Bladder cancer is a tumor disease that needs to be treated early, otherwise it is easy to develop late-stage symptoms of bladder cancer, and if late-stage symptoms of bladder cancer appear, death may be not far away. So, what are the late-stage symptoms of bladder cancer? (1) Late-stage symptoms of bladder cancer: When late-stage tumors invade the tissues and organs around the bladder or metastasize to the pelvic lymph nodes, they can cause corresponding symptoms such as bladder pain, urethro-vaginal fistula, and lower limb edema. When metastases occur to distant sites, symptoms such as impaired function of the metastatic organ, bone pain, and cachexia may also occur. (2) Symptoms of urinary obstruction: Large tumors, tumors at the bladder neck, and blood clots can cause urinary difficulty or even urinary retention. Tumor infiltration of the ureteral orifice can cause upper urinary tract obstruction, resulting in low back pain, hydronephrosis, and renal impairment. (3) Bladder irritation symptoms: frequent urination, urgent urination, and painful urination, accounting for about 10%, are related to widespread carcinoma in situ and invasive bladder cancer, especially when the lesion is located in the bladder triangle. Therefore, long-term "cystitis" that cannot be cured should be alert to the possibility of bladder cancer, especially carcinoma in situ. This is one of the late symptoms of bladder cancer. (4) When the tumor is large, vaginal or rectal bimanual palpation may be used to feel the mass, but this method is not accurate enough. In addition, bimanual palpation may not be able to examine all parts of the bladder, and the poorly relaxed abdominal wall is even more difficult to examine clearly. In recent years, with the advancement of imaging, this examination has been rarely used. (5) Hematuria: Painless macroscopic hematuria is the most common symptom, which may occur in more than 80% of patients, of which 17% have severe hematuria, but 15% may only have microscopic hematuria at the beginning. Hematuria is usually intermittent throughout the whole process, and may also present as initial hematuria or terminal hematuria. Some patients may excrete blood clots or necrotic tissue. The duration of hematuria and the amount of bleeding are related to the malignancy, stage, size, number, range, and morphology of the tumor, but they are not necessarily proportional. Carcinoma in situ often presents as microscopic hematuria, while hematuria in urachal carcinoma of the bladder may not be obvious. Bladder tumors of non-urothelial origin may not have hematuria if the lesions do not penetrate the bladder mucosa. The above is an introduction to the late symptoms of bladder cancer. It is for your reference only. I hope that bladder cancer patients can choose a regular hospital to receive treatment as soon as possible to avoid the late symptoms of bladder cancer. In addition, if you have any questions, please consult online experts! |
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