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Bladder CancerBladder Cancer General InformationThe area that is initially affected by Bladder Cancer is exactly in the lining of the organ in the pelvic area (in the lower part of the abdomen) that stores urine (a liquid waste that is produced by the kidneys) with a shape as a balloon, called bladder. The urine is transmitted into the bladder from the kidney, through a ureter (a tube). Then, the urine leaves the bladder through the urethra. Usually, this is a malignant tumor. As an alternative name to this illness we could choose transitional cell carcinoma of the bladder because in many cases, it begins from the cells that form the lining the bladder, known as transitional cells. Some cancers spread to other areas of the body, while in other cases, the Bladder Cancer stays confined to the lining. This disease occurs mostly in adults, especially in the case of older patients. This type of cancer affects mainly the people who have more than 50 years old (more than 85% of the cases), or older than 70 years old, in only 55% of the cases. There is a single major risk factor that leads to Bladder Cancer, and this is smoking. What also helps this cancer to develop is the exposure to some drugs or specific toxic chemicals. The classification of this type of cancer is done taking into consideration their pattern of growth. We can say there are two types of tumors: non-papillary tumors which are not very common, but are more severe because of the poor prognosis resulting from their invasive character, and papillary tumors which are attached to a stalk and are usually similar in appearance to a wart.Bladder Cancer SymptomsIn the early stages, Bladder Cancer is usually asymptomatic. The first sign that alarms you that there is something wrong, is the blood observed in your urine (hameturia). If you see it in your urine (the blood is visible to the naked eye), then this will look darker or reddish than normal, and if not, it may appear after a microscopic test of your urine. But hematuria can also be caused by some other more common conditions, such as: problems with the prostate (for example infections) and cystitis, an infection of the urinary tract, stones of the bladder and kidneys, or other diseases of the kidney. So if you see blood in the urine it does not necessarily mean that you are suffering from this type of cancer. But all these non-cancerous conditions can also have symptoms that are similar to those triggered by Bladder Cancer. Some other signs that indicate you must immediately see a doctor are: feelings of urinating although you are not able to do it, pain in the pelvic area, a slower urinary stream, pain while you urinate, and very frequent urination. As many other forms of cancer, this one can also develop complications. The most serious is when the tumor spreads from the bladder to other major organs. There could also appear: urinary incontinence, severe anemia, or hydronephrosisc (the ureters are blocked, thus stopping the urine from being drained as it should into the bladder). The places on the globe with the highest occurrence of this medical condition are the industrialized places, for example Canada, France, or USA.Bladder Cancer TreatmentYou can not always prevent Bladder Cancer, but you can minimize your risk of developing this medical condition. For example, try to stop smoking, in order to prevent toxins from being collected into your bladder. It is very useful to drink as much liquids as you can because any fluid usually dilutes and helps eliminating the substances that are toxic and may have a bigger concentration into the bladder. Another method of preventing Bladder Cancer is eating cruciferous vegetables, for example cabbage and broccoli. It is very important to rapidly seek medical care if you notice that your urine contains blood. It is vital for a patient to differentiate the Bladder Cancer from all others similar diseases in order to apply the adequate treatment to avoid the complications. Sometimes, it is really difficult to treat Bladder Cancer because this involves some complicated procedures. This is why you should go to see a specialist (your family doctor or, even better, an urologist or some other specialist in diseases of the urinary tract: a urologic oncologist or a medical oncologist) as soon as you feel something is wrong. Before the tumor spreads to other parts of the body (beyond the lining of the bladder), it is said the disease is in its early stage. Detected in this stage, the treatments could have a real success and the cancer can be easily treated with very few complications. If you see a specialist and you present the symptoms and signs of this type of cancer, your general signs of health will be checked and then you will have to do some laboratory tests. Urine tests are highly important because the liquid will be checked for the presence of cancerous cells, blood or other specific signs. At the physical exam, the doctor will check your pelvis and your entire abdomen for tumors. These procedures can also include tests of your vagina or rectum. With the help of a cystoscope (a thin lighted tube inserted through the urethra into your bladder), the lining of your bladder will be examined. A small part of the tissue will be removed and then checked by a pathologist under a microscope. The cystoscopy always demands anesthesia. Before accepting any therapy from your doctor, inform yourself about the processes and the effects one can have. The best therapy demands on a big number of factors: on how much the tumor is extended, the age of the patient, the personal preferences, the type of the tumor and the health state of the individual. The first option for any patient with Bladder Cancer is the surgery (TUR-transurethral resection, radical cystectomy, or segmental cystectomy). In some cases, the surgery can not be performed, so that the next choice is the therapy with radiations, although the effects are not that good. Using X-rays (high energy), the cancerous cells are destroyed and the tumors can shrink. Another treatment that destroys the cancer cells is the chemotherapy, used usually after an operation in order to destroy the traces of the cancer that have not been removed. |
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