Text/Yangcheng Evening News All-Media Reporter Liu Xinyu Correspondent Xu Yongyi Photo/Respondent provided by the interviewee Bo. Qu Bo is 70 years old this year. He has cultivated land, driven cars, and entered the factory. Now he is enjoying a happy old age. However, a recent u

text/Yangcheng Evening News All-Media Reporter Liu Xinyu
Correspondent Xu Yongyi
Photos/Respondent provided

Qu Bo is 70 years old this year. He has cultivated the land, drove cars, and entered the factory. Now he is enjoying a happy old age. However, a recent ultrasound examination has put Qu Bo's life in darkness.

Qu Bo’s troubles: Do you have to remove the bladder?

"Hyperechoic mass in the bladder, considering that it may be bladder cancer , it is recommended to have further examination." Hearing this scary B-ultrasound examination result, Qu Bo quickly went to the Urology Department of the Second Affiliated Hospital of Guangzhou Medical University for treatment. Professor Wu Wenqi, deputy director of the Department of Urology, improved the relevant examination for Qu Bo. The CT results showed that there was a cauliflower-like tumor on the lower wall of the bladder.

found a tumor with cauliflower

In order to further clarify the tumor situation, Wu Wenqi performed a cystoscopy + transurethral bladder tumor electrolysis on Qu Bo, and the bladder tumor was removed during the operation for pathological examination.

But unfortunately, the pathological results suggest: (bladder tumor) high-grade papillary urothelial carcinoma, local invasion of the muscle propria, and tumors can also be seen in the tissues sent to the prostate for examination, which means that his bladder cancer is already in a relatively advanced stage.

According to Qu Bo's current examination results, radical bladder resection and total urethral resection can be performed. However, because Qu Bo usually has poor physical fitness and is worried that living with a urine bag will lead to inconvenience in life, he is unwilling to undergo radical bladder resection.

After sufficient communication with his family and Qu Bo himself, Wu Wenqi performed a second transurethral bladder tumor resection for Qu Bo, and the tumor was removed to the maximum extent. After the operation, he was given a comprehensive bladder protection treatment with chemotherapy combined with immunotherapy and .

What is the effect of this bladder cancer treatment? Can Qu Bo return to normal life?

bladder cancer treatment helps improve the quality of life of patients

In the subsequent treatment process, Qu Bo also actively cooperated and regularly reviewed CT, cystoscopy and other examinations. So far, there are no signs of recurrence of bladder cancer, which made Qu Bo very excited: "I knew I had cancer. I thought it was not long, but I didn't expect that bladder cancer could still be treated like this."

Wu Wenqi pointed out: "Bladder cancer is one of the most common malignant tumors in elderly men. It can be divided into muscular invasive bladder cancer and non-muscular invasive bladder cancer. The most common clinical manifestation is repeated painless hematuria. According to statistics, new cases of bladder cancer in my country every year The number is about 85,000 cases. Radical cystectomy is the standard treatment for muscular invasive bladder cancer, but it is a high-risk surgery with a mortality rate of 2.5%-2.7%. Due to the decline in the quality of life caused by the patients' own underlying diseases or surgery, many patients are not suitable or refuse radical resection surgery. Therefore, the current comprehensive treatment plan for retaining bladder has replaced and supplemented radical resection surgery to a certain extent, balancing tumor control and quality of life. "

He added that in terms of efficacy, the efficacy of comprehensive bladder protection treatment is not inferior to the standard radical bladder removal surgery. The disease-specific survival rate can reach more than 50% in 10 years. From the perspective of quality of life, bladder protection treatment has certain advantages, and the patients' mental, psychological and social functions are better protected.

At the same time, Wu Wenqi also reminded: bladder protection treatment is taking advantage of some bladder cancer patients, but not all bladder cancer patients are suitable for this treatment. Therefore, if you have symptoms such as painless hematuria and suspect that the bladder tumor is possible, please be sure to go to a regular hospital to clarify the condition and choose the most suitable treatment plan.