By grade 3, to you mean stage 3, which has spread through the muscle wall of the bladder?
Yes, this requires bladder removal and chemotherapy.
If the cancer has not spread beyond stage three, I do not think this means a death sentence.
Average 5 year survival for stage 3 is 46%.
So this means than some liver many more years than that with treatment.
If the cancer has not spread to nearby organs....longer survival.
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