Does bladder cancer require the removal of the bladder?

Written by Liu Liang
Oncology
Updated on September 20, 2024
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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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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 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 Hu Zhong Dong
Medical Oncology
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Is hematuria in bladder cancer a late stage symptom?

Bladder cancer is a relatively common malignant tumor of the urinary system, with over 70% of bladder cancers presenting with hematuria in the early stages. However, about 10% of bladder cancer patients do not exhibit hematuria. For instance, when the bladder cancer is infiltrative, it is less likely to bleed, and when bleeding does occur, it is usually in the advanced stages. Frequent urination, painful urination, blood in urine, and cloudy urine can all be early signs of bladder issues. If someone experiences these symptoms, it is crucial to go to the hospital for relevant examinations early to detect bladder cancer at an early stage. Additionally, it is advisable not to hold in urine, to smoke less or quit smoking, and to drink more water to reduce the incidence of bladder cancer.

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Urology
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How to prevent bladder cancer

Bladder cancer is one of the most common malignant tumors in the urinary system. Currently, the exact cause of bladder cancer is not clear. In terms of prevention, it is generally necessary to drink more water, urinate more frequently, try not to smoke, and reduce exposure to chemical irritants, such as paint, chemical substances, etc. Additionally, an annual physical examination is recommended to enable early detection and early treatment.

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Is a bladder tumor the same as bladder cancer?

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.