D further using one of the four subcategories explained below. Non-muscle-invasive/superficial urothelial carcinoma. This subtype of urothelial carcinoma is located only in the urothelium and is non-muscle-invasive, meaning it has not invaded the muscle layer. online generic viagra It may invade the lamina propria beneath the transitional cells. This is sometimes called invasive, though it is not the deeply invasive type that can spread to the muscle layer. cost of viagra costco Muscle-invasive urothelial carcinoma (often called invasive urothelial carcinoma). buy viagra online This subtype of urothelial carcinoma spreads to the bladder's muscularis propria and sometimes to the fatty layers or surrounding tissue outside the muscle. viagra without prescription Papillary urothelial carcinoma. Papillary is a word that describes a growth that is like a small polyp or flower-shaped cluster of cancer cells. compare viagra vs viagra vs viagra A noninvasive papillary tumor grows into the hollow center of the bladder on a stalk. average price of 100mg viagra Invasive papillary urothelial carcinoma can spread into the lamina propria or muscle layer. Flat urothelial carcinoma. Noninvasive flat urothelial carcinoma (also called carcinoma in situ, or cis) grows in the layer of cells closest to the inside of the bladder and appears as flat lesions on the inside surface of the bladder. Invasive flat urothelial carcinoma may invade the deeper layers of the bladder, particularly the muscle layer. generic viagra canada Squamous cell carcinoma. average price of 100mg viagra This type accounts for about 4% of all bladder cancers and starts in squamous cells, which are thin, flat cells. cheapest viagra prices Adenocarcinoma. buy viagra online canadian pharmacy This type accounts for about 2% of all bladder cancers and begins in glandular cells. All three major types of bladder cancer can metastasize (spread) beyond the bladder. If the tumor has spread into the surrounding organs (the uterus and vagina in women, the prostate in men, and/or nearby muscles), it is called locally advanced disease. Bladder cancer can also often spread to the lymph nodes in the pelvis. If it has spread into the liver, bones, lungs, lymph nodes outside the pelvis, or other parts of the body, these are distant metastases and the cancer is called metastatic or advanced disease. There are other, less common types of cancer that begin in the bladder, including sarcoma (which begins in the muscle layers of the bladder) and small cell anaplastic cancer (a rare type of bladder cancer that is likely to spread to other parts of the body). Find out more about basic cancer terms used in this section. Looking for more of an overview? viagra pills If you would like additional introduc. real viagra without a rx
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