Introduction
Nepal is a developing country situated at south Asia. 80% of the country population is in rural area. Major part of the country is devoid of proper health care system. People have to travel for longer duration to reach the tertiary hospital. Bladder carcinoma is one of the commonest malignancies in Nepal. It’s more prevalent in older male population. Nepal being the one of the country with highest smoking rate among female, bladder tumor is not that uncommon.
Methods and material
Retrospective study was done from medical record section of KIST medical college. Permission was taken from hospital ethical committee. Inclusion criteria were 1. Female more than 20 yrs of age 2. Female residing outside the city / town area specified by government of Nepal. 3. Histological proven urinary bladder tumor. Exclusion criteria: Female diagnosed with urinary bladder tumor from town / city. All the demographic data, mode of presentation to the hospital and modalities of treatment was obtained from the respective file of the patient in the medical record section.
Result:
Record file of all the patients diagnosed with urinary bladder tumor were analyzed from August 2015 to 2017. Total 50 cases were identified. Mean age of the presentation was 55 years [ 35 – 87] years. By occupation 80%[40] were housewife. 60% [30] had history of cigarette smoking more than 20 pack year, 14 %[7] were non-smoker and remaining had smoking history with pack year 4 to 10. On histopathological diagnosis 96%[48] had transitional cell carcinoma and remaining 4%[2] had squamous cell carcinoma. On presentation 42%[21] presented with flank pain, 22%[11] presented with painless haematuria, 12%[6] presented with flank pain, haematuria and fever, 14%[7] presented with abdominal lump, fever and haematuria and 10 %[5] presented with features of uremic syndrome. In TNM staging stage IV 20 %[10], stage III 26%[13], stage II 14%[7] and stage I 40 %[20]. In management part, 30 %[15] managed by TURBT, 24 % [12]radical cystectomy with Ileal conduit, 30 % [15]referred to other centre for the palliative treatment and 16%[8] denied the active treatment.
Conclusion:
Bladder cancer is one of the common malignancies among the female remaining in the rural area of Nepal. Many cases of bladder tumor do not present to tertiary care hospital. Those who present to these centers, present at later stages.