Can early-stage bladder cancer be cured?

Written by Hu Zhong Dong
Medical Oncology
Updated on February 26, 2025
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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
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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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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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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.

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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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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.