How long can bladder adenocarcinoma live?

summary

Many bladder cancer patients are concerned about how long bladder cancer can live. In fact, there is no definite answer. First of all, we should consider whether the next treatment is reasonable according to the patient's condition. However, generally speaking, as long as we can ensure that bladder cancer does not metastasize, the survival rate of more than 5 years is very high. Now let me talk to you about how long can bladder adenocarcinoma live?.

How long can bladder adenocarcinoma live?

First: local resection and electrocautery of bladder cancer: it is used for the tumor only invading the submucosa, with low malignant degree, small bladder papilloma with pedicle or base. Electrocautery has the advantages of less injury, rapid recovery, repeated operation, almost no operative mortality and retention of bladder micturition function. This method is usually a combination of diagnosis and treatment, which can avoid or reduce open bladder surgery.

Second: partial cystectomy: it is suitable for invasive papillary carcinoma with limited scope, located far away from the bladder triangle and neck region. Partial cystectomy is also an effective operation in the treatment of bladder cancer.

Third, total cystectomy: it is suitable for multiple tumors with large invasion or scattered location, and it is not suitable for local resection; The tumor is located in and around the bladder triangle, or in the neck of the bladder invasive tumor, and recurrent bladder cancer. Total cystectomy, also known as radical bladder surgery, is one of the most important operations in urology. Long time, trauma, need to go through the process of total cystectomy, pelvic lymph node dissection, urinary diversion, postoperative use of bowel (generally ileum and colon) instead of bladder, postoperative prone to a variety of complications, such as dysuria, metabolic disorders, pyelonephritis and deterioration of renal function, stones and sexual dysfunction, and postoperative nursing is also more difficult. So patients and their families need to think carefully before they can make a decision.

matters needing attention

Bladder cancer usually goes through 2-3 months of chemotherapy after operation. Bladder perfusion is generally used in the chemotherapy of bladder cancer, in order to reduce the number of tumor recurrence and the chance of cancer cell planting in the process of surgical resection. The commonly used local treatment drugs in clinic are cetipine, mitomycin, cisplatin, BCG, hydroxycamptothecin, etc. the effective rate is between 47% and 75%. These drugs are more effective in preventing postoperative recurrence of bladder cancer. The amount and cycle of perfusion are generally determined by the patient's physical condition and condition, and the specific arrangement can be followed by the attending doctor.