What is true about carcinoma bladder -: (A) Common in smokers, (B) Mostly adenocarcinoma, (C) Common in females than in males, (D) Pain in suprapubic region is the first symptom
Answer is A. Carcinoma Urinary Bladder More common in whites, higher socio-economic status and in males in 6th and 7th decade. 75% are localised to bladder and 25% have spread to regional nodes or distant sites at the time of presentation Most tumors develop at trigone & adjacent poster lateral wall with urethral involvement Tumors tend to be multifocal in bladder Clinical features MC symptom : painless hematuria (85% cases) Hematuria is gross or microscopic, intermittent rather than constant Vesical irritability : Frequeny, urgency and dysurea Bone pain & abdominal pain in advanced disease Ref: Smith's 18th edition Pgno : 312