urinary bladder posterior wall cancer

Urinary Bladder Posterior Wall Cancer

The posterior wall of the bladder, also known as the back wall, is a part of the urinary bladder that can be affected by cancer. According to medical guidelines [6], evidence of a malignant neoplasm (cancer) on the posterior wall of the bladder is a serious condition.

Characteristics and Types

A cancerous tumor on the posterior wall of the bladder can grow into nearby tissue and destroy it, and may also spread (metastasize) to other parts of the body [7]. The type of cancer that affects the posterior wall of the bladder is often referred to as a malignant neoplasm.

Incidence and Prevalence

Bladder cancer is a common urologic cancer with a high recurrence rate, and the most common type is urothelial carcinoma (UC) [8]. While specific information on the incidence and prevalence of posterior wall bladder cancer is not readily available in the provided context, it is worth noting that bladder cancer can affect any part of the urinary system.

Symptoms and Diagnosis

The symptoms and diagnosis of posterior wall bladder cancer may vary depending on the individual case. However, as with other types of bladder cancer, early detection and treatment are crucial for effective management.

References: [6] Definition. Evidence of a malignant neoplasm of the posterior wall of bladder. [7] A cancerous tumour of the bladder can grow into nearby tissue and destroy it. It can also spread (metastasize) to other parts of the body. [8] May 16, 2024 — Bladder cancer is a common urologic cancer that has the highest recurrence rate of any malignancy. The most common type is urothelial carcinoma (UC).

Symptoms of Urinary Bladder Posterior Wall Cancer

Urinary bladder posterior wall cancer, also known as bladder cancer that has metastasized and spread beyond the bladder to the wall of the pelvis or abdomen, can exhibit a range of symptoms. These may include:

• Abdominal pain: Pain in the abdominal area can be a symptom of advanced bladder cancer that has spread to the surrounding tissues [7].
• Blood in the urine: Blood in the urine (hematuria) is often one of the first signs of bladder cancer, and it can also be present in cases where the cancer has metastasized to other areas [8][14].
• Bone pain or tenderness: If the cancer has spread to the bone, you may experience pain or tenderness in the affected area [7].
• Fatigue: Feeling extremely tired or weak (fatigue) can be a symptom of advanced bladder cancer that has spread to other parts of the body [7].
• Painful urination: Pain while urinating (dysuria) can be a symptom of bladder cancer, especially if it has metastasized and is affecting the surrounding tissues [4][13].
• Urinary frequency and urgency: Needing to urinate frequently or feeling an urgent need to do so can also be symptoms of advanced bladder cancer that has spread to other areas [4].

It's essential to note that these symptoms can be similar to those experienced with less-threatening conditions, such as urinary tract infections (UTIs) or bladder stones. Therefore, it's crucial to consult a healthcare provider for an accurate diagnosis and treatment plan.

References:

[4] Symptoms · Abdominal pain · Blood in the urine · Bone pain or tenderness if the cancer spreads to the bone · Fatigue · Painful urination · Urinary frequency and ...

[7] Symptoms of metastatic bladder cancer ; have bone, back or tummy pain; feel very tired (fatigue); feel generally unwell; have weight loss for no known reason.

[8] Aug 14, 2024 — The most common symptom of bladder cancer is blood in the urine (haematuria), which usually occurs suddenly and is generally not painful.

[13] Bladder Cancer Signs and Symptoms. The main symptoms include: Blood in the urine; Frequent, urgent or painful urination ... the cancer has metastasized and spread beyond the bladder, such as to the wall of the pelvis or abdomen, the ...

[14] For most people, the first symptom of bladder cancer is blood in the urine, also called hematuria. Sometimes the blood is visible, prompting the patient to visit a doctor. Other times, blood is microscopic and is only discovered during either a routine lab test or one that was ordered after the patient reported other urinary symptoms.

