SlideShare ist ein Scribd-Unternehmen logo

Hematuria and Bladder Cancer Diagnosis and Treatment

•Als PPT, PDF herunterladen•
•
Musfirah Tahir
Musfirah Tahir

lecture by Dr. Ahmed Rehman

Gesundheit & Medizin
1 von 53
HEMATURIA and Carcinoma Urinary Bladder
 
Learning Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bladder tumours ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Urothelial tumours ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hematuria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3 glass test ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Cause may be any where in urinary tract ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Causes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Causes ,[object Object],[object Object],[object Object],[object Object]
Medical Causes, cause of hematuria may not be in urinary tract but outside it ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Points in history ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management Steps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management Steps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Workup ,[object Object],[object Object],[object Object]
flow cytometery ,[object Object],[object Object],[object Object],[object Object]
Management Steps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Advantages of US ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disadvantages US ,[object Object],[object Object],[object Object]
Imaging: US findings ,[object Object],[object Object],[object Object],[object Object]
IVU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IVU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IVU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IVU Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management Steps ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Cysto-urethro-scopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management Steps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management Steps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Open excision or biopsy ,[object Object],[object Object],[object Object],[object Object]
Management Steps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3 biological behaviral pattrens Non-muscle invasive (superficial) disease Muscle invasive disease Flat noninvasive CIS (primary CIS) pTa, pT1 pT2+ CIS 70% new cases 25% 5% Good prognosis Bad, 5 yr survival 50% Poor unless treated early Recur 70%, invade 15% Invade, metastasize Invade, metastasize Exophytic, papillary Single, multiple Solid, large,1 or more Irregular, ulcerated Flat, velvety mucosa, angry looking vessels Pedunculated (stalk) Broad base Field change +/_ (con CIS) Lamina propria muscularis Intra epithelial Comptete resection Persist on Bim Exam Met death 30-50% 50% deaths mets Down stage/salvage cyst Endoscopic + intravesical Primary surgical treatme Endo+intrrav+/-surgry
Stage wise treatment Stage Description Traetment Tis Ca insitu Complete TURBT Intravesical BCG-> repeat-> RC* Ta Single, low to moderate grade, not recurent Complete TUR alone Ta Large, multiple, high grade, recurrent Complete TUR intravesical chemo- or immunotherapy T1 Complete TUR-> intravesical chemo- or immunotherapy T1G3 Complete TUR ->Intavesical BCG -> repeat ->radical cystectomy T2 ,[object Object],T2-4 ,[object Object],[object Object],[object Object],[object Object],[object Object],Any T, N+, M+ ,[object Object]
Metastatic disease ,[object Object],[object Object],[object Object]
Intravesical Chemo- or Immunotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic Chemotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
New Systemic Chemotherapy ,[object Object],[object Object],[object Object]
Radical Cystectomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
diversions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Open Procdures / Biopsy ,[object Object],[object Object],[object Object]
Radiation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management of associated problems ,[object Object],[object Object],[object Object],[object Object]
Follow Up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prognosis ,[object Object]
Resident’s Role ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
remember ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hematuria of obscure origin ,[object Object],[object Object],[object Object],[object Object],[object Object]

Empfohlen

Transitional cell carcinoma of urinary bladeder
Transitional cell carcinoma of urinary bladederTransitional cell carcinoma of urinary bladeder
Transitional cell carcinoma of urinary bladederrezauro
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancerLAKSHMI DEEPTHI GEDELA
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancerministry of health
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancerNursing Path
 
Bladder Cancer
Bladder CancerBladder Cancer
Bladder Cancerfondas vakalis
 
Cancer of bladder
Cancer of bladderCancer of bladder
Cancer of bladderJinumol Jacob
 
CARCINOMA URINARY BLADDER
CARCINOMA URINARY BLADDERCARCINOMA URINARY BLADDER
CARCINOMA URINARY BLADDERVikas Kumar
 
Bladder tumor
Bladder tumorBladder tumor
Bladder tumorHussein Ali Ramadhan
 

Empfohlen

Transitional cell carcinoma of urinary bladeder
Transitional cell carcinoma of urinary bladederTransitional cell carcinoma of urinary bladeder
Transitional cell carcinoma of urinary bladederrezauro
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancerLAKSHMI DEEPTHI GEDELA
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancerministry of health
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancerNursing Path
 
