Urinary bladder cancer is the most common malignant tumor, more common in the elderly aged over 50, more men than women in recent years, there is an increasing trend in the incidence study considered related to environmental pollution.
The earliest symptoms of bladder cancer is the sudden appearance of gross hematuria, but the vast majority of patients at an early stage there is no dysuria, frequent urination, and hematuria is intermittent, and some patients with hematuria was found bleeding to the primary hospital injected with needles, in the gross hematuria temporarily disappears (in fact, did not stop bleeding), resulting in a "sick have recovered," the illusion, unwilling to baffling symptoms of hematuria occurred in the reasons for further exploration, this is early diagnosis of bladder cancer has not been an important reason. In fact, once the symptoms of hematuria, often prompted urinary tract inflammation, tuberculosis, stones, foreign body, tumor, or urinary obstruction and other diseases, it should be done from simple to complex inspection.
The simplest check is three cups of urine tests, observing the whole process of urination Hematuria occurred when, according to the different times of hematuria, urinary system diseases can determine the approximate lesion sites. If the terminal hematuria appeared in urination, often prompted to lesions in the bladder area, but painless hematuria is an early warning of bladder cancer. When this occurs, it should focus on inspections done on the bladder. B-ultrasonic examination to facilitate easy, such as the tumor is less than 0.5 cm in diameter, often false negative, so the practical value of early diagnosis is limited; CT examination can determine extent of tumor infiltration and lymph node metastasis, advanced disease can be seen on a Chu Ching 2, but the diagnosis of bladder cancer is not very practical. In addition, the urine sediment cytology could be done and serum markers of bladder cancer checks, these checks will help the diagnosis of bladder cancer.
Cystoscopy confirmed bladder cancer was the most important way, through the inspection, can be clearly whether there is cancer of bladder cancer and the number, size, shape and whether the pedicle and the base at the bottom of the case, and can random biopsy. Cystoscopy can be used for early diagnosis of bladder cancer, but also can help develop the initial surgical treatment program.
Cystoscopy, when cancer is found to a smaller number of small, shallow form, and there pedicle may make transurethral resection of bladder tumor fulguration or transurethral surgery, bladder cancer can be cured. If the tumor larger, broader base, invasion and metastasis have been deeper, or shall be determined by the doctor according to the situation in the scope of surgery. In short, cystoscopy for early diagnosis of bladder cancer are of great value, to develop treatment programs are also important.
Involved in dye manufacturing and rubber leather, plastic, metal processing and other professional staff and long-term heavy smoking should be tiny bit more alert than the common people, the most simple way is to regular urine tests, with a view to early detection of bladder cancer. In patients with bladder stones should be based on the size of the stones in vitro ultrasonic lithotripsy or surgery to take stone to remove the stones in the bladder mucosa of chronic stimulation.
2009年9月3日星期四
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