Treatment of Bladder Cancer

Similiar to other cancers, treatment of bladder cancer has to be multi-way. Its not either Homeopathy or conventional treatment. The best long-term results are achieved by combination therapy depending on age, stage of bladder cancer and general health condition of patient. Conventional treatments like chemotherapy or radiation therapy helps in faster removal of cancer, Homeopathy can help in

  • Regression of bladder cancer
  • Prevention of recurrence of bladder cancer,
  • Removing side-effects of chemo and radiation therapy,
  • Relieving cancer pains
  • Improving general quality of life and hence, a better reaction to other treatments.

The speciality Homeopathic treatment for bladder cancer, developed at Welling Clinics can be very helpful for those suffering from bladder cancer.

Call us today on (+91) 80 80 850 950 to book an appointment and meet our specialist to know more about our speciality Homeopathy treatment for bladder cancer.

Introduction of Bladder Cancer:-

  • Bladder cancer is a type of cancer that begins in the bladder.
  • The bladder is a hollow organ in the lower abdomen that stores urine.
  • Bladder cancer occurs in the lining of the bladder.
  • Bladder cancer typically affects older adults at the rate of 90 per 1,00,000 population in American men of age 60-69 yrs and 26 per 1,00,000 populations in American women of same age group. Incidence starts to double in age range 70-79 yrs.
  • Bladder cancer is treatable when detected early.
  • Bladder cancer can caused due to smoking, parasitic infection, radiation and chemical exposure.
  • Increased risk with cigarette smokers 2-6 times developed bladder cancer.
  • Occupational risk in workers associated with working in dye industries and rubber industries
  • Now a days it is also found commonly with people working in gas works, laboratory work, textile printing, sewage work, rodent care and manufacturing of firelighters.
  • Bladdercancer can also be associated with cancers of the kidneys, ureters, or urethra.

Types of Bladder Cancer: – There are several types of bladder cancer seen. Types of bladder cancer are as follows:

  • Transitional cell carcinoma (TCC): – Transitional cell carcinoma is the most common type of bladder cancer. This type accounts for about 95 percent of bladder cancers. Transitional cell carcinoma occurs inside lining of the bladder.Transitional cells expand when bladder is full and contract when bladder is empty. Also carcinoma occurs inside lining of ureters and urethra, and tumors can form in those places as well. Metaplasia can occurs in this type of tumour. This type of carcinoma has characteristic chromosomal abnormality, in particular, loss of chromosome 9. And other abnormality includes mutation of p53 gene that appears more often in advance stage, and such cases have been associated with increased risk of treatment failure.

Here are two subtypes of TCC:-

  • Papillary carcinoma: – These tumors are also called as “noninvasive papillary cancers” means they don’t grow into the deeper layers of the bladder wall. They grow out from the inner surface of the bladder toward the hollow center in fingerlike projections. When papillary TCC is very low grade, then it is called as “papillary neoplasm”. This type of carcinoma has a very good prognosis.
  • Flat carcinomas: – This type of TCC does not grow out of the urothelium. Rather, flat carcinomas remain on the surface of the bladder wall only. If a flat carcinoma is confined to the urothelium, it is called “noninvasive flat carcinoma” or “flat carcinoma in situ.”

Transitional cancers are characterized by definition of both grades and local T stage. Most recent reports are based on UICC TNM staging classification (1987).

  • T1 tumour- confined to urothelium- 75% of 5 yrs survival rates
  • T2 tumour- invade superficial muscle- 40-50% of 5 yrs survival rates
  • T3 tumour- extend to deep muscles and through bladder wall- 20-30% of 5 yrs survival rates
  • T4 tumour- extends into adjacent organs- 10% 0r less of 5 yrs survival rates

Metastatic sites of bladder cancer include:

  • Pelvic and Para- aortic lymph nodes.
  • Lung fields
  • Liver
  • Bone 
  • Squamous cell carcinoma: – It accounts for about 1 – 2 percent of bladder cancers. They represent 5 % of tumors. Almost all Squamous cell carcinomas of the bladder are invasive. Squamous cells caused due to chronic infection by “schistosoma haematobium” and irritation in bladder.
  • Adenocarcinoma: – It accounts for about 1 percent of bladder cancers. They represent 5 % of tumors. Adenocarcinoma begins in cells that make up mucus-secreting glands in the bladder. This type of tumour also occurs in context of congenital malformation exstrophy.
  • Small-cell carcinoma: – It is extremely rare cancer of Bladder. It accounts for few than 1 percent of all bladder cancers. This type of bladder cancer begins in neuroendocrine cells, which are similar to nerves.
  • Sarcomais another very rare type of bladder cancer that begins in the muscle layer of the bladder wall.

Basic Pathology of Bladder Cancer:-

There are three ways in which cancer spreads in the body. These are as follows:

  • Throughtissue: – Cancer invades the surrounding normal tissue.
  • Through thelymph system: – Cancer invades the lymph system and travels through the lymph vessels to other places in the body.
  • Through theblood: – Cancer invades the veins and capillaries and travels through the blood to other places in the body.

When cancer cells break away from the primary tumor and travel through the lymph or blood to other places in the body, then the secondary tumor may form. This process is called metastasis. The secondary (metastatic) tumor is the same type of cancer as the primary tumor.

