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Bladder Cancer Health Center

Medical Reference Related to Bladder Cancer

  1. Urethral Cancer Treatment (PDQ®): Treatment - Health Professional Information [NCI] - Proximal Urethral Cancer

    Female Proximal Urethral CancerLesions of the proximal or entire length of the urethra are usually associated with invasion and a high incidence of pelvic nodal metastases. The prospects for cure are limited except in the case of small tumors. The best results have been achieved with exenterative surgery and urinary diversion with 5-year survival rates ranging from 10% to 20%. To increase the resectability rate of gross tumor and decrease local recurrence, in an effort to shrink tumor margins, it is reasonable to recommend adjunctive, preoperative, radiation therapy. Pelvic lymphadenectomy is performed concomitantly. Ipsilateral inguinal node dissection is indicated only if biopsy specimens of ipsilateral palpable adenopathy are positive on frozen section. For tumors that do not exceed 2 cm in greatest dimension, radiation alone, nonexenterative surgery alone, or a combination of the two may be sufficient to provide an excellent outcome.It is reasonable to consider removal of part of

  2. Bladder Cancer Treatment (PDQ®): Treatment - Patient Information [NCI] - About This PDQ Summary

    Purpose of This SummaryThis PDQ cancer information summary for health professionals provides comprehensive, peer-reviewed, evidence-based information about the screening of bladder and other urothelial cancers. It is intended as a resource to inform and assist clinicians who care for cancer patients. It does not provide formal guidelines or recommendations for making health care decisions.Reviewers and UpdatesThis summary is reviewed regularly and updated as necessary by the PDQ Screening and Prevention Editorial Board, which is editorially independent of the National Cancer Institute (NCI). The summary reflects an independent review of the literature and does not represent a policy statement of NCI or the National Institutes of Health (NIH). Board members review recently published articles each month to determine whether an article should:be discussed at a meeting,be cited with text, orreplace or update an existing article that is already cited.Changes to the summaries are made

  3. Urethral Cancer Treatment (PDQ®): Treatment - Health Professional Information [NCI] - Description of the Evidence

    Incidence and MortalityBladder cancer is the fourth most commonly diagnosed malignancy in men in the United States. It is estimated that 72,570 new cases of bladder cancer are expected to occur in the United States in 2013.[1]Bladder cancer is diagnosed almost twice as often in whites as in blacks of either sex. The incidence of bladder cancer among other ethnic and racial groups in the United States falls between that of blacks and whites. The incidence of bladder cancer increases with age.[2]Since the 1950s, the incidence of bladder cancer has risen by approximately 50%. It is to be anticipated that, with the aging of the U.S. population, this trend will continue. There has been a decrease of approximately 33% in bladder cancer mortality during the same interval (National Cancer Institute's Surveillance, Epidemiology, and End Results program, 1973–1997). It is estimated that 15,210 Americans will die of bladder cancer in 2013.[1]The age-adjusted mortality from

  4. Urethral Cancer Treatment (PDQ®): Treatment - Health Professional Information [NCI] - Stage Information for Urethral Cancer

    Prognosis and treatment decisions are both determined by:[1]The anatomical location of the primary tumor.The size of the tumor.The stage of the cancer.The depth of invasion of the tumor.The histology of the primary tumor is of less importance in estimating response to therapy and survival.[2] Endoscopic examination, urethrography, and magnetic resonance imaging are useful in determining the local extent of the tumor.[3,4]Distal Urethral CancerThese lesions are often superficial. Female: Lesions of the distal third of the urethra.Male: Anterior, or penile, portion of the urethra, including the meatus and pendulous urethra.Proximal Urethral CancerThese lesions are often deeply invasive. Female: Lesions not clearly limited to the distal third of the urethra.Male: Bulbomembranous and prostatic urethra.Urethral Cancer Associated with Invasive Bladder CancerApproximately 5% to 10% of men with cystectomy for bladder cancer may have or may develop urethral cancer distal to the urogenital

