Bladder Cancer Flashcards

1
Q

What are 90% of bladder cancers?

A

transitional cell

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2
Q

What are 9% of bladder cancers?

A

squamous cell

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3
Q

What are >1% of bladder cancers?

A

adenocarcinomas, sarcomas, undifferented, benign mesodermal

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4
Q

What are the two types of transitional cell bladder cancers?

A

papillary (80%)

non papillary - flat (20)

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5
Q

What percentage of papillary transitional cell bladder cancers are malignant?

A

50%

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6
Q

What percentage of non papillary transitional cell bladder cancers are malignant?

A

ALL

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7
Q

What imaging can be done for bladder cancers?

A
CT urography - halo sign
excretory urogram 
angiography
sonography
retrograde pylogram
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8
Q

What percentage of those with ureter or pelvic cancer will develop bladder cancer?

A

50%

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9
Q

What populations are affected by bladder cancer?

A

males x4

>50 years

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10
Q

What puts you at a very increased risk of bladder cancer?

A

smoking

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11
Q

When do adenocarcinomas occur in the bladder?

A

on the background of metaplasia

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12
Q

What is a urachal adenocarcinoma?

A

urachus is the remnant of the alantosis

adenocarcinomas can arise within it - isolated to the bladder dome

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13
Q

What can give rise to squamous cell carcinomas in the bladder?

A

persistant inflammation

no squamous cell epithelium in the bladder so has to be metaplasia

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14
Q

What are the red flags for bladder cancer?

A

recurrent UTI
suprapubic pain
haematuria

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