A tumor of the bladder. What is the reason?
In the last decade there has been a significant increase in the number of tumors in the bladder among the population of highly industrialized States. Ruthless statistics says that 70% of them are malignant in nature. Men are affected more often than women 3 times. Transition over the age threshold of 60 years was also marked by the increase in the percentage of this disease. The reasons for the upsurge of the formation of bladder tumors is unknown, but the representatives of some professions clearly are at risk. These include staff cooperatively and paint industries, as well as people working with benzidine.
Quite often a tumor of the bladder is noted on the background of the abuse of caffeine, nicotine, and destruction of the body parasitic diseases of type bilharziose. Today, medicine can not accurately answer the question about transmission related predisposition to cancer, there is no complete certainty that the cause lies in the precipitating factors: Smoking, alcohol, etc.
Typical signs of illness
The leading symptom of the disease is the presence of blood clots in the urine. Over time, frequent and painful urge to emptying of the bladder result in the psyche of the patient to the distress. Progressing in growth, the tumor may block the ureter and put "at risk" kidneys. Later appear secondary symptoms of tumor of the bladder: pain, difficulties with urination and sometimes the exit of small fragments of tumor tissue. Demonstrating the unpredictable speed of formation, it grows in any direction and at different depths. Along with the cases of localization of its years only in the bladder, meet and rapidly metastasizing to lymph nodes and organs of the pelvis.
If the disease is a blockage of the mouth of the ureters, you may experience renal colic. Tumor growth in parallel causes pressure on the rectum, and compression of neural pathways is expressed by pain in the groin. In the presence of blood in the urine must immediately pass a complete examination from specialists, in particular, to make conventional blood tests. The tumor in thin women with thin abdominal wall, is well diagnosed by palpation through the rectum and vagina.
Modern, reliable methods of diagnosis allow us not only to ascertain the presence of the tumor, but also to establish the size, cell type, tumor grade and presence of metastasis in the lymph nodes and blood vessels. They help to provide a complete picture of the disease. Important diagnostic methods are:
- angiography of the pelvis;
- computed tomography;
- the cystoscopy.
Urography reveals abnormalities in the urinary tract and the pathology in the lymph nodes.
The possibilities of modern diagnosis and treatment
Cystoscopy allows for biopsy and to obtain an opinion on the nature of tumors: it is a benign tumor of the bladder or has signs of malignancy. The accuracy of the result depends on how deep the undertaken study of the cells of the tissue from the affected and neighboring area. It is extremely important to know the real condition of the urinary tract and the degree of operability of the tumor. After diagnosis, complex treatment, as only a proper combination of individual methods taking into account the General condition of the patient gives the chance for recovery. Adequate treatment of bladder tumours is only possible when asking for a location, histological type and depth of infiltration of tumors.
Surgery uses resection mainlytumors with the least malignant, located primarily in the upper layers of the body tissues. As an additional measure to prevent recurrence of the disease within six months is local chemotherapy, and in its further course is systematically repeated. Drastic measure to completely remove the bladder is practiced in the presence of tumor with a high degree of malignancy, in any stage of development. Instead of removing bladder tumors in some cases is chosen radiation therapy as an alternative to resection in the initial stages and operations in specific places of its localization. Chemotherapy can be used for both local and for extensive cancer treatment. If the primary tumor increases the possibility of local suppression.
Tumors in the urinary system often occur in certain occupational groups. Bladder cancer our time, it is curable with early diagnosis and comprehensive treatment.