A diagnosis of superficial bladder cancer requires regular bladder irrigation therapy in addition to routine electrosurgery because of its frequent recurrence. Statistics show that superficial bladder tumors account for 2/3 of bladder tumors, 65% of patients have recurrence in the first 6 months, and 20-30% of patients can progress to invasive bladder cancer. Therefore, superficial bladder cancer requires adjuvant bladder perfusion therapy in addition to surgery. If superficial tumors of low grade (G1) are treated with surgery and perfusion, the 10-year and 20-year survival rates can reach 98% and 93%, respectively. Therefore, early treatment of superficial bladder cancer can still be effective. If it is a high grade (G3) superficial bladder cancer, more attention needs to be paid because recurrence is shorter, more frequent and prognosis is worse. For recurrent tumors radical bladder surgery is needed if necessary and cannot be taken as a fluke. Age is not the main issue, but mainly depends on the physical condition of the patient and the correct attitude and strong will of the family. Chen Fangmin, Department of Urology, Affiliated Hospital of Guizhou Medical University
I will give two examples here.
Example 1 A male patient was 67 years old when superficial bladder tumor was first discovered, and after 3 years of mid-electrolysis, there were 5 or 6 recurrent episodes with increasing grade (G3) one by one, and he was mobilized for radical bladder cancer surgery many times, but the patient resolutely refused, and at the age of 72, lung metastasis was found, and when he came to me for surgery again, it was very late, and before his death, he entrusted his children to say to me: “Thank you Dr. Chen for his years of care and concern, and thanks for advising me back then and not listening to Dr. Chen’s words 。。。。” I feel very sorry and deeply touched.
Example 2 A man was 90 years old when he first developed superficial bladder cancer, and when he had his third attack in 2 years, I considered that the patient’s indicators showed that he was still in good physical condition, communicated fully with his family and mobilized him for radical surgery, and the patient and his family were very understanding and cooperative and agreed to perform radical cystectomy. The patient has been undergoing radical cystectomy + bilateral ureterostomy for more than two years, and the results are very good. After all, the results of the surgery are still possible.
So it is still the same: early treatment of superficial bladder cancer can still be effective.