How to treat bladder cancer in the elderly?

summary

There are many types of bladder tumors. Generally, it is difficult to get good treatment by taking medicine. Taking medicine can only alleviate the disease, including epithelial tumors and stromal tumors, while epithelial tumors include urothelial tumors, squamous epithelial tumors and glandular epithelial tumors. The biological characteristics of different tumors and their effects on the body are also different, so the treatment methods are also different. The vast majority of bladder tumors are urothelial tumors. Next, I would like to share with you how to treat bladder cancer in the elderly?. Hope to help you.

How to treat bladder cancer in the elderly?

First, there are many methods for the treatment of bladder cancer. Specific to each patient, which method of treatment should be adopted, according to the tissue type, case classification, general condition, patient's will, hospital conditions, doctor's technology and relevant social, cultural and economic background of the tumor, specific consideration should be given.

Second: partial cystectomy: partial cystectomy has a history of more than 100 years, which was widely used before TURBT operation. This operation is relatively simple, can retain the bladder function, and is easy to be accepted by patients. Indications: superficial bladder cancer with large tumor body, wide tumor pedicle or difficult to remove by TURBT, locally invasive bladder cancer without distant metastasis, bladder diverticulum cancer and tumor are invasive bladder cancer of stage T2 and T3a, but patients refuse total cystectomy. Relative contraindications: carcinoma in situ, recurrence or multiple tumor, tumor beyond the bladder wall, invasion of bladder neck or prostate After tumor resection, the bladder volume is too small (less than 1 / 3 of the normal) and the patient's physical condition is very poor. In general, the 5-year survival rate of patients with T2 and T3a stage after partial cystectomy was 60% ~ 75%, and the incidence of postoperative tumor metastasis was 1% ~ 3%.

Third: total cystectomy: the indications of total cystectomy mainly include: 1. Invasive bladder cancer (T2 and T3), especially when the tumor diameter is more than 3cm, multiple, ureteral obstruction, prostate invasion and bladder base tumor. 2. Multiple papillary tumors (TA and T1), recurrent superficial bladder cancer with severe mucosal lesions, combined with extensive carcinoma in situ, with rapid recurrence and increased malignancy. Pelvic lymphadenectomy after cystectomy can determine the stage of bladder cancer and estimate the prognosis, because when there is pelvic lymph node metastasis, there are more distant metastasis. Total cystectomy should be carried out in conjunction with urethral diversion operation, which has a high risk of operation. Postoperative infection and complications are easy to occur after cystectomy. The patient's physical condition should be fully evaluated before cystectomy. The general method after cystectomy is to hang a urine bag, and the patient needs a certain time to adapt to the process.

matters needing attention

Comprehensive treatment based on surgical treatment: only when the tumor is completely removed, the patients will get the best prognosis. Therefore, the treatment of bladder tumor is mainly based on surgery, supplemented by chemotherapy, immunotherapy, traditional Chinese medicine treatment (Chinese patent medicine, Shengyu Jiedu Capsule or decoction), etc. According to the staging and grading of tumor cases, reasonable surgical and adjuvant treatment should be made.