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- $Unique_ID{BRK01349}
- $Pretitle{}
- $Title{What Are the Symptoms of Bladder Cancer?}
- $Subject{bladder cancer neoplasms genitourinary system stones schistosomiasis
- parasite urine chemicals occupational exposure excretory tobacco tars blood
- painful urination cystoscope telescopic tube cystogram bcg bacteria calmette
- guerin tuberculosis bladders cancers neoplasm stone schistosoma bilharziasis
- parasites urinating chemical cystoscopes cystograms bacterial bacterium}
- $Volume{B-16, J-16}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- What Are the Symptoms of Bladder Cancer?
-
-
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-
- QUESTION: Your column has been of great help to me in the past and now I hope
- you will answer this question for me. A while ago I helped take care of a
- lady who had her bladder removed because of cancer. Since then I have heard
- "cancer of the bladder" mentioned several times about others. I was
- wondering, what are the symptoms and how is it diagnosed? Thank you for
- helping.
-
- ------------------------------------------------------------------------------
-
- ANSWER: This disease strikes men about three times more frequently than
- women, and may result from chronic irritation of the bladder. The irritation
- may be caused by stones or infections with schistosomiasis (a parasite), or
- from exposure to several types of chemicals that pass out of the body through
- the urine, that come from chemicals used in various manufacturing processes
- (occupational exposure), or possibly from excretory products of tobacco tars.
- The initial signs of bladder cancer include blood in the urine, the presence
- of pus, painful urination associated with burning and frequency, and finally
- pain when infection occurs or when the cancer penetrates the wall of the
- bladder. It is harder to pick up on physical examination, but occasionally a
- mass can be palpated. To diagnose a bladder cancer a physician can look
- through a telescopic tube-like instrument called a cystoscope, and view the
- interior of the bladder first hand. A biopsy of any suspicious lesions is
- taken to search for the presence of cancer cells. During this process an
- x-ray examination can be performed (called a cystogram) which can reveal the
- presence of an unsuspected mass. The cancers may be located in superficial
- growths, readily removed from the bladder lining, or penetrate into the muscle
- of the bladder wall. When they are deep, then a part of or the whole bladder
- must be removed (partial or complete cystectomy), and the urine flow diverted
- through other procedures. The best results seem to be obtained by combining
- surgery and radiation therapy. A newer method of use in superficial bladder
- cancer is to instill solutions containing BCG (bacteria of Calmette and
- Guerin), originally developed to produce an immune reaction to the
- tuberculosis bacteria.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-
-