Is bladder cancer scary?

Written by Wang Jian
Urology
Updated on August 31, 2024
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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.

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Written by Liu Liang
Oncology
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How is bladder cancer caused?

The causes of bladder cancer are not very clear so far, and they are related to factors such as environment, genetics, and lifestyle habits. However, two major risk factors are quite clear: one is smoking, and the other is long-term exposure to aromatic amines, which are occupational factors that are significant risks for causing bladder cancer.

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Written by Liu Liang
Oncology
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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.

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Written by Wang Jian
Urology
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Is bladder cancer hereditary?

Bladder cancer is the most common malignant tumor in urology, occurring on the mucosa of the bladder and is also one of the top ten common tumors globally. The etiology of bladder cancer is complex, involving both intrinsic genetic factors and external environmental factors, which gives bladder cancer a hereditary tendency. Notable among the major risk factors are smoking and occupational exposure to aromatic amines, with 30% to 50% of bladder cancers caused by smoking. The incidence of bladder cancer significantly increases with the duration of smoking. The initial clinical manifestation of bladder cancer is usually hematuria, typically painless and intermittent gross hematuria. The presence of blood in urine should prompt further diagnostic testing to rule out malignant tumors in the bladder.

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

Firstly, imaging examinations such as ultrasound can be conducted, which if reveal tumors larger than 0.5 cm can serve as an initial screening for patients; IVU (Intravenous Urography) can show larger tumors as filling defects. Cystoscopy can also be performed by inserting a cystoscope to directly examine the bladder's shape, size, etc. If it appears round, with clear boundaries and without erosion, it is generally benign; if it has a cauliflower-like or seaweed-like appearance, it is generally malignant bladder cancer. Urine tests can also be conducted; cells from tumors found in fresh urine can lead to cytological examination of urine as an initial screening. Additionally, if conditions permit, a physical examination including a bimanual examination of the bladder can be done to preliminarily assess the tumor's size, the extent of invasion, depth, and its relationship with the pelvic wall.

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Written by Liu Liang
Oncology
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What medicine is infused into the bladder for bladder cancer?

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.