The differential diagnosis of bladder cancer

Bladder cancer is manifested mainly hematuria, hematuria caused by the reasons are many, in addition to the urinary system and neighboring organs, the systemic diseases and drugs can cause hematuria, identification of common diseases are as follows:

1. Kidney, ureter tumor characteristics for full painless hematuria gross hematuria, and bladder cancer are similar may occur in isolation or simultaneously with bladder cancer, hematuria caused by upper urinary tract tumors can appear earthworm-shaped bar, or blood clots, a clear diagnosis of the need B-, CT, urography and other inspections.

2. Apart from hematuria, urinary tract tuberculosis, the main symptoms of chronic bladder irritation symptoms, if accompanied by a low fever, sweating, weight loss, fatigue and other systemic symptoms, look through the urine acid-fast bacilli, IVP, cystoscopy and bladder cancer and other identification.

3. The main symptoms of benign prostatic hyperplasia for the purpose of voiding difficulties and frequent urination, and sometimes appeared naked eye, hematuria, in the elderly, bladder, and prostate hyperplasia may exist the need to line urine cytology, B Chao, CT, cystoscopy and other identification.

4. Urolithiasis mostly microscopic hematuria hematuria, urinary tract stones can occur on the kidney, ureter colic, urinary bladder stones, there may be interruptions, by KUB plain film, B-chao, cystoscopy and other identification, due to bladder stones on local mucosal stimulation can lead to tumors. Thus, long-term bladder stones occur hematuria should be thought of the possibility of bladder cancer, if necessary, line of cystoscopy and biopsy.

5. Cystitis glandularis has obvious symptoms of the bladder to stimulate the need to cystoscopy and biopsy, simple cystoscopic findings are sometimes misdiagnosed.

6. Prostatic invasive bladder cancer, hematuria occurs when cancer by digital rectal examination, B Chao, CT, biopsy and so clear.

7. Others such as radiation cystitis (more than a history of pelvic radiation, bladder microscope with radial telangiectasia, bladder mucosal ulcers and granulomas, biopsy confirmed to be OK), cervical cancer (after the invasion of human bladder urine can occur, but in general prior vaginal bleeding, vaginal examination can identify), etc..