Bladder cancer is rather early on with unpleasant symptoms, although clinical signs are very similar to all other benign diseases of the organ, so the patient is treated for «cystitis» for a long time, only in case of prolonged and persistent «inflammation» the question arises whether it is a malignant tumor.
Bladder Oncology Treatment
All malignant cystic neoplasms are divided into two groups: the minimal size of the tumor is attributed to early muscle-non-invasive cancer (MNIBC), and large and, as expected, long-existing processes to muscular-invasive cancer (MIBC), detected in eight out of ten patients.
In all cases, priority is given to surgical treatment, but with minimal lesion, endoscopic surgery preserves the body, it is difficult to avoid removal of the bladder with a common process.
Radiation therapy as an independent species is used only when surgery is impossible and is always accompanied by chemotherapy. After irradiation, there is a high likelihood of continued growth of carcinoma, complications of treatment are inevitable and only worsen over time.
Chemotherapy without operative treatment is prescribed for the metastatic stage of the disease, but even during this period, with abundant bleeding from tumor vessels, the question of palliative surgery — cystectomy or extended resection — is raised.
What Complications Arise When Postponing Surgery?
Spread of the tumor over a longer period with the involvement of the small pelvis, genital organs and rectum in the process.
- Development of metastases in the lymph nodes and other organs.
- Chronic blood loss leads to severe anemia, not compensated by blood and blood transfusions.
- Ureteral blockade and ascending infection are accompanied by inflammation — acute, and then chronic pyelonephritis with an outcome in renal failure.
- Compounding pain and dysuric phenomena.
- Disintegration of the cancer site with infection and generalization of the infection — sepsis.
In all other cases, the removal of a cancer tumor helps to improve the patient’s condition by eliminating intoxication and preventing bleeding from tumor vessels.
A timely surgical intervention will be smaller in volume than the delayed one, which will allow preserving the organ and its functions, guaranteeing long years of life.