. Hi Evelyn. I am not medically trained but agree with Dan, if even only to put your mind at risk or get another perspective/opinion, it is worth getting a second opinion. I am in the UK, also each case is different but in my situation, prior to bladder removal, I had a CT Scan, MRI and a PET scan. Wishing you both well. We are here anytime to support. Laura, Moderator, BladderCancer.net

      1. Hi , I am so sorry to hear about the challenges your son is enduring. I must state, we are not a medical community. None of us here at BladderCancer.net can provide you with direct medical insight or guidance. Only other's with similar experience can provide their first hand degree. If you believe you're not being left with enough options the insight Dan and Laura gave wouldn't hurt. A second opinion is often encouraged when you receive such a diagnosis. Is this something you've both considered? How are you doing as a whole? I know none of this is easy. - Best Jada (BladderCancer.net team member)

        1. @EvelynR47 - I am not a medical professional but personally if I have questions that I feel another opinion might make clearer I ask for another opinion. As RC is a radical procedure, I feel that it is important to know all that you can about your particular situation and make sure you are doing what is best for you ( or your family member). My best to you. Linda ( moderator, Bladdercancer.net team member)

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