How is bladder cancer diagnosed?

Written by Guan Hai Fang
Urology
Updated on September 23, 2024
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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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Treatment of bladder cancer

For the treatment of bladder cancer, it is necessary first to confirm the diagnosis of bladder cancer through routine urine tests, ultrasonographic examination of the urinary system, cystoscopy, and imaging studies of the urinary system. It is important to determine the location, area, and malignancy of the bladder tumor. For early-stage superficial bladder tumors or tumors on the bladder wall with fewer numbers, minimally invasive surgery can be performed, followed by bladder perfusion to prevent recurrence of the bladder tumor. In the second scenario, if the bladder tumor is multiple and larger, and has a higher degree of malignancy in the bladder trigone area, then a radical cystectomy is required. Radical cystectomy involves the removal of the bladder along with the prostate in males or the uterus in females, followed by the creation of a urinary diversion, typically through these two treatment methods.

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Written by Guan Hai Fang
Urology
1min 6sec home-news-image

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 Zhou Zi Hua
Oncology
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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.

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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.