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Unveiling the Mystery of Bladder Tumors
2023-09-02
Unveiling the Mystery of Bladder Tumors

Unveiling the Mystery of Bladder Tumors: Causes, Symptoms, and Treatment

 

Introduction

Bladder tumors, though relatively less talked about compared to other types of cancer, can have a significant impact on an individual's life. They can arise in the inner lining of the bladder and, if left untreated, may lead to severe health complications. In this blog, we will delve into the world of it, exploring their causes, symptoms, and treatment options.

Understanding Bladder Tumors

Bladder tumors typically begin in the urothelial cells that line the inside of the bladder. While most these are benign (non-cancerous), some can be malignant (cancerous) and potentially life-threatening. The majority of malignant it are known as transitional cell carcinomas (TCC), but other rare types like squamous cell carcinoma and adenocarcinoma can also occur.

Causes of Bladder Tumors

Smoking: Smoking is the most common risk factor associated with it. The harmful chemicals in tobacco can enter the bloodstream and affect the bladder's lining, increasing the risk of cancer.

Chemical Exposures: Exposure to certain industrial chemicals and carcinogens, such as those found in dyes, paints, and rubber products, can elevate the risk of developing bladder tumors.

Chronic Bladder Infections: Frequent or chronic bladder infections can irritate the bladder lining, potentially leading to the development of tumors over time.

Family History: A family history of bladder cancer can also increase an individual's susceptibility to developing it

Age and Gender: these are more common in older adults and men. However, they can affect individuals of any age and gender.

Symptoms of Bladder Tumors

Recognizing the signs and symptoms of it is crucial for early diagnosis and treatment. Common symptoms include:

Hematuria (Blood in Urine): One of the most prominent signs, blood in the urine, can range from pinkish to deep red and may be intermittent.

Frequent Urination: Individuals with it may experience increased frequency of urination.

Pain or Burning Sensation: Pain or a burning sensation during urination can be indicative of bladder tumors.

Urgency: A sudden and strong urge to urinate, even when the bladder is not full, may occur.

Pelvic Pain: Some people with bladder tumors may experience persistent pain in the pelvic area.

Back Pain: Advanced BT can cause lower back pain as they grow and press against nearby structures.

Treatment Options for Bladder Tumors

The treatment approach for it depends on several factors, including the tumor's type, stage, and the patient's overall health. Common treatment options include:

Transurethral Resection of Bladder Tumor (TURBT): This procedure involves removing the tumor through a cystoscope inserted into the bladder. It is often used for early-stage tumors.

Intravesical Therapy: After TURBT, a liquid medication can be instilled into the bladder to prevent tumor recurrence.

Radical Cystectomy: In cases of advanced or aggressive tumors, the entire bladder may need to be surgically removed, with options for urinary diversion to manage urine drainage.

Radiation Therapy: High-energy rays can be directed at the tumor to destroy cancer cells or shrink tumors before surgery.

Chemotherapy: Systemic chemotherapy may be recommended to treat advanced it either before or after surgery.

Immunotherapy: Immunotherapeutic drugs, such as checkpoint inhibitors, have shown promise in treating certain types of bladder tumors by boosting the body's immune response against cancer cells.

Conclusion

It can be a life-altering diagnosis, but early detection and prompt treatment can significantly improve outcomes. Understanding the causes, symptoms, and treatment options for it is essential for individuals to take control of their health and make informed decisions about their care. Regular check-ups, especially for those at high risk, and adopting a healthy lifestyle can help reduce the risk of developing it.

Bladder tumor is one of the most common cancers/tumors of the urinary tract, accounting for about 6% of male cancers and 2% of female cancers.

The risk increases with the age of the patient and 70% of patients are over 65 years of age.

Bladder cancer/these are three to four times more common in men than in women and the risk of recurrence is significantly higher.

Known risk factors:

Smoking or use of tobacco in any form.

occupational risk.

Exposure to ionizing radiation.

genetic predisposition

And

schistosomiasis.

In 80% of cases, patients have painless hematuria, but they may also present with burning/pain in urine (dysuria), frequent urination (frequency), and an urgent need to urinate (urgency).

90% of bladder cancers/carcinomas are of the transitional cell carcinoma (TCC) type, and most commonly involve the posterior and side walls and trigone of the bladder.

Other types include tumors such as Squamous cell Carcinoma (SCC), Sarcomatoid and Lymphoepithelioma.

Adenocarcinima is rare and is associated with patent uracus and urachal tumors.

75-80% of urothelial tumors (TCC) are non muscle invasive and confined to the mucosa or submucosa, and generally have a good prognosis.

Their treatment / operation is done through binoculars only.

Seeing the risk of recurrence / recurrence, the patient is examined by binoculars at fixed intervals.

33% non muscle invasive urothelial tumor (TCC) multifocal (more than 3 in numbers), or high grade or large in size (> 3 cm) at the time of diagnosis in size).

Because of which the chances of their High Grade / Muscle invasive or Recurrence increase.

Therefore, in some such patients, a medicine called BCG or Mitomycin is inserted into the urinary bladder at certain intervals.

20–25% of urothelial tumors are muscle invasive, and almost all cases of squamous and adenocarcinomas are muscle invasive at the time the disease takes hold.

Their treatment is a bit complicated. During their treatment/operation, the entire urinary bladder and prostate (in case of men) are removed and a part of the small intestine (Ileum) is removed and the urinary tract is opened through the stomach (Ileal Conduit) or into a new urinary bladder (Neobladder). ) is made by Sometimes muscle invasive urothelial tumors (TCC) require chemotherapy or radiotherapy.

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