סרטן שלפוחית השתן

שלום,
אמי, בת 73, עברה ביופסה בשלפוחית השתן והתשובה היא:
sections show the presence of bladder fragments not covered by any normal or benign urothelium. the fragments show infiltration by nests and sheets of high grade urotheial carcinoma cells' where tumor cells show marked cellular pleomorphism and a high mitotic rate (grade 3 out of 4 urothelialtumor). tumor tissue is widely infiltrative with tumor tissu infiltrating widely into the lamina propria and aiso into thick bundles of smooth muscle. in areas, tumor cell aggregates are present inbetween the muscle bundles and fibres and in other is seen on either side of the muscular bundles. in one focus, clusters of tumor cells are seen within endothelially line vascular spaces too.
conclusion: high grade urothelial carcinoma - t2 (et least 2a(
התוכל להסביר לי את הדיאגנוזה. ומהן האפשרויות העומדות בפנינו?
תודה