Diagnostic Tests for Urinary Bladder Posterior Wall Cancer

The diagnosis of urinary bladder posterior wall cancer involves a combination of physical examination, medical history, and various diagnostic tests to confirm the presence of cancer cells in the bladder. Here are some of the key diagnostic tests used to diagnose urinary bladder posterior wall cancer:

• Cystoscopy: A cystoscope is inserted through the urethra to visualize the inside of the bladder. This test can help identify tumors or abnormal growths on the posterior wall of the bladder [9].
• Biopsy: A biopsy involves taking a small sample of tissue from the bladder, which is then examined by a pathologist for cancer cells. The biopsy can be performed during cystoscopy or as a separate procedure [10].
• Urinalysis and other urine tests: Urine tests may be used to detect abnormal substances in the urine that could indicate the presence of cancer cells [2].
• Intravenous pyelogram (IVP): An IVP is an X-ray exam that uses contrast dye to visualize the upper urinary tract, including the kidneys and ureters. This test can help identify any blockages or abnormalities in the urinary tract that may be related to bladder cancer [5].
• CT scan: A CT scan may be used to get a detailed picture of the bladder and surrounding tissues to check for any signs of cancer spread [7].

Other Diagnostic Tests

In addition to these tests, other diagnostic procedures may also be used to diagnose urinary bladder posterior wall cancer. These include:

• Quadrant biopsy: This involves taking small samples from different quadrants of the bladder, including the posterior wall, to check for cancer cells [13].
• Urine cytology: This test examines urine specimens for abnormal cells that could indicate the presence of cancer [6].

Importance of Accurate Diagnosis

Accurate diagnosis is critical in treating urinary bladder posterior wall

The differential diagnosis of urinary bladder posterior wall cancer involves considering various benign and malignant conditions that can present similarly to primary bladder tumors. Here are some key points to consider:

• Benign entities: The differential diagnosis of a lesion exhibiting glandular differentiation in the bladder includes benign entities such as cystitis cystica, cystitis glandularis, von Brunn nests, nephrogenic adenoma, intestinal metaplasia, urachal remnant, endometriosis, and others [15].
• Primary malignancies: The differential diagnosis also includes primary malignancies of the bladder, such as urothelial carcinoma (also known as transitional cell carcinoma), which is the most common type of bladder cancer [6, 8]. Other types of primary bladder cancers include adenocarcinoma and small cell carcinoma [9].
• Secondary malignancies: Secondary malignancies of the urinary system can also be considered in the differential diagnosis, including tumors that originate from direct invasion from surrounding organs such as prostate, lower gastrointestinal tract, and female genital tract cancers [14].

It's worth noting that the accurate diagnosis of adenocarcinoma of the urinary bladder can be very challenging due to the wide variety of benign and malignant glandular lesions that occur in the urinary bladder [11]. Therefore, a thorough evaluation and consideration of all possible differential diagnoses are necessary for an accurate diagnosis.

In terms of imaging considerations, CT urography is a useful technique for diagnosis and differential diagnosis of bladder cancer, as well as recognition of anatomic variations [12]. However, finding the best imaging modality to use for tumor staging prior to operative intervention remains controversial, and novel diagnostic imaging procedures are being discussed for optimizing the diagnosis of bladder cancer [13].

References:

[11] The accurate diagnosis of adenocarcinoma of the urinary bladder can be very challenging, as a wide variety of benign and malignant glandular lesions occur in the urinary bladder. [12] CT urography is a useful technique for diagnosis and differential diagnosis of bladder cancer, as well as recognition of anatomic ... [13] Finding the best imaging modality to use for tumor staging prior to operative intervention remains controversial. [14] Secondary tumors of the urinary system usually originate from direct invasion from the surrounding organs, including prostate, lower gastrointestinal tract, and female genital tract cancers. [15] Context: Glandular lesions of the urinary bladder include a broad spectrum of entities ranging from completely benign glandular lesions to primary and secondary malignancies.