L4: Bladder Cancer

Question 2

Incidence of Bladder Cancer

Answer 2

10 Per 100K

Question 3

Incidence of Bladder Cancer

• Age

Answer 3

Question 4

Incidence of Bladder Cancer

• Sex

Answer 4

Male: Female → 3:1

Question 5

Incidence of Bladder Cancer

• Race

Answer 5

White race more than blacks.

Question 6

Incidence of Bladder Cancer

• Occupation

Answer 6

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

Question 7

RF for Bladder Cancer

Answer 7

Question 8

RF for Bladder Cancer

• Most Evident

Answer 8

Smoking

Question 9

RF for Bladder Cancer

• Chronic Irritation

Answer 9

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

Question 10

RF for Bladder Cancer

• Biharziasis

Answer 10

Schistosoma haematobium + UTI.

Question 11

RF for Bladder Cancer

• Radiation Exposure

Answer 11

…

Question 12

Pathological Types of Bladder Cancer

Answer 12

Question 13

Pathological Types of Bladder Cancer

• 1ry

Answer 13

Question 14

Pathological Types of Bladder Cancer

• 2ry

Answer 14

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

Question 15

Gross Picture of Bladder Cancer

Answer 15

Question 16

Sites of Bladder Cancer

Answer 16

Question 17

Staging of Bladder Cancer

Question 18

Staging of Bladder Cancer

• T

Answer 18

Question 19

Staging of Bladder Cancer

• N

Answer 19

Question 20

Staging of Bladder Cancer

• M

Answer 20

Question 21

Pre-Cancerous Lesion in bladder Cancer

Answer 21

Question 22

Pre-Cancerous Lesion in SCC

Answer 22

• Squamous metaplasia
• Leukoplakia

Question 23

Pre-Cancerous Lesion in Adenocarcinoma

Answer 23

Cystitis glandularis

Question 24

Pre-Cancerous Lesion in TCC

Answer 24

Dysplasia (Atypia)

Question 25

Pre-Cancerous Lesion in CIS

Answer 25

Dysplasia (Atypia)

Question 26

CP of Bladder Cancer

Answer 26

Question 27

Complications of Bladder Cancer

Answer 27

Question 28

Investigations for Bladder Cancer

Answer 28

Question 29

Investigations for Bladder Cancer

• Lab

Answer 29

Question 30

Investigations for Bladder Cancer

• Rad

Answer 30

Question 31

Rad Investigations for Bladder Cancer

Answer 31

Question 32

Rad Investigations for Bladder Cancer

• KUB

Answer 32

Detect associated stones or eatening of calcification of the bladder.

Question 33

Rad Investigations for Bladder Cancer

• US

Answer 33

Pelvic u/s in full bladder can detect masses.

Question 34

Rad Investigations for Bladder Cancer

• IVP

Answer 34

Question 35

Rad Investigations for Bladder Cancer

• CT

Answer 35

Question 36

Rad Investigations for Bladder Cancer

• Pelvic MRI

Answer 36

…

Question 37

Rad Investigations for Bladder Cancer

• Other Rads

Answer 37

Question 38

Investigations for Bladder Cancer

• Cystoscopy & Biopsy

Answer 38

“Diagnostic”

• EUA: Examination under anesthesia

Question 39

TTT of Bladder Cancer

Answer 39

Muscle Invasive Or Not

Question 40

TTT of Bladder Cancer

• Depends on

Answer 40

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

Question 41

TTT of Bladder Cancer

• Non-Muscle Invasive Tumours

Answer 41

Question 42

TTT of Bladder Cancer

• Muscle Invasive Tumours

Answer 42

Question 43

TTT of Bladder Cancer

• In Advanced (CT48) And/or Metastatic Disease

Answer 43

Question 44

Def of Urinary Diversion

Answer 44

Storage of urine in a reservoir other than the bladder or passage of urine in a pathway other than normal urethra

Question 45

Methods of Urinary Diversion

Answer 45

Question 46

Complications of Diversions

Answer 46

Early & Late

Question 47

Complications of Diversions

• Early Complications

Answer 47

Question 48

Late Complications of Diversions

• Non-Metabolic

Answer 48

Question 49

Metabolic Late Complications of Diversions

Answer 49