how to find out if you have bladder cancer

Contents

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Tests and procedures used to diagnose bladder cancer may include:
  1. Using a scope to examine the inside of your bladder (cystoscopy). …
  2. Removing a sample of tissue for testing (biopsy). …
  3. Examining a urine sample (urine cytology). …
  4. Imaging tests.
May 17, 2021

Common tests & procedures

Tests for Bladder Cancer Medical history and physical exam. Your doctor will want to get your medical history to learn more about your symptoms. Urine lab tests. This is a simple lab test to check for blood and other substances in a sample of …

What is the best test for bladder cancer?

Whether you or someone you love has cancer, knowing what to expect can help you cope. From basic information about cancer and its causes to in-depth information on specific cancer types – including risk factors, early detection, diagnosis, and treatment options – you’ll find it here.

How to recognize the signs of bladder cancer?

Find out how bladder cancer is tested for, diagnosed, and staged. Treating Bladder Cancer If you are facing bladder cancer, we can help you learn about the treatment options and possible side effects, and point you to information and services to help you in your cancer journey.

How bad is bladder cancer?

 · Procedures and tests your doctor may use to diagnose your bladder cancer include the following. 1. Cystoscopy During cystoscopy, your doctor will insert a cystoscope (a narrow, small tube) through your urethra. This tool has a lens that allows them to see inside your bladder and urethra to examine their structures for signs of cancer. 2.

What are the symptoms and signs of bladder cancer?

A variety of tests may be used to make an exact diagnosis of bladder cancer. Pathology Tests Screening typically begins with pathology tests, where samples of fluid and tissue are examined by a pathologist in a laboratory. The most efficient, noninvasive and inexpensive test is a urinalysis / cytology.

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Can bladder cancer be detected with a urine test?

Urinalysis can help find some bladder cancers early, but it has not been shown to be useful as a routine screening test. Urine cytology: In this test, a microscope is used to look for cancer cells in urine. Urine cytology does find some cancers, but it’s not reliable enough to make a good screening test.

What is usually the first symptom of bladder cancer?

In most cases, blood in the urine (called hematuria) is the first sign of bladder cancer. There may be enough blood to change the color of the urine to orange, pink, or, less often, dark red.

What are the warning signs of bladder cancer?

Early warning signs of bladder cancerFrequent urination.Pain or burning during urination.Inability to urinate.Feeling of urination urgency, even when the bladder isn’t full.Weak urine stream.

What is the best test to diagnose bladder cancer?

Cystoscopy. Cystoscopy is the key diagnostic procedure for bladder cancer. It allows the doctor to see inside the body with a thin, lighted, flexible tube called a cystoscope. Flexible cystoscopy is performed in a doctor’s office and does not require anesthesia, which is medication that blocks the awareness of pain.

Does bladder cancer feel like a UTI?

Bladder cancer can be mistaken for a Urinary Tract Infection (UTI) because many of the symptoms overlap. Patients may experience increased frequency and urgency of urination, pain with urination, or urinary incontinence.

Who is at high risk for bladder cancer?

Age: Most people who get bladder cancer are older in age. The average age at diagnosis is 73, and 90 percent of patients are over age 55. Race: Bladder cancer is twice as common among Caucasians as African Americans. This disease is less common among Hispanics, Asians and Native Americans.

Where does bladder cancer begin?

Most bladder cancers start in the innermost lining of the bladder, which is called the urothelium or transitional epithelium. As the cancer grows into or through the other layers in the bladder wall, it has a higher stage, becomes more advanced, and can be harder to treat.

Is bladder cancer curable?

Follow-up and outlook after treatment The outlook for people with stage 0a (non-invasive papillary) bladder cancer is very good. These cancers can be cured with treatment. During long-term follow-up care, more superficial cancers are often found in the bladder or in other parts of the urinary system.

What are the signs of bladder cancer in a woman?

Bladder Cancer: Symptoms and SignsBlood or blood clots in the urine.Pain or burning sensation during urination.Frequent urination.Feeling the need to urinate many times throughout the night.Feeling the need to urinate, but not being able to pass urine.Lower back pain on 1 side of the body.

