Does bladder cancer require the removal of the bladder?

Written by Liu Liang
Oncology
Updated on September 20, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Wang Jian
Urology
52sec home-news-image

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.

doctor image
home-news-image
Written by Zhou Zi Hua
Oncology
1min 10sec home-news-image

What are the symptoms of late-stage bladder cancer?

The symptoms of late-stage bladder cancer include: 1. Difficulty urinating. Due to the large size of the tumor, its location at the neck of the bladder, or the formation of blood clots, there can be blockage of urine flow, difficulty urinating, and even urinary retention. 2. Bladder irritation symptoms. Early-stage bladder often shows fewer urinary irritation symptoms, but when the tumor occurs in the trigone area of the bladder, urinary irritation symptoms may appear earlier. There are also symptoms of upper urinary tract obstruction, such as when the cancer invades the ureteral orifice, causing dilation and accumulation of fluid in the renal pelvis and ureter, and even infections leading to backache, waist pain, fever, etc. Additionally, there are general symptoms, including nausea, reduced appetite, fever, weight loss, anemia, cachexia, and more.

doctor image
home-news-image
Written by Liu Liang
Oncology
41sec home-news-image

Is there a benign form of bladder cancer?

Tumors are divided into two main categories: benign tumors and malignant tumors. The malignant tumors that occur in epithelial tissues are called cancers, such as lung cancer, bladder cancer, and breast cancer. Therefore, bladder cancer is malignant; there are no benign bladder cancers. Cancer, in contrast to benign tumors, tends to metastasize to distant locations, grow rapidly, and can spread through blood, lymph nodes, and local invasion. Thus, it is termed as cancer and is malignant, which means there is no such thing as benign bladder cancer.

doctor image
home-news-image
Written by Guan Hai Fang
Urology
51sec home-news-image

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.

doctor image
home-news-image
Written by Guan Hai Fang
Urology
45sec home-news-image

The difference between bladder tumor and bladder cancer is that a bladder tumor may be benign or malignant, whereas bladder cancer specifically refers to a malignant tumor.

The difference between bladder tumors and bladder cancer generally lies in whether the growth inside the bladder is benign or malignant. Normally, nothing should grow inside the bladder. However, if a growth does appear, it can be referred to as a bladder tumor if it is benign, or bladder cancer if it is malignant. Bladder tumors are typically round with clear boundaries, which can be observed through ultrasound or cystoscopy. On the other hand, if the growth in the bladder resembles seaweed or cauliflower, with unclear boundaries, erosion, bleeding, or other symptoms, it can be referred to as bladder cancer. Generally, the primary treatment for such cases is surgical removal.