Bladder cancer Flashcards

1
Q

Define bladder cancer

A

Malignancy of bladder cells (most are transitional cell carcinomas)

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2
Q

Aetiology of bladder cancer

A

Unknown

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3
Q

Risk factors for bladder cancer

6

A
Smoking 
Dye stuffs
Cyclophosphamide treatment
Pelvic irradiation
Chronic UTIs
Schistosomiasis
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4
Q

Epidemiology of bladder cancer

prevalence x2, gender, age

A

2% of cancers
2nd most common cancer of genitourinary tract
2/3x more common in MALES
Peak incidence 50-70 yrs old

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5
Q

Presenting symptoms of bladder cancer

6

A
Painless macroscopic haematuria 
Irritative/storage symptoms 
frequency 
urgency
nocturia
Recurrent UTIs
Ureteral obstruction (RARELY)
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6
Q

Signs of bladder cancer on physical examination

general + 1

A

Often NO SIGNS

Bimanual examination may be performed as part of disease staging

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7
Q

Investigations for bladder cancer

4

A

Cystoscopy - allows visualisation, biopsy or removal
US
IV urography
CT/MRI - for staging

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