You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is What is true about carcinoma bladder - and explain in detail?
Carcinoma Urinary Bladder More common in whites, higher socio-economic status and in males in 6th and 7th decade. 75% are localised to bladder and 25% have spread to regional nodes or distant sites at the time of presentation Most tumors develop at trigone & adjacent poster lateral wall with urethral involvement Tumors tend to be multifocal in bladder Clinical features MC symptom : painless hematuria (85% cases) Hematuria is gross or microscopic, intermittent rather than constant Vesical irritability : Frequeny, urgency and dysurea Bone pain & abdominal pain in advanced disease Ref: Smith's 18th edition Pgno : 312