How does a urologist check for bladder cancer?

Cystoscopy. If bladder cancer is suspected, most doctors will recommend a cystoscopy. . A urologist uses a cystoscope, which is a long, thin, flexible tube with a light and a lens or a small video camera on the end.

What is the main cause of bladder cancer?

Smoking. Smoking is the single biggest risk factor for bladder cancer. This is because tobacco contains cancer-causing (carcinogenic) chemicals. If you smoke for many years, these chemicals pass into your bloodstream and are filtered by the kidneys into your urine.

What age does bladder cancer occur?

Bladder cancer occurs mainly in older people. About 9 out of 10 people with this cancer are over the age of 55. The average age of people when they are diagnosed is 73. Overall, the chance men will develop this cancer during their life is about 1 in 27.

Medical History and Physical Exam

Your doctor will want to get your medical history to learn more about your symptoms. The doctor might also ask about possible risk factors, includi…

Transurethral Resection of Bladder Tumor (TURBT)

If an abnormal area (or areas) is seen during a cystoscopy, it will be biopsied to see if it is cancer. A biopsy is the removal of small samples of…

Biopsies to Look For Cancer Spread

If imaging tests suggest the cancer might have spread outside of the bladder, a biopsy might be needed to be sure.In some cases, biopsy samples of…

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How to check for cancer in urine?

When you pee in a cup at your doctor’s office, there are a number of things they and other health professionals can look for: 1 Urinalysis. Your doctor will check to see if there’s any blood, or other substances, in your urine. 2 Urine cytology. Your doctor will use a microscope to check your urine for cancer cells. 3 Urine culture. Your doctor will send your urine to a lab. After a few days, lab technicians will check to see what kinds of germs grow in it. These results will tell your doctor if you have a bladder infection. 4 Urine tumor marker tests. These look for substances that are released by bladder cancer cells. Your doctor may use one or more of these along with a urine cytology to see if you have the disease.

What does MRI show?

This will give your doctor an image of your kidney, bladder, and ureters (tubes that carry pee from your kidneys to your bladder). It’ll show tumors in your urinary tract. It can also show lymph nodes that contain cancer. MRI. This test uses radio waves and sound magnets to create images of your urinary tract.

What is a TURBT?

Transurethral Resection of Bladder Tumor (TURBT) If your doctor finds something that doesn’t look right during your cystoscopy, they’ll take a sample of it ( biopsy) to see whether it’s cancer. During a TURBT, your surgeon will remove the tumor and some of the bladder muscle near it.

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What is staging after cancer diagnosis?

After a cancer diagnosis, staging provides important information about the extent (amount) of cancer in the body and the likely response to treatment.

Why is it important to find cancer early?

Finding cancer early, when it’s small and hasn’t spread, often allows for more treatment options. Some early cancers may have signs and symptoms that can be noticed, but that’s not always the case.

How do you know if you have bladder cancer?

Bladder cancer signs and symptoms may include: Blood in urine (hematuria), which may cause urine to appear bright red or cola colored, though sometimes the urine appears normal and blood is detected on a lab test. Frequent urination. Painful urination. Back pain.

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Where does bladder cancer start?

Bladder cancer is a common type of cancer that begins in the cells of the bladder. The bladder is a hollow muscular organ in your lower abdomen that stores urine. Bladder cancer most often begins in the cells (urothelial cells) that line the inside of your bladder. Urothelial cells are also found in your kidneys and the tubes (ureters) …

Where is the bladder located?

Your kidneys, located in the rear portion of your upper abdomen, produce urine by filtering waste and fluid from your blood. Bladder cancer is a common type of cancer that begins in the cells of the bladder. The bladder is a hollow muscular organ in your lower abdomen that stores urine. Bladder cancer most often begins in …

Where is urothelial cancer found?

Urothelial cells are also found in your kidneys and the tubes (ureters) that connect the kidneys to the bladder. Urothelial cancer can happen in the kidneys and ureters, too, but it’s much more common in the bladder. Most bladder cancers are diagnosed at an early stage, when the cancer is highly treatable.

