Presentation
Despite postoperative combination chemotherapy, he developed pulmonary and retroperitoneal metastases and died 20 months after presentation. [ncbi.nlm.nih.gov]
This distinguishes this entity from pure sarcomas. [3] The mean age of presentation is 66 years (50-77). Presentation is similar to urothelial tumors, with hematuria as the usual presenting symptom. [dx.doi.org]
However, management should be different, since it frequently presents metastases and has a poor prognosis. [scielo.br]
Entire Body System
- Fatigue
They include fever, fatigue, and a burning sensation in the bladder. Interferon is another biological therapy option. [medicalnewstoday.com]
The side effects of radiation treatment may include vomiting, diarrhea, fatigue, or skin irritations resembling a sunburn. Chemotherapy may also be indicated for treatment of bladder cancers. [britannica.com]
Side effects from radiation therapy may include fatigue, mild skin reactions, and loose bowel movements. [cancer.net]
This may include: CT scans to check for the spread or return of cancer Monitoring symptoms that might suggest the disease is getting worse, such as fatigue, weight loss, increased pain, decreased bowel and bladder function, and weakness Complete blood [medlineplus.gov]
Viral platforms under evaluation in bladder cancer clinical trials include Adenovirus : a family of common viruses that can cause a wide range of typically mild effects including sore throat, fatigue, and cold-like symptoms Coxsackievirus : a virus that [cancerresearch.org]
Gastrointestinal
- Abdominal Pain
Urinary obstruction, abdominal pain, urinary tract infection and weigh loss are occasionally present. [orpha.net]
For example, cancer that has spread to the lungs may cause a cough or shortness of breath, spread to the liver may cause abdominal pain or jaundice (yellowing of the skin and whites of the eyes), and spread to the bone may cause bone pain or a fracture [cancer.net]
Case presentation A 68-year-old Japanese man was admitted to our hospital because of sudden hematuria and abdominal pain. Endoscopic and imaging techniques including CT, MRI, and PET revealed a bladder tumor. [casesjournal.biomedcentral.com]
pain (2.3%); Urinary tract infection (2.3%); Ectopic ACTH secretion (2.3%) 0.5% 38.6% Abrahams 2005[ 9 ] 51 4:1 67 (39-87) - 74% Haematuria (63%); Dysuria (12%); Abdominal pain (2%); Urinary obstruction (2%); Weight loss (2%); Urinary tract infection [ojrd.biomedcentral.com]
- Suprapubic Pain
Other symptoms may include suprapubic pain after voiding, bladder irritability, dribbling, and nocturia. Physical examination The physical examination is usually normal. [medical-dictionary.thefreedictionary.com]
Urogenital
- Dysuria
The literature on squamous metaplasia and leukoplakia progressing to epidermoid carcinoma of the chronic dysuria, bladder infections, and long histories of squamous metaplasia of the bladder should be followed up very closely. [ncbi.nlm.nih.gov]
The main symptom is gross hematuria (63 to 88% of cases) with dysuria as the second most common symptom. Urinary obstruction, abdominal pain, urinary tract infection and weigh loss are occasionally present. [orpha.net]
[…] urothelial carcinoma, occasionally adenocarcinoma Also endometriosis, pelvic lipomatosis, Schistosoma haematobium Chronic irritation of bladder, including nonfunctioning bladder Clinical features Usually present with hematuria, rarely with mucusuria, dysuria [pathologyoutlines.com]
When symptoms do develop, they may include hematuria, pelvic pain, dysuria, frequent urination, feeling the need to urinate without being able to do so, and slow urinary stream. [fortherecordmag.com]
- Nocturia
[…] stones, bladder diverticula, chronic indwelling catheters, prolonged cyclophosphamide treatment, Schistosoma haematobium infection in Egypt / Sudan Also associated with smoking Difficult to detect since arises insidiously; often gross hematuria, dysuria, nocturia [pathologyoutlines.com]
Managing symptoms of locally advanced or metastatic cancer [ 10 ] Bladder symptoms: Palliative radiotherapy may benefit those with symptoms of haematuria, dysuria, urinary frequency or nocturia caused by advanced bladder cancer. [patient.info]
Other signs of bladder cancer could include increased frequency of urination, a feeling of urgency to urinate, nocturia (waking up at night due to having to urinate), pain (burning) with urination, and the feeling of incomplete bladder emptying. [oncolink.org]
- Macroscopic Hematuria
This is called microscopic hematuria. [drugs.com]
which may be visible (gross/macroscopic hematuria) or detectable only by microscope (microscopic hematuria). [en.wikipedia.org]
