Treatment of bladder cancer

Written by Wang Jian
Urology
Updated on September 11, 2024
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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
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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.

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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 Mei Fen
Medical Oncology
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What is the best medicine for bladder cancer infusion?

Bladder perfusion chemotherapy involves infusing chemotherapy drugs directly into the bladder through a catheter to control tumor growth and reduce the recurrence rate after surgery. Generally, the drugs with significant effects on bladder perfusion fall into three categories. The first category is the anthracyclines, including doxorubicin, epirubicin, and pirarubicin. The second category includes platinum-based drugs such as cisplatin, carboplatin, and oxaliplatin. The third category is vinorelbine. According to current big data research, vinorelbine bladder perfusion tends to have a lower recurrence rate. Without postoperative bladder perfusion chemotherapy, 60%-70% of patients will eventually experience recurrence. With bladder perfusion chemotherapy, the recurrence rate can be reduced to 20%-30%.

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Written by Hu Zhong Dong
Medical Oncology
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Can early-stage bladder cancer be cured?

Bladder cancer is a relatively common malignant tumor in the urinary system and tends to occur more frequently in males, with the incidence rate being three to four times higher than that in females. Painless hematuria is likely to be caused by bladder cancer. Therefore, it is crucial to be cautious when hematuria occurs and to seek medical examination at a hospital as soon as possible, such as urinalysis and bladder ultrasound exams, which are non-invasive and relatively inexpensive. Early-stage bladder cancer can potentially be cured, especially if it is superficial. However, patients with poorly differentiated and highly malignant forms may undergo infusion chemotherapy and immunotherapy. Studies have shown that patients with minor bladder cancer, after undergoing systematic treatment, have a relatively high five-year survival rate.

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Written by Guan Hai Fang
Urology
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Is bladder cancer contagious?

Bladder cancer is not contagious, so there is no need to worry about that. Bladder cancer occurs when there is a cancerous transformation of bladder tissue, leading to the formation of bladder tumors. If the tumors are malignant, they are generally termed bladder cancer. Causes of bladder cancer can include long-term exposure to certain carcinogens, such as occupations involving dyes, leather, or paintwork. Another carcinogenic factor is smoking, which is related to about one-third of bladder cancer cases. Chronic infection or prolonged irritation by foreign bodies can also increase the risk of bladder cancer, as seen in cases with bladder stones, bladder diverticula, or chronic cystitis.