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Can bladder cancer come back?

But even early-stage bladder cancers can come back after successful treatment. For this reason, people with bladder cancer typically need follow-up tests for years after treatment to look for bladder cancer that recurs.

How does bladder cancer develop?

Bladder cancer develops when cells in the bladder begin to grow abnormally, forming a tumor in the bladder. Bladder cancer begins when cells in the bladder develop changes (mutations) in their DNA. A cell’s DNA contains instructions that tell the cell what to do.

What is the most common type of bladder cancer?

Urothelial carcinoma is the most common type of bladder cancer in the United States. Squamous cell carcinoma. Squamous cell carcinoma is associated with chronic irritation of the bladder — for instance, from an infection or from long-term use of a urinary catheter. Squamous cell bladder cancer is rare in the United States.

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How do you know if you have bladder cancer?

Symptoms of advanced bladder cancer include the following: Urination problems: Inability to urinate. Pain in the lower back: Another indication the tumor has spread is pain, particularly in the area above your pubic bone or the flank area.

Can bladder cancer be detected early?

Speak to your doctor as soon as possible. The good news is that bladder cancer can often be found at an early stage when it is more likely to be treatable. Let’s take a look at the symptoms of bladder cancer — early, advanced and recurrent — and the various tests available to detect it. Early Symptoms of Bladder Cancer.

How many people get bladder cancer each year?

Bladder cancer is a common type of cancer that affects over 80,000 US adults each year. It is more likely to develop in men than women, though it is often picked up in women at a more advanced stage. It also is more prevalent in the elderly, though it can affect anyone at any age.

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Can bladder cancer spread to other areas of the body?

When urinary bladder cells begin growing out of control, bladder cancer develops. As more cancer cells begin developing, a tumor can form. With time, the cancer can start spreading to other areas of your body, causing various symptoms.

What happens when bladder cancer grows out of control?

When urinary bladder cells begin growing out of control, bladder cancer develops. As more cancer cells begin developing, a tumor can form. With time, the cancer can start spreading to other areas of your body, causing various symptoms.

Does urine show cancer?

It’s important to note that blood in your urine doesn’t necessarily indicate bladder cancer. The cause of blood may be due to another factor. In fact, many healthy individuals may have some unseen blood in their urine at some stage (microscopic hematuria). And, for most individuals, the cause isn’t cancer.

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Can kidney stones cause cancer?

And, for most individuals, the cause isn’t cancer. In many situations, the cause is due to other things like benign (not cancerous) tumors, medications or foods, infection, bladder or kidney stones or another benign kidney disease. Still, you should have your doctor check it out.

What is the best imaging for bladder tumors?

MRI is another imaging form that creates very high-quality and detailed images of bladder tumors in addition to adjacent organs, such as the chest, pelvis and abdomen, to locate any metastasis. Ultrasound imaging, without side effects or radiation, is noninvasive and looks primarily at the bladder and kidneys.

What is the purpose of an intravenous pyelogram?

Imaging tests may be used to locate blockages and tumors, and determine whether cancer has spread to other organs. An intravenous pyelogram is an imaging test during which the patient is injected with dye and the radiologist observes with an X-ray the movement of that dye through the urinary tract.

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What is the first treatment for bladder cancer?

Chemo (with or without radiation) is typically the first treatment when bladder cancer has spread to distant parts of the body (M1). After this treatment the cancer is rechecked. If it looks like it’s gone, a boost of radiation to the bladder may be given or cystectomy might be done.

Can bladder cancer be cured?

The outlook for people with stage 0a (non-invasive papillary) bladder cancer is very good. These cancers can be cured with treatment. During long-term follow-up care, more superficial cancers are often found in the bladder or in other parts of the urinary system.

What are the factors that affect cancer treatment?

Other factors, such as the size of the tumor, how fast the cancer cells are growing (grade), and a person’s overall health and preferences, also affect treatment options.

