How to treat advanced bladder cancer?

Bladder cancer generally has no abnormal symptoms in the early stage. Once painful or painless hematuria, frequent urination, urgency, pain when urinating, or lower abdominal distension and pain, dysuria and other symptoms appear, it means that the cancer cells have spread to other organs or tissues, and the disease has entered the late stage. How to treat bladder cancer in the late stage? This is a question that many patients and their families are concerned about. Let's focus on this issue and let the experts introduce it to you.

Surgical treatment:

Surgery is the main method for treating bladder cancer. The specific scope and method of surgery should be determined based on a comprehensive analysis of the tumor's stage, malignancy, pathological type, size, location, and involvement of adjacent organs. However, surgery can only remove solid tumors visible to the naked eye, but cannot prevent the metastasis of cancer cells or eliminate cancer cells in the blood.

Radiation therapy:

Bladder radiotherapy is often performed before or after surgery. Palliative radiotherapy can achieve certain results for patients with advanced disease, patients who have missed the opportunity for surgery or refuse surgery, and patients with postoperative recurrence. For patients with stage II-IV bladder cancer, interventional radiotherapy can be used to shrink tumor lesions, increase surgical resection rates, and reduce recurrence rates. However, some patients are not sensitive to radiation and still need to undergo salvage cystectomy, and more of them eventually die from the tumor.

Chemotherapy treatment:

Chemotherapy for bladder cancer includes intravesical chemotherapy, systemic chemotherapy, and arterial chemotherapy. Intravesical chemotherapy is suitable for patients at all stages, especially for superficial tumors in stages 0-I. It cannot play a good therapeutic role for other lesions with deep infiltration, but it still has a therapeutic effect on those with superficial lesions. Systemic combined chemotherapy can increase the surgical resection rate and improve the comprehensive treatment effect of bladder cancer. Arterial chemotherapy is suitable for patients with advanced bladder cancer after partial cystectomy. As an adjuvant therapy, it can significantly improve the five-year survival rate of patients with advanced bladder cancer.

Experts say that the survival of patients with advanced bladder cancer mainly depends on whether the treatment method is appropriate and the patient's physical function. Whether the treatment method is appropriate is the most important factor affecting how long patients with advanced brain tumors can live. In addition, patients must have good physical function and strong immunity to resist the development of cancer and tolerate various treatments. Currently, CLS biological immunotherapy combined with surgery, radiotherapy, and chemotherapy is commonly used in clinical practice.

However, chemotherapy will increase toxicity and side effects as the treatment time increases. Therefore, chemotherapy drugs and chemotherapy time should be determined based on tumor relief, symptom relief, and treatment-related toxicity. Chemotherapy is usually combined with radiotherapy, which is more effective than radiotherapy or chemotherapy alone, but is not very suitable for patients with poor physical function.

The treatment effect of bladder cancer is closely related to the type of cancer. Among them, transitional cell carcinoma has a better treatment effect; carcinoma in situ is a highly malignant cell, and the treatment effect is better before infiltration occurs, but once infiltration occurs, the patient's survival rate decreases significantly; bladder cancer - TCM treatment of bladder cancer - Beijing TCM treatment of bladder cancer Bladder squamous cell carcinoma and adenocarcinoma are both broad-based tumors with high malignancy. Except for surgical resection, they are not sensitive to chemotherapy and radiotherapy, and the current effect is poor. The prognosis of transitional cell carcinoma is related to the stage of tumor infiltration.

The above is some knowledge we have prepared for you today about how to treat advanced bladder cancer. We hope it will be helpful to you. If you have any other needs, you can also consult our online consulting experts. We are always ready to answer your questions and give you more detailed guidance.

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