  5. Bladder Cancer Treatment (PDQ®): Treatment - Health Professional Information [NCI] - Stage 0 Bladder Cancer Treatment

    Standard Treatment Options for Stage 0 Bladder CancerPatients with stage 0 bladder tumors can be cured by a variety of treatments, even though the tendency for new tumor formation is high. In a series of patients with Ta or T1 tumors who were followed for a minimum of 20 years or until death, the risk of bladder cancer recurrence after initial resection was 80%.[1] Of greater concern than recurrence is the risk of progression to muscle-invasive, locally-advanced, or metastatic bladder cancer. While progression is rare for patients with low-grade tumors, it is common among patients with high-grade cancers. One series of 125 patients with TaG3 cancers followed for 15 to 20 years reported that 39% progressed to more advanced-stage disease while 26% died of urothelial cancer. In comparison, among 23 patients with TaG1 tumors, none died and only 5% progressed.[2] Risk factors for recurrence and progression are the following:[2,3,4,5,6]High-grade disease.Presence of

  6. Urethral Cancer Treatment (PDQ®): Treatment - Health Professional Information [NCI] - To Learn More About Bladder Cancer

    For more information from the National Cancer Institute about bladder cancer, see the following:Bladder Cancer Home PageWhat You Need to Know About™ Bladder CancerBladder and Other Urothelial Cancers ScreeningUnusual Cancers of ChildhoodDrugs Approved for Bladder CancerBiological Therapies for CancerSmoking Home Page (Includes help with quitting)For general cancer information and other resources from the National Cancer Institute, see the following:What You Need to Know About™ CancerUnderstanding Cancer Series: CancerCancer StagingChemotherapy and You: Support for People With CancerRadiation Therapy and You: Support for People With CancerCoping with Cancer: Supportive and Palliative CareQuestions to Ask Your Doctor About CancerCancer LibraryInformation For Survivors/Caregivers/Advocates

  7. Urethral Cancer Treatment (PDQ®): Treatment - Health Professional Information [NCI] - nci_ncicdr0000062875-nci-header

    This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http://cancer.gov or call 1-800-4-CANCER.Bladder and Other Urothelial Cancers Screening

  8. Urethral Cancer Treatment (PDQ®): Treatment - Health Professional Information [NCI] - Changes to This Summary (10 / 23 / 2014)

    The PDQ cancer information summaries are reviewed regularly and updated as new information becomes available. This section describes the latest changes made to this summary as of the date above.This summary was comprehensively reviewed and reformatted.This summary is written and maintained by the PDQ Adult Treatment Editorial Board, which is editorially independent of NCI. The summary reflects an independent review of the literature and does not represent a policy statement of NCI or NIH. More information about summary policies and the role of the PDQ Editorial Boards in maintaining the PDQ summaries can be found on the About This PDQ Summary and PDQ NCI's Comprehensive Cancer Database pages.

  9. Urethral Cancer Treatment (PDQ®): Treatment - Health Professional Information [NCI] - Get More Information From NCI

    Call 1-800-4-CANCERFor more information, U.S. residents may call the National Cancer Institute's (NCI's) Cancer Information Service toll-free at 1-800-4-CANCER (1-800-422-6237) Monday through Friday from 8:00 a.m. to 8:00 p.m., Eastern Time. A trained Cancer Information Specialist is available to answer your questions.Chat online The NCI's LiveHelp® online chat service provides Internet users with the ability to chat online with an Information Specialist. The service is available from 8:00 a.m. to 11:00 p.m. Eastern time, Monday through Friday. Information Specialists can help Internet users find information on NCI Web sites and answer questions about cancer. Write to usFor more information from the NCI, please write to this address:NCI Public Inquiries Office9609 Medical Center Dr. Room 2E532 MSC 9760Bethesda, MD 20892-9760Search the NCI Web siteThe NCI Web site provides online access to information on cancer, clinical trials, and other Web sites and organizations that offer support

  10. Bladder Cancer Treatment (PDQ®): Treatment - Health Professional Information [NCI] - Recurrent or Metastatic Urethral Cancer

    Local recurrences of urethral cancer may be amenable to local modality therapy with radiation or surgery, with or without chemotherapy. (Refer to the Treatment Option Overview section of this summary for more information.) Metastatic disease may be treated with regimens in common use for other urothelial transitional cell or squamous cell carcinomas, or anal carcinomas, depending upon the histology.[1,2,3]Treatment options:Locally recurrent urethral cancer after radiation therapy should be treated by surgical excision, if feasible.Locally recurrent urethral cancer after surgery alone should be considered for combination radiation and wider surgical resection.Metastatic urethral cancer should be considered for clinical trials using chemotherapy. Transitional cell cancer of the urethra may respond favorably to the same chemotherapy regimens employed for advanced transitional cell cancer of the bladder.[2,3,4,5]The level of evidence for these treatment options is 3iiiDiv.Current Clinical

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