What medicine is infused into the bladder for bladder cancer?

Written by Liu Liang
Oncology
Updated on September 10, 2024
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Postoperative intravesical chemotherapy infusion is very common in the treatment of bladder cancer. Common drugs used for infusion chemotherapy include mitomycin and anthracyclines such as epirubicin or pirarubicin. Gemcitabine is also frequently used for this purpose. The related side effects generally include irritation symptoms of the bladder, although some patients may experience relatively mild side effects.

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Written by Liu Liang
Oncology
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Does bladder cancer require the removal of the bladder?

Whether or not to remove the entire bladder in cases of bladder cancer depends on whether the tumor has invaded the base layer and whether there is distant metastasis. For non-muscle invasive bladder cancer, where the muscle layer is not invaded and there is no distant metastasis, typically found in stage 0 and stage 1 bladder cancer patients, there is no need for complete removal of the bladder. The standard treatment in such cases generally involves transurethral resection of the bladder tumor. If the tumor has invaded the base layer but there is no distant metastasis, termed muscle-invasive bladder cancer, patients in this category require radical cystectomy, which involves the removal of the entire bladder. If there is distant metastasis, termed metastatic bladder cancer, surgical treatment is not pursued; instead, palliative chemotherapy is the primary approach.

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Written by Guan Hai Fang
Urology
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Is bladder cancer contagious?

Bladder cancer is not contagious, so there is no need to worry about that. Bladder cancer occurs when there is a cancerous transformation of bladder tissue, leading to the formation of bladder tumors. If the tumors are malignant, they are generally termed bladder cancer. Causes of bladder cancer can include long-term exposure to certain carcinogens, such as occupations involving dyes, leather, or paintwork. Another carcinogenic factor is smoking, which is related to about one-third of bladder cancer cases. Chronic infection or prolonged irritation by foreign bodies can also increase the risk of bladder cancer, as seen in cases with bladder stones, bladder diverticula, or chronic cystitis.

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Written by Guan Hai Fang
Urology
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How is bladder cancer treated?

How is bladder cancer treated? Currently, the primary treatment option for bladder cancer is surgery, which can include procedures like transurethral tumor resection, bladder tumor resection, urethral tumor resection through the bladder, and cystectomy, among others. The specific surgical approach is selected based on factors such as the location and size of the bladder cancer. Besides surgical removal of the bladder, other treatment methods such as radiation therapy, chemotherapy, new technology treatments, and traditional Chinese medicine are also available as adjunct therapies. The formulation of a treatment plan should comprehensively consider factors such as the location, size, and stage of the bladder cancer.

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Written by Wu Xia
Oncology
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Diet for Bladder Cancer Patients

From the perspective of Western medicine, the diet for bladder cancer patients involves drinking plenty of water, avoiding spicy foods, and abstaining from alcohol and tobacco. Patients should also ensure they get enough vitamins by consuming fresh fruits and vegetables. Additionally, it is important to consume adequate nutrition including eggs, meat, and fish, and patients should not hold in urine. However, from the perspective of Chinese medicine, bladder cancer patients should avoid foods that induce excessive internal heat, such as lamb and seafood, and should also avoid cold or chilled foods.

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Written by Wang Jian
Urology
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Is bladder cancer scary?

Bladder cancer is the most common malignant tumor in urological surgery, primarily occurring in the bladder mucosa. Its symptoms include painless, intermittent gross hematuria, with nearly 100% of patients experiencing blood in the urine. The presence of hematuria should highly raise the suspicion of bladder cancer, and the examinations mainly include routine urinalysis and an ultrasound of the urinary system. Bladder cancer is not to be feared if it is detected and treated early. The surgery can be relatively simple, and minimally invasive treatment through the urethra, such as plasma electrosection or laser excision, is possible. Since bladder cancer can recur, postoperative management should include bladder perfusion therapy and regular cystoscopy re-examinations. Thus, bladder cancer is not to be feared, as early detection and treatment can lead to a cure.