Urinary Bladder Carcinoma Pattern at Urology Minia University Hospital | ||||
| Minia Journal of Medical Research | ||||
| Volume 32, Issue 1, January 2021, Page 36-43 PDF (242.54 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2022.220576 | ||||
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| Authors | ||||
| Hisham H. Ragab1; Mohamad S. Mohamed El-Badry2; Mostafa M. Abdel Ghani2; Mohamed H. Mohamed Aboelhassan1 | ||||
| 1Department of Urology, Faculty of Medicine, Minia University | ||||
| 2Department of Urology, Faculty of Medicine, Minia University. | ||||
| Abstract | ||||
| Introduction: Bladder cancer is one of the most common malignancies occurring worldwide. Bladder cancer develops predominantly in males with a ratio male: female (3:1). In developed countries, Urothelial cell carcinoma (UCC) is the predominant bladder tumor (>90%) of cases. In Egypt, previous research has reported a significant decrease in squamous cell carcinoma (SCC) over the past 30 years but the overall bladder cancer incidence is steady due to increase in UCC and this has been explained due to decrease in S.haematobium (SH) with increase in smoking. Aim of the work: Through a study that will be conducted at Urology and Nephrology Minia university hospital we will report the patterns (clinically, radiologically, and histo-pathologically) of bladder cancer patients presented to our institution in the period between 2020-2021. Patients and Methods: Our study is a prospective clinical study conducted on 120 patients who attended to our outpatient clinic at Nephrology and Urology Minia University Hospital in the period from February 2020 to March 2021. We included all patients presented to our institution with bladder mass, while patients who received chemotherapy or radiotherapy, or did Previous cystoscopic resection with intravesical therapy; were excluded from our study. Results: This study was conducted on 120 with bladder cancer. Male: female ratio was 5:1 with median age of 59.73 years. About 80 cases were from rural area. The main presenting symptom was gross hematuria with clots in about 72% of cases. During this study, sensitivity of urine cytology was 32.5 % and noticed that it increased mainly with high grade tumors. We did complete TURBT in 50 cases for masses with size lower than 3 cm and histopathology of all resected tumors showed that, about 78 cases were UCC, 36 were SCC and 6 were ADC. About 62.5%of cases were high grade tumors. During this study, we assessed correlation between urine cytology and tumor grading and the relation was statistically significant but on the other hand, the relation between cytology and tumor staging was statistically insignificant. | ||||
| Keywords | ||||
| Urothelial cell carcinoma; SCC: squamous cell carcinoma; SH: S.haematobium; TURBT: transurethral resection of bladder tumor; ADC: adenocarcinoma | ||||
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