Quang NinhA 68-year-old man, with painful urination, difficulty urinating with blood clots, went to the emergency room to find bladder cancer metastasis to pelvic lymph nodes.
Doctor Nguyen Van Dung – Head of Oncology Department 1, Bai Chay Hospital, on August 5, said that the patient had a history of diabetes and had laparoscopic surgery to remove a bladder tumor two years ago. After examining and testing, the doctor indicated surgery to remove the bladder, put the skin ureter, and give first aid to the patient.
During surgery, the doctor discovered that the entire bladder was a solid 10×15 cm mass, invading the serosa, peritoneum, and pelvic girdle, sticking to the front of the rectum and the pelvic lymph nodes on both sides. The surgeon removed the entire bladder, removed the bilateral pelvic lymph nodes, removed the peritoneal metastases, and brought the ureters to the skin on both sides with the goal of radical cancer treatment and prolonging the patient’s survival time.
“This technique is difficult, specialized in urological surgery, indicated for patients with bladder cancer that invades the muscle layer when laparoscopic surgery is not possible,” said the doctor.
After surgery, the team continued to monitor and prevent complications such as bleeding, urinary infection, obstruction of ureteral drainage to the skin, intestinal obstruction, intestinal adhesions….
Bladder cancer is the second most common malignancy in urinary tract cancers and tends to increase due to smoking, working in a polluted environment, exposure to chemicals… Common disease in both men and women.
Early warning signs to watch out for include hematuria, urinary frequency, painful urination, hip or back pain, unexplained weight loss, symptoms of a urinary tract infection, urinary tract obstruction due to an invasive tumor. Or a blood clot…
The disease can be detected early by imaging methods such as ultrasound, CT or MRI to evaluate the extent of tumor spread, metastasis in pelvic or retroperitoneal lymph nodes, and visceral metastasis. , lung, bone and urinary tract obstruction…
In terms of treatment, at an early stage, when the tumor has not invaded the bladder muscle layer, the doctor can treat endoscopic ablation, combined with intravesical chemotherapy to prevent local recurrence. In case of multiple tumors, multiple tumors, recurrent tumors, rapid recurrence, deep penetration into the bladder muscle layer, but surgery is also indicated, partial or total bladder resection may be considered depending on the location and extent of invasion. and the number of u.
To prevent bladder cancer, Dr. Dung recommends that people quit smoking, do not smoke in public places, and take full protection when working in a toxic environment.
Some diseases such as cystitis, urinary tract infections… need to be treated definitively to avoid damage to the bladder.
Build a reasonable diet, exercise daily to improve health, reduce the risk of cancer.
Periodic health check. When detecting abnormalities, it is necessary to go to a urology and oncology facility for advice and effective treatment.