Thank you for your query at DoctorSpring.com.
Dear sir,
The pathologist saw numerous fragments of papillary urothelium. Urothelium(urinary tract lining) is normally papillary and hence what the pathologist saw is just normal epithelium(lining) and nothing else. The CIS is high grade and is very rarely low grade.
Specifically answering each of your questions;
Q1- Yes, if it were CIS, it would have shown up on cytology as an abnormal result which is not the case.
Q2- No, the papillary fragments were normal epithelium and not CIS.
Q3- Yes primary CIS of urinary tract is very rare and you do not have it.
You are not suffering from anything and what the pathologist saw is normal epithelium.
Stay reassured. Let me know if you have any queries.
Sincerely,
Dr Rajiv Goel,
MS (AIIMS), MCh (AIIMS), DNB ( Uro),
Fellow, Urooncology and Robotic urology, Australia,
Fellow, Laparoscopic urology, Germany,
Consultant Urologist.
Patient replied :
thank you. so the red spot on my bladder wall that he saw on cytoscopy can be a normal finding. q1- what % of the time when you are performing cytoscopy do you find a red spot . q2- what % of these turn out to be cancer. q3-if not cancer what can cause this and what can it be? i did forget to mention i had both contrast and a no contrast ct scan. the only finding was mild bph. benign prostate hyperplasia.
Dear Sir,
One can find red spot in the bladder in virtually all patients who are above the age of 45 yrs and have enlarged prostate. In majority ( 95%) of patients these lesions have no significance. So you should not be worried in this case.
Take care.
Regards