High grade urothelial carcinoma t3b n0m0 8x3. 1 cm age 65. With cardiac blockage of 4 artery 90 to 100 percent .Doctors asked for cardiac bypass first. But cancer is getting worse. Is there any treatment for stopping cancer growth?

Dr. Chandrakanth MvOncologist15yrs exp

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Yes here there are two diseases. Cardiac and bladder cancer. Cardiac will take the priority first as it can cause immediate mortality. As for as bladder cancer is concerned, we need to have a definite plan. We need to aim at bladder preservation by using neoadjuvant chemotherapy and concurrent chemiradiotherapy. We have to keep radical cystectomy with ileal conduit as a salvage option.  

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