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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Positive CT Urogram Test Result Indicate?

I have had bladder cancer and had a tumor removed about a year ago. My urologist just informed me that my latest fish test came back positive and has scheduled me for a ct urogram{ ?}. Assuming that comes back positive what would be the next course of action? I just had an examine by the urologist a month ago in which he said he did not see an tumors.
Fri, 9 Jan 2015
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General & Family Physician,  's  Response
A CT urogram is used to detect any recurrence/metastasis of a cancer amongst other things. If it comes back positive you may have to undergo a short course of chemo or a localized irradiation. But your urologist would be in a better position to assess that as he has your reports in hand.The reason why there might be a recurrence without your urologist detecting it a month back is that if it is a cancerous sell then it starts at such a level within the tissue that it is not detectable unless we do further tests like CT.

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What Does Positive CT Urogram Test Result Indicate?

A CT urogram is used to detect any recurrence/metastasis of a cancer amongst other things. If it comes back positive you may have to undergo a short course of chemo or a localized irradiation. But your urologist would be in a better position to assess that as he has your reports in hand.The reason why there might be a recurrence without your urologist detecting it a month back is that if it is a cancerous sell then it starts at such a level within the tissue that it is not detectable unless we do further tests like CT. Thank you for your query.