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Actos Class Action Lawsuit: The most significant factors that put you at high risk of developing bladder cancer are age, sex, history of exposure to cigarette smoke, and occupation. Men are at much higher risk for bladder cancer than women, although it’s not known why; it strikes men three to four times as often as it does women. However, recent statistics show that the disease appears to be rising among women. Bladder cancer is the fourth most common cancer among men in the United States (following prostate, lung, and colon cancers) and the tenth most common cancer among women. It is most common in people between the ages of 50 and 70, and is rarely diagnosed in children. While the incidence of bladder cancer in men has decreased since 1990, the decline follows a 50 percent increase in the disease since the 1960s.
If you were raised by smokers or live in a house with smokers, you may be at risk, as are those who are current or former smokers. To a lesser extent, smoking pipes or cigars also carries a risk. Snuff and chewing tobacco have not been linked to bladder cancer. The risk of bladder cancer quickly drops when you quit smoking. However, as an ex-smoker you remain at risk because it can take 20 or 30 years for bladder cancer to manifest itself. Certain variables, such as how deeply you inhaled cigarette smoke and how long you smoked, can elevate or reduce your risk. Occupational exposure to certain chemicals accounts for up to 20 percent of bladder cancers. Some of those chemicals, such as the benzidine used in the textile dye and rubber-tire industries, have been banned in the workplace.
After taking a history and performing a physical examination, among the first steps most physicians take in diagnosing bladder cancer are a urinalysis and some or all of the following tests: intravenous pyelography (IVP), an ultrasound, and x-rays, followed by a flexible cystoscopy. Typically the IVP and ultrasound are the first steps in the diagnostic process. However, in some circumstances, doctors prefer to perform the flexible cystoscopy first. Sometimes your family doctor will schedule these tests (although it is the urologist who performs a cystoscopy, if needed); sometimes your doctor will refer you to a urologist for all the tests. It’s not important from your standpoint whether the urologist or family doctor does the tests, so long as the tests are completed.
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Actos Class Action Lawsuit: If you had symptoms that suggest possible bladder cancer, make sure your physician checks you out thoroughly. If, for example, IVP results don’t show the presence of any tumors, you’ll want to go ahead and have a flexible cystoscopy and a CT scan or MRI to eliminate any possibility of abnormalities or carcinoma. If all tests are negative, generally no further follow-up is necessary unless your symptoms ~ particularly the painless passing of blood in the urine ~ occur again.
What happens if your cancer comes back? Most likely, your medical team has prepared you for the possibility. The signature of bladder cancer is that it can and often does come back, most often in the first two years. If it does come back, most of the time it’s treated just as it was when the tumor was originally diagnosed. You’ll go through the same battery of tests or something similar, and the same grading and staging process. And you’ll probably have the same treatment options, although hopefully, as medicine advances, you’ll have more and better treatment options available. Of course, if the cancer is more advanced than it was the first time, some differences in treatment will be required.
Cancer transforms everyone it touches; many cancer survivors describe their experience as a deep and motivating change. They find that what was “normal” during their pre-cancer lives no longer applies. Some say that life seems sweeter, that they are embracing life with a gusto and appreciation they didn’t have before. Others feel the shadow of worry that their cancer might return, and some are gripped by guilt that they survived cancer while others were not so lucky. Sometimes cancer survivors are quick to view their personal triumph over their disease as a benchmark for handling anything that might come their way in life, including a recurrence. Others who neither surge with confidence nor shake their fists at fate gradually return to a happier outlook, their faith in their health increasing along with hopes for the future. Being diagnosed with cancer often gives people the feeling that they have no control. Survivorship is all about learning to take control over how you live the rest of your life.
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