Is a bladder tumor the same as bladder cancer?

Written by Zou De Bo
Urology
Updated on September 11, 2024
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Not all bladder tumors are bladder cancer, as we all know, all tumors can be benign or malignant. Of course, bladder tumors can also be benign or malignant. Only malignant bladder tumors are considered bladder cancer. If some bladder tumors are benign, they cannot be called bladder cancer. Therefore, no matter how a bladder tumor is diagnosed, whether it is benign or malignant, it should be treated as soon as possible.

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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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Can bladder cancer be detected by color ultrasound?

Bladder cancer can be detected by color ultrasound. Bladder cancer is one of the most common tumors in the urinary system, and its typical clinical manifestation is painless gross hematuria, often occurring in the bladder trigone area. Normally, the bladder appears as an echo-free spherical shadow on ultrasound. If one sees one or more papillary or cauliflower-like moderate echoes protruding into the cavity within the echo-free area, with a wide base of the tumor, varying tumor sizes, rough surfaces, and no movement with the change of body position, bladder cancer should be considered. Early bladder cancer is characterized by localized thickening of the bladder wall and disappearance of the normal structure of the bladder wall. On CDFI (Color Doppler Flow Imaging), blood flow signals can be observed at the base of the tumor.

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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.

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The most common clinical manifestations of bladder cancer

The most common clinical manifestations of bladder cancer include: one initial clinical presentation is hematuria, which typically appears as painless, intermittent gross hematuria, sometimes it can also manifest as microscopic hematuria. The hematuria may occur only once or last from one day to several days, and it can subside or stop on its own. The color of the hematuria can be light red, possibly dark brown, generally dark red. The amount of bleeding and the duration of the hematuria are not necessarily proportional to the malignancy degree, size, scope, and number of the tumor. Additionally, bladder cancer patients can experience symptoms of bladder irritation, such as frequent urination, urgent urination, painful urination, and difficulties in urination, etc.

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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.