Bladder tumor

Bladder tumor

Type:
Most comm: UCC(related to smoking, dye, 中藥)
10% squamous cell carcinoma:與chronic cystitis 有關(stone, foreign boday, suprapubil catheter, parasite)
1% adenocarcinoma: 尿道上裂80%有bladder adenocarcinoma


symptom:
painless hematuria, LUTs(if tumor 在接近bladder neck 會刺激的urethra)

diagnosis:
cystoscopy
10% urine cytology (+):多為接近urethra 的tumor


staging:

treatment:
if tumor just involved mucosa layer not invade to muscularis->TURBt (30% recurrent rate)
  muscularis invasion(+)->cystectomy +LND
intravescical injection:
  if low grade->mitomycin C(TURBt 後24小時內)
  if high grade-> BCG