Bladder Cancer Flashcards

1
Q

Epidemiology

Bladder

A

Incidence peaks in 7th decade.

Male/female ratio 4:1

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2
Q

Prognostic factor

Bladder

A

Tumor extent
Depth of muscle invasion
Tumor morphology

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3
Q

Clin. Pres.

Bladder

A
Gross painless hematuria. 
Clotting
Urinary retention 
Vesicle irritability 
Frequency 
Urgency
Dysuria
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4
Q

Pathology

Bladder

A

Transitional cell carcinoma

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5
Q

Morphology

Bladder

A

Papillary

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6
Q

LN drainage

Bladder

A

External iliac
Internal iliac
Presacral

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7
Q

Mets

Bladder

A

Lung
Bone
Liver

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8
Q

Tmt for Ta and T1

Bladder

A

Transurethral resection and fulguration

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9
Q

Tmt for T2, T3 and resectable T4a

Bladder

A

Radical cystectomy

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10
Q

Doses

Bladder

A

45-50Gy (1.8/day) to whole pelvis

65-70Gy to tumor

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