Bladder Cancer
Bladder CancerBladder Cancer
Bladder Cancerfondas vakalis
 
Cancer of bladder
Cancer of bladderCancer of bladder
Cancer of bladderJinumol Jacob
 
CARCINOMA URINARY BLADDER
CARCINOMA URINARY BLADDERCARCINOMA URINARY BLADDER
CARCINOMA URINARY BLADDERVikas Kumar
 
Bladder tumor
Bladder tumorBladder tumor
Bladder tumorHussein Ali Ramadhan
 
Bladder cancer by section Watson G7
Bladder cancer by section Watson G7Bladder cancer by section Watson G7
Bladder cancer by section Watson G7shenell delfin
 
Urinary bladder tumor
Urinary bladder tumorUrinary bladder tumor
Urinary bladder tumorLutfi Ahmed Al-Bawri
 
Blader cancer
Blader cancerBlader cancer
Blader cancerО. Оскар
 
H. Khaled - Bladder cancer - State of the art
H. Khaled - Bladder cancer - State of the artH. Khaled - Bladder cancer - State of the art
H. Khaled - Bladder cancer - State of the artEuropean School of Oncology
 
Bladder cancer,tbl mcq
Bladder cancer,tbl mcqBladder cancer,tbl mcq
Bladder cancer,tbl mcqHabrol Afzam
 
Neoplasm of bladder
Neoplasm of bladderNeoplasm of bladder
Neoplasm of bladderViswa Kumar
 
Bladder Cancer Diagnostic-Initial Team Project
Bladder Cancer Diagnostic-Initial Team ProjectBladder Cancer Diagnostic-Initial Team Project
Bladder Cancer Diagnostic-Initial Team ProjectSagar Desai
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancerAmina Abdurahman
 
Urothelial ca urinary markers
Urothelial ca urinary markersUrothelial ca urinary markers
Urothelial ca urinary markersGAURAV NAHAR
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancerAli Azher
 
Bladder cancer 12 2012
Bladder cancer 12 2012Bladder cancer 12 2012
Bladder cancer 12 2012Egyptian National Cancer Institute
 
Bladder cancer
Bladder cancer Bladder cancer
Bladder cancer haneen ayad
 
Bladder cancer and its management
Bladder cancer and its managementBladder cancer and its management
Bladder cancer and its managementShweta Sharma
 
Bladder mass clinical features & staging
Bladder mass clinical features & stagingBladder mass clinical features & staging
Bladder mass clinical features & stagingDr. Muhammad Saifullah
 
Management of carcinomas of urinary bladder
Management of carcinomas of urinary bladderManagement of carcinomas of urinary bladder
Management of carcinomas of urinary bladderShashank Bansal
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancerArcher Review USMLE and NCLEX
 
Eau guidelines nmibc
Eau guidelines nmibc Eau guidelines nmibc
Eau guidelines nmibc John Peter
 
Cap protocol bladder
Cap protocol bladderCap protocol bladder
Cap protocol bladdernamrathrs87
 
Rcc and bladder cancer
Rcc and bladder cancerRcc and bladder cancer
Rcc and bladder cancerJwan AlSofi
 
Bladder cancer.
Bladder cancer.Bladder cancer.
Bladder cancer.Supun Dhanasekara
 
Bladder Cancer
Bladder CancerBladder Cancer
Bladder Cancershelbs531
 
Cancer of the Bladder
Cancer of the BladderCancer of the Bladder
Cancer of the BladderRobert J Miller MD
 

Weitere ähnliche Inhalte

Was ist angesagt?

