1. with the new chemotherapy.
MY OPINION FOR THE TREATMENT OF
TCC.
with the new chemotherapy.
M.F. SUKKARIEH
Beirut - Lebanon
BERBIR, ZAHRAA and SAHEL GENERAL HOSPITALS

2. Cancer it means metabolism defect in to the cell.
If you believe in the insemination of tumor cells in to the bladder post TUR-B.
What I not believe at all!
It is contraindication to do TUR-B. as first step.
By small tumor we did Diagnostic and visual therapeutic TUR-B.
By invasive tumor we did only The Diagnostic TUR-B .to know What kind of tumor
We have.
After what we have von technology to know the kind of tumor and the TNM.
Urine cytology, Ultrasound, CT-scan, MRI and the PET scan.

3. I think and believe too ,there is no cell insemination( but multi locality) and no role more for bladder installation with any medication:
After TUR-B.
Pathology: It means what we take out by the TUR-B and
not 100% what the patient have Von tumor?

4. The patient is coming to the Dr. to treat him.(help him.)
Surgery is the end step of the treatment
Before antibiotic
First Tonsillitis
Tonsillectomy
In the Era of Antibiotic
5 x Tonsillitis per year
Tonsillectomy

5. HEMATURIA Systemic chemotherapy Further treatment depends on the new
U/S
Collecting system and
-Hydronephrosis ,
-Rigid Bladder wall
Bladder, tumor
Invasive : ct-scan of chest ,abdomen and pelvis, MRI,
PET-scan.
Urine cytology
Positive
TCC
Negative
Diag. and visual therap. TUR –B. for small one and
Diag. for invasive one
Systemic chemotherapy
Further treatment depends on the new
PATHOLOGY

6. REEVALUATION U/S no tumor more with negative RBC in urine analysis
= Healing
with RBC : Reevaluation.