How to treat bladder adenocarcinoma?

summary

Smoking is a big habit of many men, years of smoking makes now more and more men suffer from bladder adenocarcinoma, of course, this is only one of the major reasons for the disease. Long term contact with aromatic substances, infection, etc. are also easy to cause "bladder adenocarcinoma". The high incidence of this disease has attracted the attention of the majority of male patients, seeking the necessary treatment has become the top priority of patients. As a complex disease, how to treat bladder adenocarcinoma? How can it be?

How to treat bladder adenocarcinoma?

First, total cystectomy plus pelvic lymph node dissection is the first choice for the treatment of bladder adenocarcinoma, but TURBT is not commonly used.

Second, partial cystectomy should be considered for small tumors confined to the top, lateral and anterior walls of the bladder, and the resection margin should be more than 3cm away from the tumor. Partial cystectomy is also an option for small well differentiated urachal carcinoma.

Third, bladder adenocarcinoma is not sensitive to radiotherapy and chemotherapy. Adjuvant therapy has a certain effect.

matters needing attention

The 5-year survival rate was about 33%. The reasons are as follows: 1. It was advanced at the time of diagnosis; ② Most of the tumors had deep infiltration and early metastasis; ③ Tumor cells are highly malignant and easy to metastasize; ④ Adenocarcinoma was not diagnosed preoperatively, resulting in incomplete resection; ⑤ Chemotherapy and radiotherapy were not sensitive.