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Bladder cancer prognosis and survival rates are determined by the grade and stage of the bladder cancer. Bladder cancers are graded as either low-grade or high-grade. The grade is assigned by a pathologist who evaluates the cancer cells under a microscope and determines the grade by looking at the cells. High-grade bladder cancer cells are considered more aggressive and have the ability to spread and metastasize to other areas of the body. Low-grade bladder cancers typically reside on the surface of the bladder and almost never spread or metastasize.

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