There are several stages of Bladder cancer. The stages are as follows:-

  • Stage 0:- In these stage, abnormalcells are found in tissue inside the lining of the bladder. These abnormal cells may become cancer and spread into nearby normal tissue. Stage 0 is further divided into , Stage 0a and stage 0is, depending on the type of the tumor:
  • Stage 0a:- Itis also called as papillary carcinoma”, which may look like tiny mushrooms growing from the lining of the bladder.
  • Stage 0is:- Itis also called as carcinoma in situ”, which is a flat tumor on the tissue inside lining of the bladder.
  • Stage I: – In these stage, cancerhas formed and spread to the layer of connective tissue next to the inner lining of the
  • Stage II: -In these stage, cancer has spread to the layers of muscle tissue of the bladder.
  • Stage III: -In these stage, cancerhas spread from the bladder to the layer of fat surrounding it and may have spread to the reproductive organs such as prostate, seminal vesicles, uterus, or vagina.
  • Stage IV:- in these stage, either one of the following is true:
  • Cancer has spread from the bladder to the wall of the abdomen or pelvis.
  • Cancer has spread to one or more lymph nodes.
  • Cancer has spread to other parts of the body, such as the lung, bone, or liver.

Clinical Presentation of Bladder Cancer:-

  • Blood in the urine: – The most common symptom of bladder cancer isblood in the urine called as “haematuria”. Most often the bleeding is “gross”/ macroscopic (visible to the naked eye), episodic (occurs in episodes), and is not associated with pain (painless haematuria). However, sometimes the bleeding may only be visible under a microscope (microscopic haematuria) or may be associated with pain due to the blockage of urine by formation of blood clots.
  • Frequency of urination: – The patients may have the desire to urinate in small amounts and in short intervals. So frequency of urination is increased.
  • Urgency of urination: – Inability to hold the urine for long time after the initial desire to urination.
  • Dysuria: – Pain while passing urine. Also burning sensation while passing urination.
  • Frequent urinary tract infections (UTIs)
  • Symptoms include of metastatic sites.
  • Lower back pain:Larger bladder cancers may cause lower back pain.
  • Other symptoms of Bladder Cancer are as follows:
  • Weight Loss.
  • Bone pain or pain in rectal, anal and pelvic region.

Diagnosis of Bladder Cancer:-

  • Cystoscopy: – In cases of suspected cancer, a urine sample or bladder washing is examined for the presence of abnormal cells and the bladder can be examined visually, using a flexible tube called aCystoscope. The Cystoscope is also used to take biopsy samples from the bladder or urethra for laboratory analysis.
  • Biopsy: – During Cystoscopy, a special tool may pass through the scope into bladder in order to collect a cell sample (biopsy) for testing. This procedure is called as “Transurethral Resection (TUR)”. TUR can be used to treat bladder cancer. TUR is usually performed under general anesthesia. Biopsy is done to find depth of tumour invasion and to enable T stage of tumour.
  • Intravenous Pyelography:- An X-ray imaging procedure called intravenous pyelography, in which an Injectable dye travels into the urinary tract and enhances X-ray image contrast, This is done to see any abnormalities seen which may indicate the presence of cancer. In addition, laboratory tests can detect specific chemical markers that indicate cancer.
  • Urine cytology: – A sample of your urine is analyzed under a microscope to check for cancer cells in a procedure called urine cytology.
  • Imaging Tests: – In order to determine the degree ofmetastasis, or spread of the cancer, several imaging methods may be used, such as X-rays, computed tomography (CT) scans, or magnetic resonance imaging (MRI). These procedures are used to detect abnormalities such as cancerous tissues. Nodal and metastatic staging can be found by using Ct scan of thorax and abdomen. MRI is for local extension of disease and possibility of pelvic lymphadenopathy.

Treatment of Bladder Cancer: – The treatment of bladder cancer depends upon a number of factors, such as the type and stage of the cancer, overall health of individual. Treatment of Bladder Cancer includes,

  • Surgical therapy:- Surgical therapy includes:
  • Surgery for early-stage bladder cancer: – It is carried out when cancer is very small in size and hasn’t invaded the wall of your bladder. It is done in two ways,
  • Surgery to remove the tumor: – Transurethral resection (TUR) is used to remove bladder cancers that are confined to the inner layers of the bladder. During TUR, small wire loop is passed through a Cystoscope into bladder. The loop is used to burn away cancer cells with an electric current. In some cases, a high-energy laser may be used instead of electric current. TUR may cause painful or bloody urination for a few days following the procedure.
  • Surgery to remove the tumor and a small portion of the bladder: – During segmental Cystectomy, sometimes called partial Cystectomy, the surgeon removes only the portion of the bladder that contains cancer cells. Segmental Cystectomy may be an option if your cancer is limited to one area of the bladder that can easily be removed without harming bladder function.
  • Surgery for invasive bladder Cancer: – It is carried out when cancer has invaded the deeper layers of the bladder wall. It is carried out in following way:
  • Radical Cystectomy:- It is surgery to remove the entire bladder as well as surrounding lymph nodes. In men, radical Cystectomy typically includes removal of the prostate and seminal vesicles. In women, radical Cystectomy involves removal of the uterus, ovaries and part of the vagina. Cystectomy carries a risk of infection and bleeding.
  • Chemotherapy: – Chemotherapy uses drugs to kill cancer cells. Chemotherapy treatment for bladder cancer usually involves two or more chemotherapy drugs used in combination. Drugs can be given through a vein in your arm (intravenously), or they can be administered directly to your bladder by passing a tube through your urethra (intravesical therapy). Chemotherapy is sometimes combined with radiation therapy.
  • Radiation therapy: – Radiation therapy is used infrequently in people with bladder cancer. Radiation therapy uses high-energy beams aimed at your cancer to destroy the cancer cells.
  • Call us today on (+91) 80 80 850 950 to book an appointment and meet our specialist to know more about our speciality Homeopathy treatment for bladder cancer.

Leave a Comment

Your email address will not be published. Required fields are marked *