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[Bladder tumors]

U Egli1

  • 1Urologische Klinik und Poliklinik, Universitätsspital Zürich.

Therapeutische Umschau. Revue Therapeutique
|September 1, 1996
PubMed
Summary

Urinary bladder cancer, common in the elderly, requires early diagnosis for better outcomes. Treatment ranges from transurethral resection for superficial tumors to cystectomy for invasive types, with adjuvant therapies to prevent recurrence.

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Area of Science:

  • Urology
  • Oncology
  • Carcinogenesis

Context:

  • Urinary bladder cancer is a significant urogenital malignancy, particularly in the elderly population.
  • It ranks second in incidence after prostate cancer among urogenital tumors.
  • Tumors often present multifocally with a high risk of recurrence.

Purpose:

  • To emphasize the importance of early diagnosis for non-invasive bladder cancer.
  • To outline diagnostic methods including cystoscopy and intravenous urography.
  • To detail therapeutic strategies based on tumor stage.

Summary:

  • Painless hematuria is a key indicator of bladder cancer, necessitating prompt investigation.
  • Superficial bladder cancer is treated with radical transurethral resection.
  • Muscle-invasive bladder cancer requires radical cystectomy with adnexa removal, often supplemented by adjuvant therapies.

Impact:

  • Early detection and appropriate treatment of urinary bladder carcinoma improve patient prognosis.
  • Adjuvant immunotherapy or chemotherapy can reduce recurrence rates in high-risk patients.
  • This approach ensures tailored management for superficial versus invasive bladder cancers.

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