Bladder cancer by section Watson G7
Bladder cancer by section Watson G7Bladder cancer by section Watson G7
Bladder cancer by section Watson G7shenell delfin
 
Bladder cancer,tbl mcq
Bladder cancer,tbl mcqBladder cancer,tbl mcq
Bladder cancer,tbl mcqHabrol Afzam
 
Neoplasm of bladder
Neoplasm of bladderNeoplasm of bladder
Neoplasm of bladderViswa Kumar
 
Bladder Cancer Diagnostic-Initial Team Project
Bladder Cancer Diagnostic-Initial Team ProjectBladder Cancer Diagnostic-Initial Team Project
Bladder Cancer Diagnostic-Initial Team ProjectSagar Desai
 
Urothelial ca urinary markers
Urothelial ca urinary markersUrothelial ca urinary markers
Urothelial ca urinary markersGAURAV NAHAR
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancerAli Azher
 
Bladder cancer and its management
Bladder cancer and its managementBladder cancer and its management
Bladder cancer and its managementShweta Sharma
 
Bladder mass clinical features & staging
Bladder mass clinical features & stagingBladder mass clinical features & staging
Bladder mass clinical features & stagingDr. Muhammad Saifullah
 
Management of carcinomas of urinary bladder
Management of carcinomas of urinary bladderManagement of carcinomas of urinary bladder
Management of carcinomas of urinary bladderShashank Bansal
 
Eau guidelines nmibc
Eau guidelines nmibc Eau guidelines nmibc
Eau guidelines nmibc John Peter
 
Cap protocol bladder
Cap protocol bladderCap protocol bladder
Cap protocol bladdernamrathrs87
 
Rcc and bladder cancer
Rcc and bladder cancerRcc and bladder cancer
Rcc and bladder cancerJwan AlSofi
 

Was ist angesagt? (20)

Bladder cancer by section Watson G7
Bladder cancer by section Watson G7Bladder cancer by section Watson G7
Bladder cancer by section Watson G7
 
Urinary bladder tumor
Urinary bladder tumorUrinary bladder tumor
Urinary bladder tumor
 
Blader cancer
Blader cancerBlader cancer
Blader cancer
 
H. Khaled - Bladder cancer - State of the art
H. Khaled - Bladder cancer - State of the artH. Khaled - Bladder cancer - State of the art
H. Khaled - Bladder cancer - State of the art
 
Bladder cancer,tbl mcq
Bladder cancer,tbl mcqBladder cancer,tbl mcq
Bladder cancer,tbl mcq
 
Neoplasm of bladder
Neoplasm of bladderNeoplasm of bladder
Neoplasm of bladder
 
Bladder Cancer Diagnostic-Initial Team Project
Bladder Cancer Diagnostic-Initial Team ProjectBladder Cancer Diagnostic-Initial Team Project
Bladder Cancer Diagnostic-Initial Team Project
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancer
 
Urothelial ca urinary markers
Urothelial ca urinary markersUrothelial ca urinary markers
Urothelial ca urinary markers
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancer
 
Bladder cancer 12 2012
Bladder cancer 12 2012Bladder cancer 12 2012
Bladder cancer 12 2012
 
Bladder cancer
Bladder cancer Bladder cancer
Bladder cancer
 
Bladder cancer and its management
Bladder cancer and its managementBladder cancer and its management
Bladder cancer and its management
 
Bladder mass clinical features & staging
Bladder mass clinical features & stagingBladder mass clinical features & staging
Bladder mass clinical features & staging
 
Management of carcinomas of urinary bladder
Management of carcinomas of urinary bladderManagement of carcinomas of urinary bladder
Management of carcinomas of urinary bladder
 
Bladder cancer
Bladder cancerBladder cancer
Bladder cancer
 
Eau guidelines nmibc
Eau guidelines nmibc Eau guidelines nmibc
Eau guidelines nmibc
 
Cap protocol bladder
Cap protocol bladderCap protocol bladder
Cap protocol bladder
 
Rcc and bladder cancer
Rcc and bladder cancerRcc and bladder cancer
Rcc and bladder cancer
 
Bladder cancer.
Bladder cancer.Bladder cancer.
Bladder cancer.
 