Visible blood in the urine is referred to as gross, or macroscopic, hematuria. Bladder cancer often causes no symptoms until it reaches an advanced stage that is difficult to cure. [emedicinehealth.com]
Workup
C 18 Complete blood count, blood chemistry tests, liver function tests, chest radiography, and CT or magnetic resonance imaging of the abdomen and pelvis should be included in the metastatic workup for invasive bladder cancer. [aafp.org]
Cystoscopy, cytology, and biopsy when necessary are the principal diagnostic tests (see Workup ). [emedicine.medscape.com]
Five percent of the population can have thyroid nodules, and the majority will be benign. [6] Appropriate workup includes an ultrasound of the neck, followed by lab studies. [en.wikipedia.org]
Treatment
KEYWORDS: High grade; Intravesical treatment; Low grade; Mixed; Non-invasive urothelial carcinoma; Progression; pTa [ncbi.nlm.nih.gov]
A variety of treatment modalities have been described, but optimal treatment requires rather a multimodality approach. [dx.doi.org]
Patients who received prior treatment with a selective FGFR inhibitor. [clinicaltrials.gov]
Prognosis
KEYWORDS: miR-133b; prognosis; progression; urothelial carcinoma of the bladder Publication type, MeSH terms, Substances Publication type Research Support, Non-U.S. [ncbi.nlm.nih.gov]
If you have bladder cancer, you may have questions about your prognosis. A prognosis is the doctor’s best estimate of how cancer will affect someone and how it will respond to treatment. Prognosis and survival depend on many factors. [cancer.ca]
Patients with metastatic disease, in contrast, have a poor prognosis (5-year survival of 6%) 4. [radiopaedia.org]
Etiology
Our results suggest that both consensus and different alterations exist between Chinese and Caucasian UC, indicating that genetic alterations of cancer can vary between different ethnic populations due to genetic and/or etiological discrepancies. [ncbi.nlm.nih.gov]
Etiology The etiology of the disease is unknown but a multipotent stem cell anomaly is thought to be a likely mechanism. A history of smoking is found in 65% to 79% of cases. [orpha.net]
[…] system existence of different histologic types of bladder cancer: sqamous cell carcinoma, herein described transitional cell carcinoma adenocarcinoma, rare poorly differenciated carcinoma/small cell carcinoma, exceptional Disease cancer of the urothelium Etiology [atlasgeneticsoncology.org]
[…] urothelial carcinoma component Epicenter is mucosa, not muscularis propria (which is found in urachal adenocarcinoma) Epidemiology Less than 2% of all bladder malignancies 2/3 in men; mean age 68 years Sites Usually lateral wall or trigone of bladder Etiology [pathologyoutlines.com]
Epidemiology and etiology the incidence of bladder cancer is 9.9/100.000 in menAnd 2.3/100.000 in women in USA. [slideshare.net]
Epidemiology
Abstract Squamous cell carcinoma (SCC) can occur in both nonbilharzial and bilharzial bladders; the two subtypes differ in epidemiology, pathogenesis and clinicopathological features. [ncbi.nlm.nih.gov]
Summary Epidemiology SCCB is extremely rare with an annual incidence of less than 1-9/1,000,000. Since 1980, fewer than 1,500 cases have been identified. [orpha.net]
[…] transitional cell carcinoma of the urinary tract TCCs in other locations: transitional cell carcinoma of the renal pelvis transitional cell carcinoma of the ureter other histologies: squamous cell carcinoma of the bladder adenocarcinoma of the bladder Epidemiology [radiopaedia.org]
[…] carcinoma, exceptional Disease cancer of the urothelium Etiology most often secondary to bilharzial infection (schistosoma haematobium), may be associated with other types of long term irritations: chronic infections, calculi, treatment with cyclophosphamid Epidemiology [atlasgeneticsoncology.org]
Pathophysiology
Nonurothelial primary bladder tumors are extremely rare and may include small cell carcinoma, carcinosarcoma, primary lymphoma, and sarcoma (see Pathophysiology ). [emedicine.medscape.com]
Prevention
It helps to prevent the tumor from coming back and helps prevent development of muscle invasive disease. About 6 weeks after completing the BCG, the doctor will do a cystoscopy again to make sure all of the cancer is gone. [urology.wustl.edu]
TUR alone is effective in preventing recurrences in approximately 50% of patients with superficial bladder cancer. [texasoncology.com]
[…] miR-30a and small interfering RNA Notch1 negatively regulated cell proliferation (P = 0.002 and P = 0.035 in T24; P = 0.029 and P = 0.037 in 5637 cell lines), activated cell cycle arrest (both P < 0.001 in T24; both P < 0.001 in 5637 cell lines), and prevented [ncbi.nlm.nih.gov]