Treatment FAQ

what happensif you opt out of any treatment for bladder cancer

by Mandy Howe V Published 2 years ago Updated 2 years ago

But it's done to help determine the extent of the cancer rather than to try to cure it. If no other treatment is given, many people will later get a new bladder cancer, which often will be more advanced. This is more likely to happen if the first cancer is high-grade (fast-growing).

If no other treatment is given, many people will later get a new bladder cancer, which often will be more advanced. This is more likely to happen if the first cancer is high-grade (fast-growing). Even if the cancer is found to be low grade (slow-growing), a second TURBT is often recommended several weeks later.Sep 20, 2021

Full Answer

What happens if no treatment is given for bladder cancer?

Feb 20, 2017 · opting for not treating bladder cancer. You are about to report this post for review by an Inspire staff member. Use this form if there's a problem with the post - for example if you think a community guideline is being broken. ... My dads urologist quoted him with out any type of treatment perhaps 3 years survival rate with pain to accompany ...

Can You Hold Your urine after bladder cancer is removed?

If all of the cancer wasn't removed, options are intravesical BCG or cystectomy (removal of part or all of the bladder). If the cancer is high grade, if many tumors are present, or if the tumor is very large when it's first found, radical cystectomy may be recommended.

What happens after a partial cystectomy for bladder cancer?

Jan 30, 2019 · When the cancer is more invasive, the cancer is removed along with part of the bladder or the entire bladder. If only part of the bladder is removed, you'll still be able to hold and release urine as normal, though in smaller amounts. If the entire bladder is removed, you'll need another way to store and pass urine.

How do you get rid of bladder cancer?

Apr 30, 2019 · In addition, we know that some cancers, such as prostate cancer, may not cause a person any serious harm or even shorten their lives if they are left untreated. The researchers in this study presented an imaginary scenario to volunteers using a web-based survey. They asked the participant to imagine they were just found to have a small nodule ...

Does bladder cancer go away on its own?

You may be relieved to finish treatment, but find it hard not to worry about cancer coming back. This is very common if you've had cancer. For other people, bladder cancer might never go away completely or might come back in another part of the body.Mar 16, 2022

What are the symptoms of late stage bladder cancer?

Symptoms of advanced bladder cancerBeing unable to urinate.Lower back pain on one side.Loss of appetite and weight loss.Feeling tired or weak.Swelling in the feet.Bone pain.Jan 30, 2019

Does bladder cancer spread fast?

It is an early stage cancer but is always high grade. This means it can grow quickly and might spread. If you have bladder carcinoma in situ your doctor will start treatment straight away.

How do you know if bladder cancer has spread?

Ultrasound: This test uses sound waves to make pictures of the organs inside your body, like your bladder and kidneys. It can help show the size of a bladder cancer and if it has spread. Bone scan: A bone scan can help show if bladder cancer has spread to the bones. This test is not done unless you have bone pain.Jan 30, 2019

What are the 5 warning signs of bladder cancer?

Bladder Cancer: Symptoms and SignsBlood or blood clots in the urine.Pain or burning sensation during urination.Frequent urination.Feeling the need to urinate many times throughout the night.Feeling the need to urinate, but not being able to pass urine.Lower back pain on 1 side of the body.

What is the life expectancy of someone with bladder cancer?

5-year relative survival rates for bladder cancerSEER Stage5-year Relative Survival RateIn situ alone Localized96% 70%Regional38%Distant6%All SEER stages combined77%Mar 1, 2022

Where does bladder cancer usually spread to first?

Bladder cancer can spread this way. If it does, it usually first spreads to the lymph nodes in the pelvis around the bladder (called perivesicular lymph nodes). From there, it can spread to lymph nodes that are close to major blood vessels that run into the leg and pelvis.Apr 14, 2022

Where is the first place bladder cancer spreads?

