L4: Bladder Cancer

Question 1

Incidence of Bladder Cancer

Answer 1

10 Per 100K

Question 2

Incidence of Bladder Cancer

• Age

Answer 2

Question 3

Incidence of Bladder Cancer

• Sex

Answer 3

Male: Female → 3:1

Question 4

Incidence of Bladder Cancer

• Race

Answer 4

White race more than blacks.

Question 5

Incidence of Bladder Cancer

• Occupation

Answer 5

• In Egypt: Farmers & Aniline workers.
• Abroad: Aniline workers.

Question 6

RF for Bladder Cancer

Answer 6

Question 7

RF for Bladder Cancer

• Most Evident

Answer 7

Smoking

Question 8

RF for Bladder Cancer

• Chronic Irritation

Answer 8

• Chronic cystitis & bladder stone: Increase risk of SCC.
• Chronic urinary tract infection (UTI).
• Indwelling catheter: Increase Irritation + UTI.

Question 9

RF for Bladder Cancer

• Biharziasis

Answer 9

Schistosoma haematobium + UTI.

Question 10

RF for Bladder Cancer

• Radiation Exposure

Answer 10

…

Question 11

Pathological Types of Bladder Cancer

Answer 11

Question 12

Pathological Types of Bladder Cancer

• 1ry

Answer 12

Question 13

Pathological Types of Bladder Cancer

• 2ry

Answer 13

Metastasis from Melanoma, Colon, Prostate, Lung, Breast.

Question 14

Gross Picture of Bladder Cancer

Answer 14

Question 15

Sites of Bladder Cancer

Answer 15

Question 16

Staging of Bladder Cancer

Question 17

Staging of Bladder Cancer

• T

Answer 17

Question 18

Staging of Bladder Cancer

• N

Answer 18

Question 19

Staging of Bladder Cancer

• M

Answer 19

Question 20

Pre-Cancerous Lesion in bladder Cancer

Answer 20

Question 21

Pre-Cancerous Lesion in SCC

Answer 21

• Squamous metaplasia
• Leukoplakia

Question 22

Pre-Cancerous Lesion in Adenocarcinoma

Answer 22

Cystitis glandularis

Question 23

Pre-Cancerous Lesion in TCC

Answer 23

Dysplasia (Atypia)

Question 24

Pre-Cancerous Lesion in CIS

Answer 24

Dysplasia (Atypia)

Question 25

CP of Bladder Cancer

Answer 25

Question 26

Complications of Bladder Cancer

Answer 26

Question 27

Investigations for Bladder Cancer

Answer 27

Question 28

Investigations for Bladder Cancer

• Lab

Answer 28

Question 29

Investigations for Bladder Cancer

• Rad

Answer 29

Question 30

Rad Investigations for Bladder Cancer

Answer 30

Question 31

Rad Investigations for Bladder Cancer

• KUB

Answer 31

Detect associated stones or eatening of calcification of the bladder.

Question 32

Rad Investigations for Bladder Cancer

• US

Answer 32

Pelvic u/s in full bladder can detect masses.

Question 33

Rad Investigations for Bladder Cancer

• IVP

Answer 33

Question 34

Rad Investigations for Bladder Cancer

• CT

Answer 34

Question 35

Rad Investigations for Bladder Cancer

• Pelvic MRI

Answer 35

…

Question 36

Rad Investigations for Bladder Cancer

• Other Rads

Answer 36

Question 37

Investigations for Bladder Cancer

• Cystoscopy & Biopsy

Answer 37

“Diagnostic”

• EUA: Examination under anesthesia

Question 38

TTT of Bladder Cancer

Answer 38

Muscle Invasive Or Not

Question 39

TTT of Bladder Cancer

• Depends on

Answer 39

1) Tumor stage
2) Tumor cell type
3) General condition of the patient
4) Patient compliance
5) Treatment facilities

Question 40

TTT of Bladder Cancer

• Non-Muscle Invasive Tumours

Answer 40

Question 41

TTT of Bladder Cancer

• Muscle Invasive Tumours

Answer 41

Question 42

TTT of Bladder Cancer

• In Advanced (CT48) And/or Metastatic Disease

Answer 42