Bladder Cancer and Smoking
Four cigarette companies are suing the food and drug authority over a soon to be enacted federal law that requires companies to place more graphic health warnings on their packaging. The lawsuit comes as a new study has found that the risk to women smokers of bladder cancer is much greater than previously thought. The report from the national institute of health suggests that smoking may be responsible for half of all bladder cancer cases in women. We assess the linkages between the two, why women are at greater risk and what options there are for treatment.
Guests
executive director, Bladder Cancer Advocacy Network.
scientific investigator at the U.S. National Cancer Institute.
clinical director of Urologic Oncology at the Weill Medical College of Cornell University.

Comments
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I'm wondering if the study controlled for other risk factors like alcohol consumption, since many smokers also drink.
I stopped smoking 25 years ago. I smoked a pack a day for 21 years. I also have had chronic bladder infections most of my life, although they lessened after I quit smoking. What about one-time smokers? How does that affect the risk?
DI'd you look at racial differences?
What about women who are smokers and didn't develop bladder cancer? Has any data been teased out about them (hormonally, diets, environmental factors) that could be used to help others?
Are there any plans to look at these women?
I have found that for women doctors do not routinely perform urinalysis unless you present with UTI symptoms. Since blood in urine is microscopic-as the doctors said today-which means it can't be seen by the eye, what other symptoms other than back pain should a woman look for when considering bladder cancer? How else is it detected?
As a scientist, reasearcher and, later in my life, a physician, I am appauled at this program. Your guests are NOT as well-versed in the area as I would have hoped.
Regarding additives to cigarettes, napthalenes were known to induce bladder cancer years ago. Indeed, I learned this fact when I was an undergraduate in 1962. People that worked in the dye industry also suffered from an increased incidence of this disorder. And guess what kind of chemicals dyes can be?
I am also amazed that your guests should suggest that ALL women with blood in their urine should be tested for the presence of bladder cancer. In this day and age of cutbacks and of forever increasing health care costs. Of course bladder cancer should be screened for in the ideal world, but we do not live in an ideal world.
Smokers need to take responsiblity for the effects of smoking. As an ex-smoker, I have had to do this.
By the way, your program about Social Security the other day, was one of the most confusing I had ever heard and of little value to we, the aged.
Why this program now? or, how does bladder cancer compare to rates of other cancers in terms of dianostics (do Drs. even test for this condition), how common a cancer is it compared to, say, colon cancer, and other such measures?
My son was diagnosed with invasive bladder cancer at age 40. He has a history of repeated urinary tract infections as a result of a spinal cord injury. He had several episodes of hematuria and was never told that he was a risk for bladder cancer. By the time he was diagnosed, his cancer had spread into the bladder muscle and necessitated the removal of his bladder. Please know that recurrent bladder infections can put you at risk for bladder cancer.
Please comment on exposure to secondary smoke througout childhood and its risk in developing cancer.
Began listening 1/3 way into the program. Was there a list of symptoms? Mine was simply a diminishing of flow of urine. Fortunately it was caught/noticed in another scan done in the pelvic area. After surgery and follow up treatment all is well 5 years out. I am also taking a vitamin called Oncovite which is supposed to be useful in preventing reoccurance.
I'm so glad you are discussing this. So many smokers when questioned about their smoking say, "I had my doctor check my lungs and they are fine". More people need to know about the affects of smoking on the heart and bladder.
Smokeless tobacco has been linked to bladder cancer as well as many other carcinogens that are in the environment and has contaminated our water and food supplies.....supports the statement... fresh air, sun light and a balanced diet... causes cancer.
My 91-year-old mother had her bladder removed ten years ago (the tumor had transgressed the bladder wall). Even now, however, she has frequent urinary tract infections. Is that reason enough for her to consult with a urologist?
I was treated for anal-rectal cancer, another "below the belt" cancer that people do not like to discuss. I did survive, yet after treatment I developed UTI's, my urologist can't say if the symptoms (painful micturition, bleeding in urine) are from an enlarged prostate which I also have, or if these are precursor to bladder cancer. I do get cytoscopies performed every three to six months, and am cleared of cancer. I was a smoker, however quit ten years ago which leaves at risk. What do your guest think the next step be? Do I continue the cytoscopies or see another type of doctor that can help me rest assured?
Good show today, this is a topic worthy of discussion. I am surprised at how much of a risk smoking continues to be, yet it is still a legally sanctioned product for consumption. WTH?
I would suspect that the public health policies will change in the future, which will not give full support to people who have lived during a time when they know the risk of some cancers associated with smoking and continue to smoke anyway: http://michaelmaczesty.blogspot.com/2011/06/will-smokers-be-cut-out-of-m...
I am glad to hear this show today, and because of delayed broadcast here in Arizona, I am commenting now. This is a very important piece of information, a connection that most people do not know.
I had a sudden bout of bloody urine last September, was treated (for the inflammation) and then pursued diagnosis beyond the dissipation of the signs of inflammation, because my father had bladder cancer in his early 60s. I am in my late 60s, have not smoked since 1978, and my urologist (who diagnosed my cancer and surgically removed the very superficial tumor successfully) has assured me that my history of smoking is most likely the trigger...even after 33 years!!
I know that other factors might be at play, given the air pollution in my childhood neighborhood of Tacoma, Washington. I have to admit I was pretty surprised that such early exposure to cigarette smoking, both second-hand and direct, could have been so influential. We'll never really know how these things combine.
Thank you, Diane, for your program.
Can we expect a suit ?
Can we expect a suit against the Diane Rehm Show by the tobacco companies for disseminating unpleasant medical information to smokers and second hand smoke victims? Maybe. After all they are suing the FDA for the new warnings and pictures on their products claiming they violate their corporate free speech rights (to falsely advertise defective addictive drug products). Individuals don't have any Constitutional right to mass lying in the media so how do these special commercial corporate rights arise? Constructionists might point out that many of the Funding Fathers grew tobacco, but that's quite a stretch. Here's a good question: How many Supreme Court Justices now serving smoke or have smoked? How many accept favors from big tobacco? There are some bad habits that should exclude and cause the Impeachment of judicial nominees. Where there's smoke there's cancer, a cancer on the Judicial Branch.
Can we expect a suit against the Diane Rehm Show ?