Local bladder cancer metastasis When bladder cancer spreads, it first invades the bladder wall, which is made up of four distinct layers. It can take some time for cancer to penetrate all of these layers, but once it has, it can then spread into the surrounding fatty tissues and lymph nodes.

How quickly does bladder cancer recur?

Conclusions. Nearly three-fourths of patients diagnosed with high-risk bladder cancer will recur, progress, or die within ten years of their diagnosis.Jun 4, 2013

What is the main cause of bladder cancer?

Smoking is the single biggest risk factor for bladder cancer. This is because tobacco contains cancer-causing (carcinogenic) chemicals. If you smoke for many years, these chemicals pass into your bloodstream and are filtered by the kidneys into your urine.

How serious is a tumor in the bladder?

Bladder cancer can be benign or malignant. Malignant bladder cancer may be life threatening, as it can spread quickly. Without treatment, it can damage tissues and organs.Aug 19, 2019

Does a biopsy tell you what stage cancer is?

Other times, a biopsy can tell the doctor how aggressive a cancer appears to be and what the extent of the disease may be. This refers to a cancer's stage and grade. A biopsy can also explain what type of cancer cells are inside the tumor.Mar 18, 2021

Treating Stage 0 Bladder Cancer

Stage 0 bladder cancer includes non-invasive papillary carcinoma (Ta) and flat non-invasive carcinoma (Tis). In either case, the cancer has not inv...

Treating Stage I Bladder Cancer

Stage I bladder cancers have grown into the connective tissue layer of the bladder wall but have not reached the muscle layer.Transurethral resecti...

Treating Stage II Bladder Cancer

These cancers have invaded the muscle layer of the bladder wall. Transurethral resection (TURBT) is typically the first treatment for these cancers...

Treating Stage III Bladder Cancer

These cancers have reached the outside of the bladder and might have grown into nearby tissues or organs.Transurethral resection (TURBT) is typical...

Treating Stage IV Bladder Cancer

These cancers have reached the abdominal or pelvic wall (T4b tumors) or have spread to nearby lymph nodes or distant parts of the body. Stage IV ca...

Treating Bladder Cancer That Progresses Or Recurs

If cancer continues to grow during treatment (progresses) or comes back (recurs), your treatment options will depend on where and how much the canc...

How Does The Doctor Know I Have Bladder Cancer?

Bladder cancer might cause symptoms such as: 1. Having trouble peeing 2. Feeling pain when peeing 3. Needing to go more often than normal 4. Seeing...

Tests to Look For Bladder Cancer

Your doctor may do other tests to find out more about the cancer. Some of them are:X-ray: Dye is put into a vein for a special x-ray of the kidneys...

How Serious Is My Cancer?

If you have bladder cancer, the doctor will want to find out how far it has spread. This is called staging. Your doctor will want to find out the s...

What Kind of Treatment Will I Need?

There’s more than one way to treat bladder cancer. You might want to get a second opinion about the best treatment plan for you. Doctors may have d...

What Will Happen After Treatment?

You will be glad when treatment is over. But it’s hard not to worry about cancer coming back. Even when cancer never comes back, people still worry...

How many women refused breast cancer surgery?

It compared patients who refused breast cancer with those that those that accepted surgery. Only 1.3% of women (70) refused surgery. Of that group, 37 had no treatment, 25 had hormone-therapy only, and 8 had other types of treatments.

How long does breast cancer last?

(An old study of untreated breast cancer suggest the 5 year survival rates are 18% at 5 years and 3.6% at 10 years.)

What is the willingness to accept tradeoffs?

Willingness to accept these tradeoffs varies dramatically by disease, and are strongly influenced by patient-specific factors. In general, the more serious the illness, the greater the willingness to accept the risks of treatment.

How many people use alternative medicine?

In the population that did not use conventional care, one-quarter (24.8%) used some form of alternative medicine. And 12% (approximately 4.6 million Americans) were estimated to be using alternative medicine, and not conventional medicine, to treat one or more health issues.

Is breast cancer curable?

