Category | Bladder Cancer |
Advanced Urological Care: Tailored Approaches in Diagnosis, Treatment, and Survivorship
Bladder cancer, a prevalent form of cancer, originates in bladder cells. The bladder, a hollow muscular organ, stores urine in the lower abdomen. Most commonly, the cancer begins in urothelial cells lining the bladder's interior. These cells also exist in the kidneys and connecting tubes (ureters), but bladder occurrences are more frequent.
Early-stage diagnosis is common, with high treatment success rates. However, recurrence can happen post-treatment. Regular follow-up tests are vital to detect recurring bladder cancer. Symptoms may include blood in urine, frequent urination, painful urination, and back pain.
Bladder cancer emerges due to DNA mutations in bladder cells, causing abnormal cell multiplication and survival. These cells can form tumors that invade normal tissue and metastasize.
Types of bladder cancer include urothelial carcinoma (most common), squamous cell carcinoma (linked to irritation), and adenocarcinoma (rare). Bladder cancer understanding guides tailored treatments and patient care.
Understanding Potential Influences on Risk
Smoking: Harmful chemicals in smoke elevate risk
Age: Risk increases with advancing age
Gender: Men face higher bladder cancer risk
Chemical Exposure: Certain chemicals, like arsenic, implicated
Inflammation: Chronic bladder infections or inflammations linked to risk
Personal/Family History: Past bladder cancer and Lynch syndrome history correlate with increased risk
Diagnostic Procedures and Staging
Cystoscopy: Scope examines bladder interior for abnormalities
Biopsy (TURBT): Tissue sample collected for testing and treatment
Urine Cytology: Microscopic analysis of urine for cancer cells
Imaging Tests: CT urogram, retrograde pyelogram reveal urinary tract details
Cancer Extent: Further tests like CT, MRI, PET, bone scan, and X-ray assess spread
Precision Procedures for Bladder Cancer Removal
TURBT: Non-invasive tumor removal via urethra; often with chemotherapy
Partial Cystectomy: Targeted removal of tumor-affected bladder portion
Radical Cystectomy: Full bladder removal; lymph nodes considered
Robotic Approach: Precise surgery using robotic instruments
Neobladder Reconstruction: Creating a new reservoir for urine
Ileal Conduit: Redirecting urine flow to external pouch
Continent Reservoir: Urinary pouch within the body, catheter managed
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