Igh) is the most aggressive and most likely to grow and spread staging of a bladder cancer staging of a bladder cancer is assessing how aggressive it is in terms of how deep it is invading into the bladder wall and whether it has spread to lymph nodes or other sites in the body. buy viagra online legally Lymph nodes are glands which are found all over the body and are involved in helping the body fight infection as well as carrying fluid around the body. An example of swollen lymph nodes is when the glands in your neck swell during a throat infection. Staging is based upon findings when examining the bladder cancer under a microscope and also based on imaging which is often performed with a ct scan. viagra without a doctor prescription This system of staging is also known as the tnm system, which stands for tumour (t), lymph nodes (n) and spread to other sites in the body, also known as metastasis (m). cheap viagra online The bladder wall has 3 main layers as shown in the basic diagram below. The bladder lining is the urothelium, under this is connective tissue and deeper is the bladder wall muscle. If the bladder cancer is confined to the bladder lining or urothelium it is staged ta. generic viagra canada High grade cancer cells confined to the innermost layer of the bladder lining is staged cis or carcinoma in situ. Unfortunately cis is an aggressive form of bladder cancer despite it being confined to the innermost layer of the bladder. If the bladder cancer grows into the connective tissue under the urothelium it is staged as t1. The majority of bladder cancers fall into one of the above three categories and are termed non-muscle invasive bladder cancer. If the bladder cancer grows into the bladder muscle it is staged t2. buy viagra online now If the bladder cancer grows through the bladder muscle to outside the bladder and into the fat around the bladder it is staged t3. If the bladder cancer grows through the bladder muscle to outside the bladder and into surrounding tissues such as the pelvic wall, prostate, womb or vagina it is staged t4. viagra canada Sometimes a small letter p or c is written in front of the t, eg pta or ct3. viagra prices uk Pt means the stage has been made based on pathological or microscopic findings. Ct means the stage has been based on clinical (often based on imaging) findings. viagra side effects - nosebleed If the bladder cancer has spread to lymph nodes then this is staged as n1, n2 or n3 depending on the number and position of the lymph nodes. If lymph nodes are not involved it is staged n0. If the bladder cancer has spread to other places in the body it is staged m1. The vast majority of bladder cancers have not spread and are staged m0. How aggressive is my bladder cancer? Bladder cancers fall into five broad categories based on their grade and stage: low risk non-muscle invasive bladder cancer these are small (less than 3cm), single low grade (g1 or g2) pta bladder cancers.. buy viagra online