Bladder cancer refers to malignant growths in the bladder and is more common in men. Risk factors include smoking, chemical exposure, and older age. Symptoms include blood in the urine, frequent urination, and pain during urination. Diagnosis involves cystoscopy and biopsy of suspicious tissue. Treatment may include surgery to remove part or all of the bladder, radiation, chemotherapy, and immunotherapy using BCG vaccine. Nursing care focuses on managing symptoms, administering medications, and monitoring for complications and side effects of treatment.
Bladder cancer refers to malignant growths in the bladder and is more common in men. Risk factors include smoking, chemical exposure, and older age. Symptoms include blood in the urine, frequent urination, and pain during urination. Diagnosis involves cystoscopy and biopsy of suspicious tissue. Treatment may include surgery to remove part or all of the bladder, radiation, chemotherapy, and immunotherapy using BCG vaccine. Nursing care focuses on managing symptoms, administering medications, and monitoring for complications and side effects of treatment.
Bladder cancer refers to malignant growths in the bladder and is more common in men. Risk factors include smoking, chemical exposure, and older age. Symptoms include blood in the urine, frequent urination, and pain during urination. Diagnosis involves cystoscopy and biopsy of suspicious tissue. Treatment may include surgery to remove part or all of the bladder, radiation, chemotherapy, and immunotherapy using BCG vaccine. Nursing care focuses on managing symptoms, administering medications, and monitoring for complications and side effects of treatment.
Bladder cancer refers to malignant growths in the bladder and is more common in men. Risk factors include smoking, chemical exposure, and older age. Symptoms include blood in the urine, frequent urination, and pain during urination. Diagnosis involves cystoscopy and biopsy of suspicious tissue. Treatment may include surgery to remove part or all of the bladder, radiation, chemotherapy, and immunotherapy using BCG vaccine. Nursing care focuses on managing symptoms, administering medications, and monitoring for complications and side effects of treatment.
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The key takeaways are that bladder cancer is more common in men and cigarette smoking is a major risk factor. The most common type is urothelial carcinoma.
The common types of bladder cancer are urothelial carcinoma, squamous cell carcinoma, and adenocarcinoma. Urothelial carcinoma is the most common.
Some risk factors for bladder cancer include cigarette smoking, chemical exposure, age, sex, race, personal history, and family history.
BLADDER CANCER
INTRODUCTION
• Bladder cancer is a common type of cancer
that begins in the cells of the bladder • More common site of cancer is the urinary tract. • 2.7 times more common in men. Men fourth commonest cause of cancer. Definition • Bladder cancer
Bladder cancer refers to any of several
types of malignant growth of the urinary bladder. CAUSES AND RISK FACTORS Cigarette smoking Chemical exposure at work
Diet: Fried meats
Risk Factors
Age: Seniors are at high risk of developing bladder
cancer. Sex: Men are three times more likely than women to have bladder cancer. Race: whites have much higher risk of developing cancer . Personal history of bladder cancer
Family history of bladder cancer
Chronic bladder inflammation
Birth defects
External beam radiation
Types • Urothelial carcinoma: Urothelial carcinoma, previously called transitional cell carcinoma, occurs in the cells that line the inside of the bladder. Urothelial carcinoma is the most common type of bladder cancer • Squamous cell carcinoma: Squamous cell carcinoma is associated with chronic irritation of the bladder from an infection or from long-term use of a urinary catheter. Squamous cell bladder cancer is rare. • Adenocarcinoma: Adenocarcinoma begins in cells that make up mucus-secreting glands in the bladder. Adenocarcinoma of the bladder is very rare. STAGES CLINICAL MANIFESTATIONS
• Hematuria: This may be visible to the naked
eye or detectable only by microscope. • Frequent urination • Painful urination • Back pain Diagnosis • History collection • Physical examination • Cystoscopy • Biopsy • Imaging • Urine cytology MANAGEMENT Transurethral resection with fulguration : In this operation , an instrument is inserted through the urethra and into the bladder . A small wire loop on the end of the instrument then removes the tumor by cutting it or with electrical current (fulguration). Radical cystectomy: In this operation the entire bladder is removed ,it is removed as well as its surrounding lymph nodes and other structure that may contain cancer. Sagmental or partial cystectomy : In this operation, part of the bladder is removed .In men the standard surgical procedure is a cysto prostactomy (removal of the bladder and prostate ) with pelvic lymph adenectomy . In women ,the standard surgical procedure is a radical cystectomy with pelvic lymph adenectomy. Chemotherapy : In early bladder cancer chemotherapy may be infused into the bladder through the urethra . Drugs commonly used to treat bladder cancer include thiotepa ,mitomycin and doxorubicin. Radiation therapy: Radiation may be given for small muscle invasive bladder cancer, radiation therapy is also used relive symptoms (palliative treatment) of advanced bladder. Targeted therapy: To treat advanced cancer when other treatments haven't helped Immunotherapy • This treatment uses bacillus Calmette-Guerin (BCG), which was developed as a vaccine used to protect against tuberculosis. • BCG causes an immune system reaction that directs germ-fighting cells to the bladder NURSING MANAGEMENT
Assist patient to minimize irritative
the voiding by fluid managementand symptoms bladder avoidance of irritants. Administer urinary analgesics or antispasmodic medications. Provide frequent small meals to minimizenausea related chemotherapy . Monitor signs for hypertension . Monitor complete blood count.
Assist the patient in positional changes to relive local
or generalized discomfort from bone metastasis . Prevention • Don't smoke • Take caution around chemicals • Choose a variety of fruits and vegetables. • Healthy lifestyle Complications • Anemia • Swelling of the ureters (hydronephrosis) • Urethral stricture. • Urinary incontinence. • Erectile dysfunction in men. • Sexual dysfunction in women.