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 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 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 Liu Liang
Oncology
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Is the bladder cancer embryonic antigen high?

Carcinoembryonic antigen (CEA) is significantly elevated, mainly seen in gastrointestinal tumors, especially in colorectal cancers such as colon and rectal cancers, where CEA elevation is more pronounced. It can also be notably higher in patients with lung adenocarcinoma, and bladder cancer might show an increase in CEA as well. However, the increase in CEA is not necessarily consistent, and its diagnostic value for bladder cancer is limited due to low specificity and sensitivity, making it not very instructive. The definitive diagnosis of bladder cancer primarily involves cystoscopy and taking a biopsy to confirm the presence of cancer.

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Written by Liu Liang
Oncology
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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.

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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.