Andere mochten auch

Bladder Cancer
Bladder CancerBladder Cancer
Bladder Cancershelbs531
 
Treatment options for invasive bladder carcinoma
Treatment options for invasive bladder carcinomaTreatment options for invasive bladder carcinoma
Treatment options for invasive bladder carcinomayellow sunfire
 
Satyajeet Carcinoma Urinary Bladder Management
Satyajeet Carcinoma Urinary Bladder Management Satyajeet Carcinoma Urinary Bladder Management
Satyajeet Carcinoma Urinary Bladder Management Satyajeet Rath
 
Preservación de órgano en cáncer de vejiga
Preservación de órgano en cáncer de vejigaPreservación de órgano en cáncer de vejiga
Preservación de órgano en cáncer de vejigaMauricio Lema
 
carcinoma urinary bladder management
carcinoma urinary bladder management carcinoma urinary bladder management
carcinoma urinary bladder management Isha Jaiswal
 
Renal Cell Carcinoma
Renal Cell CarcinomaRenal Cell Carcinoma
Renal Cell CarcinomaSam
 
RENAL CELL CARCINOMA
RENAL CELL CARCINOMARENAL CELL CARCINOMA
RENAL CELL CARCINOMAKaran Rawat
 
Latest Developments in Intravesical Therapy
Latest Developments in Intravesical Therapy Latest Developments in Intravesical Therapy
Latest Developments in Intravesical Therapy BJUI
 
Overview of intravesical therapy: Current Controversies
Overview of intravesical therapy: Current ControversiesOverview of intravesical therapy: Current Controversies
Overview of intravesical therapy: Current ControversiesBJUI
 
Rare Solid Cancers: An Introduction - Slide 10 - V. Kataja - Rare urological ...
Rare Solid Cancers: An Introduction - Slide 10 - V. Kataja - Rare urological ...Rare Solid Cancers: An Introduction - Slide 10 - V. Kataja - Rare urological ...
Rare Solid Cancers: An Introduction - Slide 10 - V. Kataja - Rare urological ...European School of Oncology
 
G. Ceresoli - Prostate and renal cancer - State of the art and update on syst...
G. Ceresoli - Prostate and renal cancer - State of the art and update on syst...G. Ceresoli - Prostate and renal cancer - State of the art and update on syst...
G. Ceresoli - Prostate and renal cancer - State of the art and update on syst...European School of Oncology
 
Polycystic kidney disease for students
Polycystic kidney disease for studentsPolycystic kidney disease for students
Polycystic kidney disease for studentsMohammad Manzoor
 
ACR2016 Wermuth Tgfb_Cdh5Cre poster
ACR2016 Wermuth Tgfb_Cdh5Cre posterACR2016 Wermuth Tgfb_Cdh5Cre poster
ACR2016 Wermuth Tgfb_Cdh5Cre posterKellan Carney
 

Andere mochten auch (20)

Bladder Cancer
Bladder CancerBladder Cancer
Bladder Cancer
 
Cancer of the Bladder
Cancer of the BladderCancer of the Bladder
Cancer of the Bladder
 
Bladder carcinoma
Bladder carcinomaBladder carcinoma
Bladder carcinoma
 
Bladder carcinoma
Bladder carcinomaBladder carcinoma
Bladder carcinoma
 
Cancer of bladder
Cancer of bladderCancer of bladder
Cancer of bladder
 
Carcinoma bladder
Carcinoma bladderCarcinoma bladder
Carcinoma bladder
 
Treatment options for invasive bladder carcinoma
Treatment options for invasive bladder carcinomaTreatment options for invasive bladder carcinoma
Treatment options for invasive bladder carcinoma
 
Satyajeet Carcinoma Urinary Bladder Management
Satyajeet Carcinoma Urinary Bladder Management Satyajeet Carcinoma Urinary Bladder Management
Satyajeet Carcinoma Urinary Bladder Management
 
Preservación de órgano en cáncer de vejiga
Preservación de órgano en cáncer de vejigaPreservación de órgano en cáncer de vejiga
Preservación de órgano en cáncer de vejiga
 
carcinoma urinary bladder management
carcinoma urinary bladder management carcinoma urinary bladder management
carcinoma urinary bladder management
 