Breast cancer is well studied, frequently diagnosed, and if detected early, potentially curable. Conventional treatment for early (localized) breast cancer is surgical resection of the tumor, followed by radiation and chemotherapy to reduce the risk of disease recurrence, by killing any residual cancer cells that remain.

Is CAM a substitute for medicine?

Surveys suggest the vast majority of consumers with medical conditions use CAM in addition to, rather than as a substitute for medicine – that is, it is truly “complementary”. But there is a smaller population that uses CAM as a true “alternative” to medicine.

Can you opt out of follow up on cancer?

Most patients who decide to opt-out of cancer treatment, also opt-out of any follow-up evaluation. So tracking down patients, and their outcomes, is essential. The effects of treatment refusals and delay, and the effectiveness of CAM as a substitute, has been evaluated in several groups of patients with breast cancer.

What is the first treatment for bladder cancer?

Chemo (with or without radiation) is typically the first treatment when bladder cancer has spread to distant parts of the body (M1). After this treatment the cancer is rechecked. If it looks like it's gone, a boost of radiation to the bladder may be given or cystectomy might be done.

What is the treatment for T3 tumors?

An option for some patients with single, small tumors (some T3) might be treatment with a second (and more extensive) transurethral resection (TURBT) followed by a combination of chemo and radiation. If cancer is still found when cystoscopy is repeated, cystectomy might be needed.

What to do if you have cancer that hasn't been removed?

(Less often, close follow-up alone might be an option.) If all of the cancer wasn't removed, options are intravesical BCG or cystectomy (removal of part or all of the bladder).

How to get rid of stage IV cancer?

The tumor is then rechecked. If it appears to be gone, chemo with or without radiation or cystectomy are options.

What is stage 0 bladder cancer?

Stage 0 bladder cancer includes non-invasive papillary carcinoma (Ta) and flat non-invasive carcinoma (Tis or carcinoma in situ). In either case, the cancer is only in the inner lining layer of the bladder. It has not invaded (spread deeper into) the bladder wall.

How long after TA surgery can you get chemo?

For low-grade (slow-growing) non-invasive papillary (Ta) tumors, weekly intravesical chemotherapy may be started a few weeks after surgery. If the cancer comes back, the treatments can be repeated. Sometimes intravesical chemo is repeated over the next year to try to keep the cancer from coming back.

What is the treatment for cancer that recurs in distant parts of the body?

Cancers that recur in distant parts of the body can be harder to remove with surgery, so other treatments, such as chemotherapy, immunotherapy, targeted therapy, or radiation therapy , might be needed. For more on dealing with a recurrence, see Understanding Recurrence.

What is the test for cancer?

Urine tests: For these tests, you'll be asked to pee in a cup. Your urine is then tested for cancer cells, blood, or certain proteins (called tumor markers). Cystoscopy: For this exam, a doctor called a urologist looks at the inside of your bladder using a tool called a cystoscope.

How to remove bladder cancer?

This can be done during a cystoscopy. A a cystoscope with a looped wire on the end is used to remove the tumor. When the cancer is more invasive, the cancer is removed along with part of the bladder or the entire bladder.

What is the blue light on a cystoscopy?

Blue light cystoscopy: Sometimes, special drugs are put into the bladder during the exam. Cancer cells soak up these drugs and then glow when the doctor shines a blue light through the scope. This can help the doctor see cancer cells that might have been missed with the normal light.

What is the use of drugs to kill cancer cells?

Chemo is the use of drugs to kill cancer cells. The drugs may be given into a vein or taken as pills. They go into the blood and spread through the body.

Why do you need a cystoscope?

More than one sample may be taken because sometimes cancer starts in more than one part of the bladder. Salt water washings of the inside of your bladder may also be collected to look for cancer cells.

What is the best test to find out if you have bladder cancer?

Ultrasound: This test uses sound waves to make pictures of the organs inside your body, like your bladder and kidneys. It can help show the size of a bladder cancer and if it has spread. Bone scan: A bone scan can help show if bladder cancer has spread to the bones. This test is not done unless you have bone pain.

