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Findings From Recent Bladder Cancer Research Studies

By Amanda Bean


Bladder cancer research studies have given a great insight into the pathology of the disease. Better understanding of the disease has in turn has made it possible to develop better management protocols. Current there are many research activities still continuing throughout the world. Some of the areas that have generated a lot of interest among the medical fraternity in this area include the aetiology, precipitating factors and epidemiological characteristics.

Many new treatments are now routinely practiced in some places. Some of the most advanced treatments that are available for consideration include gene therapy, immunotherapy, laparoscopic surgery and personalised chemotherapy. Perhaps the most interesting of them is gene therapy. In this type, the cancerous cells are targeted at gene level just as the name suggest. Interfering with the reproductive mechanism halts the uncontrolled proliferation.

According to some recent studies, the prevalence of bladder cancer in the United States stands at about 400, 000 currently. The incidence is a staggering 16,000 cases per year. This makes the disease a major problem. Mortality is mainly due to the extremely aggressive, invasive types. Fortunately these affect a smaller proportion of patients. Early diagnosis is very important if cure is to be attained.

The condition has also been seen in dogs and has been extensively studied. Among dogs, the commonest type is the high grade type which typically presents with urinary obstruction. If not diagnosed in time, the tumour rapidly causes death. A number of treatments are in different stages of development. So far, the results from trials involving treatment of transitional cell carcinoma among the canines have been very promising.

There has been a certain trend as regards the most significant risk factors. Smoking remains the greatest contributor at about 35% with just a slight difference in the rates for men and women according to a 2010 study done in the UK. By smoking, you increase the risk by as much as 400%. The heavier one smokes, the greater the risk.

Another huge risk factor is occupational exposure. Persons that work in dye and rubber industries have been shown to be at a greater risk compared to the general population. The relationship between dyes has been known from as beck as the nineteenth century but it was not until the 1950s that it was scientifically proven. The components that have been shown to be harmful include benzidine and naphthalene.

Some drugs and medical procedures may also increase the risk especially if used repeatedly. Cyclophosphamide and phenacetin are well known examples. Cyclophosphamide is a useful antitumor agent but may affect the urinary system as an adverse effect. The main medical procedure that may predispose is pelvic irradiation.

Bladder cancer research will only be helpful if the results are well recorded in a properly managed data base. Patient details should be kept in a confidential but an accessible area to authorised personnel. Some studies will require that data is kept for several years or even decades. For this reason, good management is key. Response to different therapies and interventions should be clearly indicated in patient files. It is these results that influence future decision making.




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