There are several types of treatment for bladder cancer as follows: Surgery: 1.Bladder tumor local excision and electrocautery Surgery indications: papillary tumor of bladder with low malignancy and thin basal tissues, which only infiltrates the mucosa or submucosa.
2.Partial cystectomy Surgery indications: It is suitable for invasive papillary carcinoma with limited scope, located far from the bladder triangle and the neck area.
3.Total cystectomy Surgical indications: For tumors with large scope and scattered multiple tumors, which are not suitable for local excision; tumors located near the bladder triangle; or invasive tumors located in the bladder neck, total cystectomy should be used.
Laser and kinetic therapy: The introduction of laser fiber into the human cavernous organ through endoscopy to treat disease is a major advance in treatment. For laser treatment of bladder tumors, the most commonly used treatments are neodymium-doped-yttrium aluminum garnet laser therapy and photodynamic therapy.
Interventional therapy: In recent years, interventional therapy has been widely used to treat tumors, and interventional therapy for bladder tumors has also been reported. Its treatment method mainly refers to subabdominal artery cannulation chemotherapy.
Radiation therapy: Radiation therapy for bladder cancer is not ideal and is currently used mainly as palliative treatment for patients with advanced tumors or as a paving aid for patients undergoing surgery or chemotherapy.
The recurrence rate of bladder tumor by surgery alone is high, and the pathological grading and clinical stage of tumor recurrence will be aggravated. Therefore, in addition to other treatment methods before surgery, in order to prevent recurrence, intravesical chemotherapy should be administered immediately after surgery, and the more commonly used is intravesical instillation of chemotherapeutic drugs.
Perfusion chemotherapy: After tumor resection, chemotherapeutic drugs are used to instill directly into the bladder through the ureter in anticipation of killing the unresected microscopic lesions. The side effects are minor, but care should be taken for regular cystoscopy as bladder cancer has a high recurrence rate.
Without adjuvant treatment after bladder cancer, the recurrence rate is 65%,It is best to use the irrigation method, mitomycin for once a week for 4 consecutive times after surgery; then once a month for 4 consecutive times, and once every three months for 4 consecutive times after review of cystoscopy. However, the total course of treatment is usually maintained for one and a half to two years; after instillation, the drug should be allowed to remain in the bladder for 2 hours and then excreted naturally, and observed for side effects such as pressure pain and hematuria. If the bladder irritation is more obvious after perfusion, you can take some traditional Chinese medicine, such as Zhi Bai Di Huang Wan.
For the perfusion problem, how to start? The first instillation starts 4 weeks-5 weeks after the surgery. The first cycle is 2-3 months with one instillation per week, which is 8-12 instillations. After a good review, the second cycle is three months with half-monthly perfusions. Then a review is due. After a good review, the cycle is 6 months, once a month. Then the review is due. After perfusion, because the drug is very irritating, drink as much water as possible after discharging the drug, so that urination can flush the bladder and reduce the patient’s pain. Also, do not take tonic medicine and hairy food: such as turtle, shrimp, crab, mutton, chicken soup, etc.
The treatment of bladder cancer including surgery and chemotherapy after perfusion should be combined to achieve the expected effect, so patients should keep in mind to avoid failing to achieve good results.
How long can bladder cancer live?
Bladder cancer is a malignant tumor that occurs on the mucosa of the bladder. It is the most common malignant tumor in the urinary system and one of the ten most common tumors in the whole body. In 2012, the incidence rate of bladder cancer in the national tumor registry was 6.61 per 100,000, ranking 9th in the incidence rate of malignant tumors. Bladder cancer can occur at any age, even in children. Its incidence rate increases with age, and the high incidence age is 50-70 years. The incidence of bladder cancer in men is three to four times higher than that in women.
Experts say that bladder cancer should be considered kinder and less aggressive than all human cancers, and if you compare it with pancreatic cancer, liver cancer and lung cancer, it is a slow developing type. In bladder cancer, it can be said that 90% of them are kinder and less aggressive and can live for ten or twenty years, but less than 10% of bladder cancer is highly malignant, so if it is highly malignant and advanced (metastasized to other organs), then (the patient’s life expectancy) is measured in months, not years.
Whether bladder cancer can be diagnosed early or not is crucial to the patient’s prognosis, so we must go to the hospital for regular checkups to detect and treat it as early as possible. Also in daily life, we must develop healthy living habits to stay away from the disease as much as possible.