Keep the bladder and bring dignity and hope for patients with bladder cancer

As one of the most common malignant tumors in the urinary system, the incidence of bladder cancer is second only to prostate cancer. Among the newly issued bladder cancer, 25%of patients are muscle layer infiltrated bladder cancer.

According to previous common diagnosis and treatment standards, patients with muscle layer infiltrate bladder cancer need to be completely cut into bladder. However, for them, there are problems such as major trauma and inability to tolerate patients with surgery, and a series of complications such as renal damage, stones formation, and mucus obstruction may still occur after surgery.

In addition, a considerable proportion of patients cannot accept that urinary flow diversion usually needs to be carried out after the bladder is cut, and the change of urination method not only seriously reduces the quality of life, but also feels living without dignity.

How to keep the bladder and achieve satisfactory treatment effect? In recent years, the Department of Urology of the Cancer Hospital of Chongqing University has actively explored the comprehensive treatment of bladder, that is, synchronized chemotherapy for electrophoresis of urethral bladder tumors. The survival time and quality of life of patients have been greatly improved to reach the leading domestic level.

Mr. Chen, 52, suffered from bladder cancer 5 years ago. He has performed hyperopular bladder tumor slicing three times, but he has unfortunately recurred. According to the diagnosis and treatment standards, the superficial bladder cancer or muscle layer of infiltration bladder cancer is used to treat repeatedly recurrence. It is best to use a radical bladder full -cut operation with pelvic lymph node scaning.

"The bladder is cut, how can I deal with others in the future? There is no dignity at all." Mr. Chen is very strong for keeping the bladder. Yuan Fang, deputy chief physician of the Department of Urology, said that under the leadership of Liu Nan, director of the department, the department experts conducted several discussions, and Mr. Chen's condition was in line with comprehensive treatment of bladder.

The comprehensive treatment plan was recognized by Mr. Chen. Before the operation, Mr. Chen received neo -assisted chemotherapy, and the tumor was significantly reduced. Subsequently, Liu Nan's team used the maximum slicing of meridian bladder tumors to remove the tumor with all the tumors, and the patient had no adverse reactions after surgery.

One month later, Mr. Chen received 6 weeks synchronized chemotherapy. After careful care, Mr. Chen quickly recovered. "After two years of uninterrupted follow -up, Mr. Chen's condition was very stable, there was no recurrence signs, and daily life was the same as normal people." Yuan Fang introduced.

Liu Nan said that the comprehensive treatment of bladder was not just a three -combined treatment of "surgery+chemotherapy". According to the patient's condition, adding immunotherapy is also an important choice, which may achieve better results.

In the past six years, more than 30 cases of comprehensive treatment of bladder treatment at the Department of Urology of the Cancer Hospital of Chongqing University have conducted comprehensive treatment of bladder, and the follow -up of the long -term survival rate is equivalent to the entire bladder. "In terms of quantity and quality, this result has reached the leading level in China." Liu Nan said.

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