The bladder is a cavernous muscular organ of the body. It is the organ of the body that stores and excretes urine. It is a very important organ for the human body. It is the terminus of the body’s who and electrolyte regulation. The ancient texts of Chinese medicine say well “the bladder, the official of the state capital, the fluid is hidden, the gas can be out of it.”
The bladder can also be cancerous, that is, bladder cancer. Bladder cancer is a common tumor of the urinary system. The incidence and death rate of bladder cancer are ranked as the first among urological tumors. Bladder cancer can occur in people of any age, compared to the incidence in men and women. Its incidence rate is 2-3 times higher in men than in women. Once suffering from bladder cancer at first there is no obvious disease pain mostly seen as painless hematuria, which accounts for about 80% or more. About 10% of people have urinary tract irritation symptoms, i.e. frequent, urgent and painful urination, and up to 40% in advanced stage. When the tumor invades the bladder neck and prostate, clot mass or large necrotic tumor tissue, blocking the bladder outlet, difficulty in urination will occur. In the advanced stage, hydronephrosis, renal insufficiency and uremia can occur. Systemic metastasis of pelvic masses, especially pulmonary metastasis, can lead to cough, hemoptysis, generalized bone pain, emaciation and cachexia.
1.How to diagnose: 1.Urinary routine examination.
2.B ultrasound examination: it is a non-invasive, inexpensive and easy to accept, and can be repeated. It is possible to understand whether there is a tumor in the bladder and the pelvic situation with tumor degree. There are no metastatic lesions in the abdomen, etc.
3, exfoliative cell snow examination, the detection rate is high. Some people believe that the positive rate can reach 95%.
4.Cystourethroscopy: It is extremely important and authoritative for the diagnosis of bladder cancer. It can directly observe whether there is bladder cancer or not. The size, number, location and morphology of cancer species; the relationship between tumor and ureteral opening and bladder neck opening. Histopathological examination of cancer tumor can be taken. To make a closer judgment.
5.X-ray film and intravenous urography; CT scan can be accurate to 0.5-1.0CM size tumor; magnetic resonance imaging (MRI) scan is 64-95% accurate.
Second, about the treatment of bladder tumors: The biological characteristics of bladder tumors are highly variable. The clinical course is complex and variable. Treatment is also complicated. So it is important to understand the clinical stage, pathology, and classification accurately. The depth of tumor invasion proposes a reasonable treatment method to improve the therapeutic effect. But due to the above, the recurrence rate of bladder cancer treatment is high, and its recurrence rate can reach 40%-70%. And the pathological malignancy level should be increased once recurrence. How to prevent recurrence is a major issue. In short, there is cancer to be removed surgically first, then with other treatment options. Such as immunotherapy, radiation therapy, chemotherapy, Chinese herbal medicine, these treatments are indispensable. Regular review and follow-up are also indispensable.
TCM treatment can mainly improve immunity, anti-tumor, anti-recurrence, anti-metastasis, improve quality of life, and increase survival rate. The TCM method is evidence-based treatment. It is a personalized treatment plan for the right person with the right symptoms. Bladder cancer recognized from TCM is the etiology and pathogenesis of the original need and the symptoms. The deficiency is the deficiency of both spleen and kidney. Qi needs to be unable to take in blood or both Qi and blood are deficient. The symptoms are dampness, heat, and poisonous evil gathered in the bladder. Dampness, toxicity, stasis and blood accumulation. The disease is more solid at the beginning and more deficient in the long term.
Chinese medicine treatment: 1. Damp-heat and toxicity type 2. Stasis and toxicity type 3. Spleen and kidney deficiency type 4. Comprehensive treatment: Before and after surgery, after radiation therapy, after chemotherapy, combined with Chinese medicine treatment is necessary. For example, after surgery, strengthening the spleen and benefiting qi, activating blood circulation, cooling blood and clearing heat. If urinary tract irritation occurs after chemotherapy, Chinese herbal medicine should be used to support and dispel the evil, clear heat and detoxify diuresis, etc.; all of them are beneficial to the treatment and healing. In 2005, we summarized 45 cases of bladder cancer with combined Chinese and Western treatment. After surgery or radiation therapy, the treatment was combined with Chinese herbal medicine, which resulted in the death of all but one of the 45 cases after 2 years of treatment with Chinese herbal medicine alone. In another case, the recurrence was changed to total cystectomy. The remaining 43 cases were cured, and the survival rate of more than five years was 44/45. In my medical career of more than 40 years, I have some patients with this disease survived for more than 20 years now.