Renal cell carcinoma
Renal cell carcinomaRenal cell carcinoma
Renal cell carcinoma
 
Renal Cell Carcinoma
Renal Cell CarcinomaRenal Cell Carcinoma
Renal Cell Carcinoma
 
RENAL CELL CARCINOMA
RENAL CELL CARCINOMARENAL CELL CARCINOMA
RENAL CELL CARCINOMA
 
W. Hassen - Bladder cancer - Guidelines
W. Hassen - Bladder cancer - GuidelinesW. Hassen - Bladder cancer - Guidelines
W. Hassen - Bladder cancer - Guidelines
 
Latest Developments in Intravesical Therapy
Latest Developments in Intravesical Therapy Latest Developments in Intravesical Therapy
Latest Developments in Intravesical Therapy
 
Overview of intravesical therapy: Current Controversies
Overview of intravesical therapy: Current ControversiesOverview of intravesical therapy: Current Controversies
Overview of intravesical therapy: Current Controversies
 
Rare Solid Cancers: An Introduction - Slide 10 - V. Kataja - Rare urological ...
Rare Solid Cancers: An Introduction - Slide 10 - V. Kataja - Rare urological ...Rare Solid Cancers: An Introduction - Slide 10 - V. Kataja - Rare urological ...
Rare Solid Cancers: An Introduction - Slide 10 - V. Kataja - Rare urological ...
 
G. Ceresoli - Prostate and renal cancer - State of the art and update on syst...
G. Ceresoli - Prostate and renal cancer - State of the art and update on syst...G. Ceresoli - Prostate and renal cancer - State of the art and update on syst...
G. Ceresoli - Prostate and renal cancer - State of the art and update on syst...
 
Polycystic kidney disease for students
Polycystic kidney disease for studentsPolycystic kidney disease for students
Polycystic kidney disease for students
 
ACR2016 Wermuth Tgfb_Cdh5Cre poster
ACR2016 Wermuth Tgfb_Cdh5Cre posterACR2016 Wermuth Tgfb_Cdh5Cre poster
ACR2016 Wermuth Tgfb_Cdh5Cre poster
 

Ähnlich wie Hematuria and Bladder Cancer Diagnosis and Treatment

Choledochal cyst, biliary Cyst
Choledochal cyst, biliary CystCholedochal cyst, biliary Cyst
Choledochal cyst, biliary CystSuhas U
 
Genitourinary tuberculosis -2020
Genitourinary tuberculosis -2020Genitourinary tuberculosis -2020
Genitourinary tuberculosis -2020Banda Gopal
 
liver tumors by Dr.Mohammad Zarin
liver tumors by Dr.Mohammad Zarinliver tumors by Dr.Mohammad Zarin
liver tumors by Dr.Mohammad ZarinWaqas Khalil
 
Spleen.. Dr.banez surgery
Spleen.. Dr.banez surgerySpleen.. Dr.banez surgery
Spleen.. Dr.banez surgeryMD Specialclass
 
Stones & tumours of kidney ppt.- by Smriti singh
Stones & tumours of kidney ppt.- by Smriti singhStones & tumours of kidney ppt.- by Smriti singh
Stones & tumours of kidney ppt.- by Smriti singhSmriti singh
 
renaltumors upasana sahu Group 50.pptxism
renaltumors upasana sahu Group 50.pptxismrenaltumors upasana sahu Group 50.pptxism
renaltumors upasana sahu Group 50.pptxismthxz2fdqxw
 
Carcinoma stomach seminar
Carcinoma stomach seminarCarcinoma stomach seminar
Carcinoma stomach seminarRushabh Shah
 
Abdominal Sonography
Abdominal SonographyAbdominal Sonography
Abdominal Sonographyu.surgery
 
Renal Cancers Rationale
Renal Cancers RationaleRenal Cancers Rationale
Renal Cancers Rationalefondas vakalis
 
