Bladder Cancer

The bladder is a balloon shaped organ that collects urine from the kidneys and stores it until it is eliminated through a tube called the urethra. The most common type of bladder cancer, transitional or urothelial cell, starts in the lining of the bladder

Symptoms
Early stages of bladder cancer often produce no symptoms. Your first warning sign may be hematuria (blood in your urine that may only be visible under a microscope).

OTHER COMMON SYMPTOMS OF CANCER IN THE BLADDER INCLUDE:

  • Painful urination
  • Frequent urination or feeling an urge to urinate without results
  • Slow or intermittent urine stream
  • Pelvic pain
These symptoms may instead indicate other medical problems, such as urinary tract infections, bladder stones or prostate disorders; you will need a thorough evaluation to determine the cause or if you have cancer in the bladder.

Risk Factors
The following factors increase your risk of cancer in the bladder (bladder cancer):

  • Cigarette smoking the single greatest risk factor
  • Exposure to industrial chemicals
  • Age the average age is 67
  • Sex men are at much higher risk
  • Race Caucasians are at higher risk
  • Family or personal history of bladder cancer
  • Chronic bladder inflammation or foley catheter use
  • Chemotherapy or radiation therapy for other cancers
  • A high fat diet

Diagnosis
Your doctor will first perform a thorough history and physical exam. Other tests may include:

Urine Cytology   examining urine cells under the microscope

Intravenous Pyelogram (IVP) or CT   special x-rays that include contrast dye, to view the kidneys, bladder and connecting tubes

Cystoscopy   putting a thin scope into the urethra to view it and the bladder; if a mass is seen, a biopsy may be performed at that time or during more formal treatment

Tumor Marker Tests   the FDA has approved several tests that look for BTA or NMP22, proteins in the urine that may indicate cancer in the bladder.

Flourescence in Situ Hybridization (FISH)   a urine test that looks for chromosomal abnormalities and may provide early detection of transitional cell cancer in the bladder or cancer in general.

Staging
Once it has been determined that you have cancer in the bladder or bladder cancer, your doctor will determine what "stage" your cancer is in:

Stage 1  confined to the bladder lining; 60-70% of patients have Stage 1 disease

Stage 2  spread to the muscular walls of the bladder

Stage 3   spread to tissues around the bladder

Stage 4  spread to other organs

Treatment
Determining the appropriate treatment depends on a number of factors, including your health and age, your cancer stage, type of tumor, tumor grade, and the stage of the tumor, which is related to how deeply it invades the wall of the bladder.

Surgical treatment is often recommended for patients with cancer in the bladder / bladder cancer. Some patients will receive radiation, chemotherapy or immunotherapy in addition to or instead of surgery.


  • Address : Kidney Care & Stone Urology Clinic , A-71, Sector 50, Noida
  • Mobile no.+91-9891055436