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What is stage 0 bladder cancer?

Stage 0 bladder cancer includes non-invasive papillary carcinoma (Ta) and flat non-invasive carcinoma (Tis or carcinoma in situ). In either case, the cancer is only in the inner lining layer of the bladder. It has not invaded (spread deeper into) the bladder wall.

Can stage IV cancer spread to lymph nodes?

These cancers have reached the pelvic or abdominal wall (T4b), may have spread to nearby lymph nodes (any N), and/or have spread to distant parts of the body (M1). Stage IV cancers are very hard to get rid of completely.

How to get rid of stage IV cancer?

The tumor is then rechecked. If it appears to be gone, chemo with or without radiation or cystectomy are options.

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Does cancer grow back after treatment?

If cancer continues to grow during treatment (progresses) or comes back after treatment (recurs), treatment options will depend on where and how much the cancer has spread, what treatments have already been used, and the patient’s overall health and desire for more treatment.

Imaging Techniques To Detect Bladder Cancer

Imaging techniques, which include ultrasound, computed tomography (or CT) scanning, magnetic resonance imaging (or MRI) and x-ray approaches, provide an important means of assessing the urinary tract, including the kidneys, and play an important role in the detection, diagnosis, and monitoring of bladder cancer.

Detecting bladder cancer with ultrasound

An ultrasound (which may also be referred to as a sonogram) uses high frequency sound waves to produce images of internal organs. Echoes, which are created as sound waves bounce off organs and tissues, produce computer images that provide information on the structure and movement of organs and the blood flow through vessels.

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How do ultrasounds help detect and monitor bladder cancer?

An ultrasound of the urinary tract can help assess the size of a bladder tumor and whether a bladder cancer has spread. Ultrasound is able to differentiate between fluid-filled cysts and solid tumors, however, it cannot determine if a tumor is cancerous. Ultrasound can also be used to guide a biopsy needle to sample a suspected cancer.

Detecting bladder cancer with CT scans

A CT scan uses x-rays to obtain cross-sectional images of the body. Compared to a general x-ray test, which directs a broad x-ray beam from a single angle, the CT scan uses a number of thin beams to produce a series of images from different angles.

Other imaging approaches to detect or monitor bladder cancer

An MRI scan uses radio waves and magnets to produce more detailed pictures of soft tissues. MRI scans can show whether bladder cancer has spread to other tissues or to the lymph nodes. To improve the quality of the images it’s sometimes necessary to administer an intravenous dye.

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What is the treatment for bladder cancer?

Options for treatment include surgery, radiation therapy, chemotherapy, and biological therapy.

How long do people with bladder cancer live?

Overall, 70 to 90 percent of people with localized bladder cancer will live for at least five years or more . The physician calculates this with the help of survival rates. Survival rates indicate the percentage of people who live with a certain type of cancer for a specific time. The physician often uses an overall five-year survival rate.

What is SEER in cancer?

The surveillance, epidemiology, and end results (SEER) stages are taken from the SEER database, maintained by the National Cancer Institute. SEER database groups cancers into localized, regional, and distant stages.

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Is bladder cancer treatable?

Thus, bladder cancer, if detected in the early stage is treatable and has higher survival rates. However, if the cancer is detected in the advanced stages, treatment becomes difficult and the survival rate is low.

What is the difference between high grade and low grade bladder cancer?

Low-grade cancers: Less aggressive cancers have a low chance of becoming high grade and do not require aggressive treatments, such as radiation or bladder removal.

What is the procedure to remove bladder cancer?

Tumors in the bladder muscle: In case of bladder cancer that has invaded the muscle wall but hasn’t spread to the lymph nodes, the physician recommends radical cystectomy. In this procedure, the physician removes the bladder, nearby lymph nodes and other nearby organs.

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What is the first line of treatment for metastatic bladder cancer?

Then, the physician may perform a radical cystectomy to remove cancer that has invaded beyond the bladder wall. Metastatic bladder cancer: Platinum-based chemotherapy is the first line of treatment for this type of bladder cancer.

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