Bladder cancer diagnosis/investigations

CancerBro 2018-04-26

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Today, CancerBro will explain how bladder cancer is diagnosed. So watch this video to get all your answers related to the diagnosis of the disease.

Video Transcript:

CancerBro, what are the investigations required to confirm the diagnosis of bladder cancer?

Urine analysis is a useful investigation to diagnose bladder cancer. It helps in detecting the presence of blood, malignant cells, and tumor markers in urine.

Next important investigation for the diagnosis of bladder cancer is cystoscopy.

In this technique, a hallow tube called as cystoscope which is fitted with a camera is inserted into the urethera, and is slowly advanced into the bladder.

It helps to confirm the presence of bladder tumor and see it's number, location and extent.

Also, it helps in transuretheral resection of bladder tumor which is both, diagnostic as well as therapeutic.

As you can see in this figure, only the cancer containing superficial layers of bladder are removed, without damaging the deeper layers.

The next imaging modality used for diagnosis of bladder cancer is Intravenous Pyelogram.

In this technique, a dye is injected into the arm vein and then a series of X-rat pictures are taken of the urinary tract.

In some cases, we may require a Retrograde Pyelogram in which a dye is injected into the ureter with the help of cystoscope, followed by a series of images.

Pyelogram may be complemented with other imaging modalities, like CT scan or MRI, which help in better delineating the urinary tract.

Also CT scan or MRI of the abdomen and pelvis helps to understand the local extention of the tumor to other structures, and the involvement of reginal lymph nodes.

It also helps to diagnose the metastatic involvement of other structures. Imaging of the chest with X-ray or CT scan may be required if clinically indicated.

Also, bone scan maybe done if there is a clinical suspicion of bone metastases.

These were the investigations required to confirm the diagnosis of bladder cancer and stage the disease.

Subscribe to our YouTube channel to know more about bladder cancer. In coming videos, CancerBro will explain bladder cancer anatomy, treatments and chemotherapy. So stay tuned and share the videos with others to spread bladder cancer awareness.

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