What tests are done to check for bladder cancer?

This might include a rectal exam, during which a gloved finger is put into your rectum. If you are a woman, a pelvic exam might also be done.

Why is it important to hear the word "cancer"?

This is important because cancer treatment poses many risks for individuals, not the least of which are treatment-related side effects and long-term effects.

Why do people with slow growing tumors feel the need to act?

This is because the word “cancer” makes the diagnosis feel urgent, and it is hard to feel like one is "doing nothing.".

Can cancer be treated?

The researchers found that using the "cancer" label led many people to choose surgery. This tells us that the perceptions and fears associated with a cancer diagnosis may lead reasonable people to opt for more treatment, even if they are reassu red that it is possible to watch and wait and that they may never need treatment.

Can prostate cancer cause shortening of life?

In addition, we know that some cancers, such as prostate cancer, may not cause a person any serious harm or even shorten their lives if they are left untreated. The researchers in this study presented an imaginary scenario to volunteers using a web-based survey.

What is it called when you have your ovaries removed?

You may also have part of your bowel removed. This is so your surgeon can create another way for your body to collect and pass urine. It's called a recto sigmoid pouch.

What is robotic surgery?

Robotic surgery. This is where the surgeon uses a machine (robot) to control the laparoscopic instruments during surgery. This is called robotically assisted laparoscopic surgery. This is becoming the more common way of doing this cystectomy operation in the larger hospitals.

What is the procedure to remove the bladder?

Removing the bladder (cystectomy) This is an operation to remove all or part of your bladder. You have this operation whilst you are asleep (general anaesthetic). A cystectomy is one of the main treatments for invasive bladder cancer and the surgeon usually removes all your bladder.

What happens after bladder surgery?

After surgery. When your bladder is removed, you need to have another way to collect and pass your urine. There are several choices of operations. You might have a: bag outside your body to collect urine (urostomy or ileal conduit) pouch to collect urine (continent urinary diversion)

What is a laparoscope?

A laparoscope is like a narrow telescope that lights and magnifies the inside of your body. Your surgeon can see the images on a TV screen. Some of the advantages of having surgery this way include: lower length of stay in hospital. you need less pain medication.

Why is my poo loose?

This is because part of your bowel has been removed and is now shorter. You may notice that: your poo is looser than normal. you go to the toilet more frequently. you get constipated and need medicine to help you go. It can take some time to return to normal, often a few months or longer.

Can a prostate surgeon remove the ovaries?

In men, the surgeon also removes the prostate gland and glands that store semen (seminal vesicles). This is because bladder cancer can come back in this area. In women, the surgeon usually removes the womb and fallopian tubes. Sometimes the surgeon removes your ovaries and part of your vagina. Your surgeon talks this through with you beforehand.

Why do people decline chemotherapy?

Many patients decline chemotherapy for low odds of benefit especially if they have gotten very weak or have other symptoms that make their quality of life very poor. This question originally appeared on Quora - the place to gain and share knowledge, empowering people to learn from others and better understand the world.

What happens when you die from cancer?

The most frequent outcome when cancer patients die is that whatever pain they have is controlled with narcotics and or sedatives. There often comes a point in poorly treatable cancer situations that the treatment is as bad or worse than the disease.

Is pancreatic cancer bad for you?

Some cancers are more associated with pain than others. Pancreatic cancer can be particularly bad when it grows into nerves near the back of the pancreas. But I’ve had many patients with pancreatic cancer where pain wasn’t a problem. Instead, like many other patients with advanced cancers, they became weaker and more frail as their cancer worsened, ...

Can cancer be treated with radiation?

Cancers metastatic to bone are often painful but in some cases the discomfort is mild or more severe pain can be relieved with radiation therapy. There are specialists who assist in managing ...

How does bladder cancer work?

