| Abstrakt: |
The modern way of life, stress during the work process, irregular diet and bad health habits, are of particular importance in the appearance and development of neoplasms, ie tumors, which depending on their character, location, invasiveness and growth in tissues or organs, can be benign and malignant, or so-called. cancers. The age of the patients is no longer the limit and the rule for their occurrence, so today we can find cases from the youngest to the oldest with the same or similar pathology, but the approach to therapy is always individual on a case-by-case basis and independent of each other. The history of the disease in our patient dates back almost 30 years before the diagnosis of bladder cancer in March 2019, ie with previous intervention and removal of nephrolithiasis (kidney stones), decreased renal function of the left kidney and atrophy of the renal parenchyma. The patient is 57 years old and for almost four years has been receiving therapy for enlarged prostate, as well as occasional antibiotics for frequent urinary tract infections, in addition to regular antihypertensive and chronic therapy for diabetes (Diabetes mellitus type 2). With the onset of intense pain during both urination and rest, microbial infection with Escherichia coli in the urinary tract is established and the patient takes high doses of antibiotics for 4 to 5 months to reduce antibody titer. After an ECHO examination of a small pelvis at a urologist, with confirmed prostate hyperplasia and fever, with elevated biochemical and hematological parameters of the blood count, as well as tumor markers of interest, he was immediately referred for examination and treatment at a university clinic. Due to the complexity and urgency of the patient's condition, but also the poor organization in the health system, he was transferred to a private clinical hospital, where after computed tomography of the abdomen and small pelvis, bladder cancer was diagnosed and transurethral ablation was performed immediately. and biotated material sent for pathohistological identification. As the intervention did not give positive results to improve the patient's health, but on the contrary, led to deterioration, the next day the intervention was performed again (classical) with complete removal of the bladder, prostate and several local lymph nodes, which were sent for histopathological analysis. and the patient was recovering with a urostomy of the anterior abdominal wall. Written after only a few days in April 2019, with a good and orderly general clinical picture, with orderly immunological and biochemical results within the normal range during the subsequent control examinations, and in consultation with specialists (oncologist), he was referred to chemotherapy after two months from the intervention. It starts according to the planned program in June 2019, but manages to receive only one full cycle of the planned four, and at the beginning of the second cycle it exists at the age of 58. Taking care of personal health, habits and discipline should be a priority for everyone, and patient care should be imperative for every medical professional, at any time of the day. [ABSTRACT FROM AUTHOR] |
