|Bladder cancer, BCG and 150 T-Cells?
Apr 22, 2007
HI, I have T1, grade 3 bladder cancer, have had two bladder resections, the second of which was clear, and have just started a 6 week course of treament with intravesicle mitomycin-C. We did not use the preferred treatment, BCG, as it is an attenuated vaccine, and everyone consulted was very worried about BCG conbined with 150 T-cells. There is essentially nothing in the literature, so I am now checking practices with large HIV+ caseloads that might have encountered similar situations, just in case the mitomycin-C fails. My last VL was undetectible (below 75), though it is more often around 100. Any experience with similar cases, or anyong you can recommend I check with. By the by, I consulted with Henry Hollander at UCSF's HIV+ clinic, and Shelley M. Greene, another Infectious Disease doc with HIV+ experience. Thanks!
Response from Dr. Daar
I would suggest you talk to an HIV cancer specialist who might have some insight and/or experience. I certainly understand why people would be concerned about giving BCG to someone with CD4 cells of 150 cells/uL since clearly cases of disseminated BCG has occurred. In your favor is that your viral load is undetectable; however, I suspect experience is quite limited.
Best of luck. Eric
- HIV Transmission Protected Vaginal With Period
- How Long After Infection Will I Test Positive For HIV?
- How Long Does It Take For Primary Symptoms Of HIV?
- Is There Still Hope For A Person With Hepatitis B?
- Lymph Nodes Not Tender To Touch But Causing Discomfort HIV
- Most Common Subtype In Western Hemisphere
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.