Fast Five Quiz: Bladder Cancer Presentation and Diagnosis

Kyle A. Richards, MD


January 13, 2020

Approximately 80%-90% of patients with bladder cancer present with painless gross hematuria. Patients presenting with this sign should be presumed to have bladder cancer until workup proves otherwise.

Irritative bladder symptoms (eg, dysuria, urgency, increased frequency of urination) occur in 20%-30% of patients with bladder cancer; in some cases, these symptoms may indicate carcinoma in situ (CIS). Patients presenting with unexplained or nonresolving irritative symptoms should be considered for cystoscopy and urine cytology to rule out bladder cancer.

Anuria is not a presenting sign of bladder cancer, but rather may indicate the presence of urinary tract obstruction, renal artery obstruction, rapidly progressive glomerulonephritis, or bilateral diffuse renal cortical necrosis.

Learn more about the clinical presentation of bladder cancer.


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