Tumor recurrence is not scary, timely and appropriate treatment is the key. Cystoscopy, CT or MRI is essential, as well as ultrasound and chest x-ray. Because the patient has undergone one or more different types of surgery and has undergone bladder irrigation with anti-cancer drugs, the physician now needs to know the specifics of the tumor in the bladder: size, number, extent, depth of tumor infiltration, and pathological type of tumor. Although cystoscopy is painful, it can visually observe the lesions in the bladder cavity and take the lesions for pathological examination; CT and MRI can understand the scope and depth of bladder lesion infiltration and whether there are pelvic lymph node metastases; abdominal ultrasound and chest X-ray can understand whether there are problems in other parts of the organs. This will give a comprehensive understanding of the disease and allow the most appropriate treatment plan to be chosen.
The treatment of recurrent bladder tumor should be treated differently: 1. For benign bladder papilloma recurrence, transurethral resection of bladder tumor can be performed again. It is better to use drugs that have not been used before or different kinds of drugs alternately to reduce the drug resistance of tumor cells; 2. If it is recurrence of uroepithelial carcinoma of bladder, if the lesion is small, less in number and there is no infiltration of bladder muscle layer, transurethral resection of bladder tumor and laser, photodynamic therapy, thermotherapy, simple anti-cancer drug infusion, BCG infusion and other treatments can be done again; 3. For patients with larger, recurrent and muscle layer infiltrated bladder uroepithelial cancer, radical cystectomy with pelvic lymph node dissection is recommended; for those who are not physically able to tolerate major surgery or unwilling to remove the bladder, transurethral bladder tumor electrodesis or partial bladder resection can be done according to specific conditions, and postoperative treatment with systemic chemotherapy or radiotherapy, bladder anticancer drugs and BCG infusion is recommended; 4. If the tumor is large and has metastasis to other parts, comprehensive treatment is the main treatment. Chemotherapy or radiotherapy can be used first to reduce the tumor volume to create conditions for surgery, and continue chemotherapy and radiotherapy after surgery; 5.