Bladder Cancer

Risk factors?
1. Smoking
2. Chemical exposure: dye, cytoxan, napthylamine
3. Chronic irritation: bladder stones, chronic indwelling catheter
What's the primary lymphatic drainage?
Hypogastric, obturator, iliac (int and ex), perivesical, sacral, presacral
What's the secondary lymphatic drainage?
Common iliac
What histologic types are there?
TCC 90% cases
SCC 5%
Adenoca uncommon
Where would you see adenoca of bladder?
Dome of bladder, urachal remnant