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