Renal Cancers Rationale
Renal Cancers RationaleRenal Cancers Rationale
Renal Cancers Rationalefondas vakalis
 

Ähnlich wie Hematuria and Bladder Cancer Diagnosis and Treatment (20)

Heamaturia
HeamaturiaHeamaturia
Heamaturia
 
Heamaturia 2
Heamaturia 2Heamaturia 2
Heamaturia 2
 
Pathology of Prostate
Pathology of ProstatePathology of Prostate
Pathology of Prostate
 
Malignant renal-masses-in-pediatrics
Malignant renal-masses-in-pediatricsMalignant renal-masses-in-pediatrics
Malignant renal-masses-in-pediatrics
 
4 renal tumors written
4 renal tumors written4 renal tumors written
4 renal tumors written
 
Uti 2
Uti 2Uti 2
Uti 2
 
Dr.raju sharma 1
Dr.raju sharma 1Dr.raju sharma 1
Dr.raju sharma 1
 
Choledochal cyst, biliary Cyst
Choledochal cyst, biliary CystCholedochal cyst, biliary Cyst
Choledochal cyst, biliary Cyst
 
Genitourinary tuberculosis -2020
Genitourinary tuberculosis -2020Genitourinary tuberculosis -2020
Genitourinary tuberculosis -2020
 
liver tumors by Dr.Mohammad Zarin
liver tumors by Dr.Mohammad Zarinliver tumors by Dr.Mohammad Zarin
liver tumors by Dr.Mohammad Zarin
 
Spleen
SpleenSpleen
Spleen
 
Spleen.. Dr.banez surgery
Spleen.. Dr.banez surgerySpleen.. Dr.banez surgery
Spleen.. Dr.banez surgery
 
PPDUASOM
PPDUASOMPPDUASOM
PPDUASOM
 
Stones & tumours of kidney ppt.- by Smriti singh
Stones & tumours of kidney ppt.- by Smriti singhStones & tumours of kidney ppt.- by Smriti singh
Stones & tumours of kidney ppt.- by Smriti singh
 
Colorectal Cancer
Colorectal CancerColorectal Cancer
Colorectal Cancer
 
renaltumors upasana sahu Group 50.pptxism
renaltumors upasana sahu Group 50.pptxismrenaltumors upasana sahu Group 50.pptxism
renaltumors upasana sahu Group 50.pptxism
 
Carcinoma stomach seminar
Carcinoma stomach seminarCarcinoma stomach seminar
Carcinoma stomach seminar
 
Abdominal Sonography
Abdominal SonographyAbdominal Sonography
Abdominal Sonography
 
Renal Cancers Rationale
Renal Cancers RationaleRenal Cancers Rationale
Renal Cancers Rationale
 
Renal Cancers Rationale
Renal Cancers RationaleRenal Cancers Rationale
Renal Cancers Rationale
 

Kürzlich hochgeladen

Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowRiya Pathan
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment BookingHousewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...narwatsonia7
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...Miss joya
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalorenarwatsonia7
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...narwatsonia7
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Gabriel Guevara MD
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 

Kürzlich hochgeladen (20)

Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment BookingHousewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 

Hematuria and Bladder Cancer Diagnosis and Treatment

  • 1. HEMATURIA and Carcinoma Urinary Bladder
  • 2.  
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.  
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38. 3 biological behaviral pattrens Non-muscle invasive (superficial) disease Muscle invasive disease Flat noninvasive CIS (primary CIS) pTa, pT1 pT2+ CIS 70% new cases 25% 5% Good prognosis Bad, 5 yr survival 50% Poor unless treated early Recur 70%, invade 15% Invade, metastasize Invade, metastasize Exophytic, papillary Single, multiple Solid, large,1 or more Irregular, ulcerated Flat, velvety mucosa, angry looking vessels Pedunculated (stalk) Broad base Field change +/_ (con CIS) Lamina propria muscularis Intra epithelial Comptete resection Persist on Bim Exam Met death 30-50% 50% deaths mets Down stage/salvage cyst Endoscopic + intravesical Primary surgical treatme Endo+intrrav+/-surgry
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.