Why do people say that bladder cancer is the most “good” cancer?

Some patients asked this question, and today I will introduce some of the prognosis of bladder cancer. When it comes to “goodness”, you have to see how to understand the meaning of the word. If we only look at the prognosis of cancer, that is, how long the cancer can live, then bladder cancer is a “good” cancer, but it can’t be said to be “the best”, such as our common thyroid papillary cancer commonly known as “Happy cancer”, this kind of cancer basically does not talk about mortality, and the prognosis is very good, so compared with papillary thyroid cancer, bladder cancer is not “the best.” From the perspective of the pain caused by cancer, bladder cancer can’t really be regarded as a “good” cancer. The treatment of bladder cancer is relatively long, and the pain caused to patients is relatively large. The pathological diagnosis of bladder cancer seen under a microscope is the gold standard for the diagnosis of bladder cancer, and it also determines the prognosis of bladder cancer. What happens to bladder cancer? Many people think that bladder cancer is more “good” because the prognosis of bladder cancer is OK. First of all, I list a number of more authoritative research data in China. According to the WHO tumor stage, the 5-year survival rate of T1 stage is 91.9%, the 5-year survival rate of T2 stage is 84.3%, T3 stage is 43.9%, T4 The period is 10.2%. Many people may have no idea about the above data. Here is a brief introduction. T1 can be regarded as an early tumor. T3 bladder cancer has invaded the extra-bladder tissue. It can be strictly regarded as advanced cancer, but its 5-year survival rate is still 43.9 %, this is something that most cancers cannot. So overall, the prognosis of bladder cancer is really good. Why does the treatment of bladder cancer cause more pain to patients? If you want to divide according to the treatment of bladder cancer, you can mainly divide bladder cancer into two types: one is non-muscle invasive bladder cancer, and the other is muscle invasive bladder cancer. Both types of bladder cancer can be treated by surgery. Non-muscle invasive bladder cancer can retain the bladder, and if muscle invasive bladder cancer is to be cured by surgery, the bladder must be completely removed. Different depths of bladder cancer infiltration, different stages of non-muscle invasive bladder cancer: Although this type of bladder cancer can be removed by transurethral resection of the bladder tumor and the bladder is retained, the quality of life is greatly improved, but This surgical method has a high recurrence rate. Therefore, it is necessary to continuously pass the cystoscopy and pay attention to the drugs in the bladder on a regular basis to achieve the purpose of preventing recurrence. It usually requires perfusion for one year or even longer. Many patients can’t tolerate bladder infusion drugs, which is very painful. In some areas, cystoscopy is not anesthetized, especially for male patients. It is also a very painful experience to do bladder meridian. If the bladder cancer can be treated thoroughly, it is also acceptable, but non-muscle invasive bladder cancer has a certain possibility of progressing to muscular invasive bladder cancer, and the bladder may need to be removed at this time. Muscular invasive bladder cancer: Once bladder cancer has invaded the muscle layer of the bladder, the bladder must be completely removed for radical cure. The consequence of this is that the patient’s quality of life and self-esteem have been greatly harmed. Although there are currently bladder interceptions for new bladder surgery, the indications for such surgery are relatively narrow, and postoperative recovery exercises are required to achieve control. The effect of urine. Many patients do not have the opportunity to perform a new bladder operation, but can only do a fistula, so it is necessary to wear a urine bag for life. For patients who have metastasis, chemotherapy or radiotherapy is needed. Not to mention the pain of chemotherapy, advanced cancer pain can be difficult to survive without effective painkillers. The patients I have seen undergoing radical bladder cancer surgery are very cautious in life after surgery, and the mental pressure is also very large. Overall, the treatment of bladder cancer takes a lot of time and money, and the process is also full of pain. From this perspective, bladder cancer is not a very kind cancer. But the overall recovery of bladder cancer is better. For those who have bladder cancer, they have reason to continue. What factors can affect the recovery of bladder cancer? This is the case for every type of cancer, and it is different for different people and different periods. For non-muscle invasive bladder cancer, the prognosis of tumor grade, stage, tumor size, number, recurrence time and frequency, and the presence of carcinoma in situ and other factors are closely related