1-3 Bladder cancer can be treated in many different ways. The tumor can be removed with surgery, and treatments such as chemotherapy and radiation therapy can be used to help kill any remaining cancer cells and to keep new cancer cells from growing.

What to do after bladder cancer treatment?

After your treatment for bladder cancer has ended, your healthcare providers will monitor you regularly during check-ups (also called follow-ups) for signs and symptoms that your cancer may have recurred. 1,2 This might involve tests such as physical examinations, urine tests, blood tests, and/or imaging tests.

What are the treatments for bladder cancer?

Some treatment options that can be used for bladder cancer recurrence, either alone or in combination, include: Surgery. Chemotherapy. Radiation therapy. Immunotherapy.

How to reduce anxiety about bladder cancer?

If you find yourself worrying about bladder cancer recurrence, stress-relieving activities such as exercise or meditation might help to reduce your anxiety.

Can bladder cancer recur in other parts of the body?

Bladder cancer cells can recur in the bladder or they can recur in other parts of the body. Some people who are treated for bladder cancer never have a recurrence. Although recurrence is not uncommon among people who are treated for bladder cancer, in many cases the recurrence can be treated effectively. This is especially true for non-invasive ...

Can bladder cancer recur?

However, people who have been treated for bladder cancer sometimes develop recurrent bladder cancer. This is the term for cancer that has recurred, which means that the bladder cancer cells have started to grow again after the bladder cancer has been treated. Bladder cancer cells can recur in the bladder or they can recur in other parts of the body.

Is it important to have a check up for bladder cancer?

It is very important to continue visiting your healthcare provider regularly as scheduled for check-ups, especially if you are receiving active surveillance. Treatment for bladder cancer recurrence tends to be more effective when the recurrence is detected as early as possible.

How to prevent breast cancer from coming back?

Answer: Well, the hope for women with early stage breast cancer is that by using surgery and radiation therapy and, where appropriate, chemotherapy and hormonal treatments, that we can help prevent the cancer from coming back.

What happens if you don't treat breast cancer?

And if untreated, breast cancer universally becomes a fatal disease.

Can breast cancer go away on its own?

It can happen over long periods of time, but if you don't have surgery and if you don't have other treatments, it doesn't go away on its own. That's why we recommend (to) people that they get appropriate medical treatment.

Who Uses Cam Instead of Medicine?

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Surveys suggest the vast majority of consumers with medical conditions use CAM in addition to, rather than as a substitute for medicine – that is, it is truly “complementary”. But there is a smaller population that uses CAM as a true “alternative” to medicine. A study by Nahin et al in 2010 looked at data from the 2…
See more on sciencebasedmedicine.org

Effectiveness Evaluations

  • The data show that avoiding or delaying conventional cancer care is associated with negative outcomes, and CAM used does not seem to modify this risk. But have any specific CAM interventions shown any benefit? Probably the most comprehensive single review is asystematic review by Gerber et al, published in Breast Cancer Research and Treatment in 2006, which looke…
See more on sciencebasedmedicine.org

Conclusion: Alternative Medicine Isn’T Real Medicine

  • Despite widespread claims, there is no evidence to support the use of any CAM treatment as a replacement for conventional cancer care. As the studies in breast cancer show, delaying treatment or substituting CAM for conventional cancer care dramatically worsens outcomes.The results of these studies will hopefully provide patients and health provide...
See more on sciencebasedmedicine.org

References

  • 1. Verkooijen HM, Fioretta GM, Rapiti E, Bonnefoi H, Vlastos G, Kurtz J, Schaefer P, Sappino AP, Schubert H, & Bouchardy C (2005). Patients’ refusal of surgery strongly impairs breast cancer survival. Annals of surgery, 242 (2), 276-80 PMID: 16041219 2. Chang EY, Glissmeyer M, Tonnes S, Hudson T, & Johnson N (2006). Outcomes of breast cancer in patients who use alternative thera…
See more on sciencebasedmedicine.org

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