12+ Stage 4 Bladder Cancer Symptoms UK . Knowing what to expect from stage 4 bladder cancer can help people to make informed decisions about their treatment and care. Symptoms of bladder cancer can include stage 4 bladder cancer is likewise called metastatic bladder cancer. Cancer gallbladder from image.slidesharecdn.com Bladder cancer occurs when cancerous cells, often from the lining of the bladder, begin to multiply. Still, there are often treatment options available for people with this. Cancer has spread to fatty tissue around the bladder and possibly certain nearby lymph nodes. For example, stage 4 prostate cancer includes stage 4a, in. Patients with stage iv bladder cancer have cancer that has extended through the bladder wall and invaded the pelvic and/or abdominal wall and/or has the purpose of receiving cancer treatment may be to improve symptoms through local control of the...