What are the clinical manifestations of bladder cancer

Bladder cancer is a common tumor with a higher incidence in developed countries or regions. In China, the incidence of bladder cancer ranks first among male urogenital tumors, and has been increasing in recent years. So what are the clinical manifestations of bladder cancer? Let's take a look.

1. Hematuria: recurrent painless, intermittent macroscopic hematuria, sometimes only microscopic hematuria. The amount of bleeding can be more or less, in severe cases, hematuria may be present throughout the entire process, bladder cancer radiation enteritis hematuria or blood clots. Urinary tract irritation symptoms: when the tumor is accompanied by infection or the tumor occurs in the bladder triangle, urinary tract irritation symptoms will appear earlier.

2. Bladder irritation symptoms: The infiltration, necrosis, ulceration and combined infection of the tumor itself can irritate the bladder, causing frequent urination and urgency. For patients with bladder irritation who lack evidence of infection, a comprehensive examination should be conducted to ensure early diagnosis.

3. Difficulty in urination: Due to the large size of the tumor, or the tumor occurring at the bladder neck, or the pedicled tumor, or the formation of blood clots that block the internal opening of the bladder, urination difficulties may occur, and even urine retention may occur. Pubic area mass: This is the initial symptom in about 3%, mostly adenocarcinoma of the bladder top or high-grade solid bladder cancer in other parts. Rectal examination may touch an uneven hard mass.

4. Metastatic symptoms: In the late stage of bladder cancer, it may infiltrate the surrounding tissues or metastasize to other internal organs. When the tumor invades the tissues around the bladder or metastasizes to the pelvic lymph nodes, pain may be seen in the suprapubic area of ​​the pubic region, lumbar pain, or pain radiating to the vulva or thighs. When the tumor is located at the ureteral opening on one side, it may cause ureteral obstruction on one side and hydronephrosis.

5. Systemic symptoms: nausea, loss of appetite, fever, weight loss, anemia, cachexia, etc.

The above is an introduction to the clinical manifestations of bladder cancer. Expert Tip: If you have the above symptoms, do not delay diagnosis and go to a regular hospital for treatment in time. This article is for reference only. If you have other questions, please consult our experts online.

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