膀胱尿路上皮癌的临床病理概况:五年回顾性研究

Syifa Ul Izzah, Imam Susilo
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引用次数: 0

摘要

背景和目的。膀胱尿路上皮癌比上尿路尿路上皮癌更为常见。膀胱癌是全球第十大常见癌症,每年有 570,000 例新发病例和 213,000 例死亡病例。男性患膀胱癌的几率明显高于女性,发病率为每 10 万人中有 9.5 人,死亡率为每 10 万人中有 3.3 人,是全球女性发病率的四倍左右。临床病理分析对膀胱癌意义重大,因为大多数标本都是通过 TURBT 采集的。材料和方法。本观察性描述研究采用回顾性方法。研究对象包括 2018 年 1 月至 2022 年 12 月期间在土友博士综合学术医院通过组织病理学分析诊断膀胱尿路上皮癌的活检、经尿道膀胱肿瘤切除术和膀胱切除术获得的石蜡块。人口统计学和组织病理学数据来自患者病历。研究结果大多数患者为男性(88%)。患者平均年龄为 58.65 岁,年龄范围在 21-80 岁之间,发病高峰出现在 51-60 岁(39%)。最常采用的手术是 TURBT(68.48%),最常见的组织学发现是鳞状分化(87.5%)。尿液细胞病理学检查中最常见的膀胱尿路上皮癌类型是阴性高级别尿路上皮癌(81%)。结论临床病理特征对于确定膀胱尿路上皮癌的预后因素非常重要。大多数患者为 51-60 岁的男性。最常采用的手术是膀胱前列腺电切术(TURBT)。大部分肿瘤为鳞状分化的尿路上皮癌,尿液细胞病理学检查结果显示大部分患者为阴性高级别尿路上皮癌。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinicopathological profile of urothelial carcinoma of the bladder: A five-year retrospective study
Background and Objectives. Urothelial carcinoma of the bladder is more common than urothelial carcinoma of the upper urinary tract. Carcinoma of the bladder is the tenth most common cancer in the world, with 570,000 new cases and 213,000 deaths annually. Men are significantly more likely than women to develop bladder cancer, with an incidence of 9.5 per 100,000 and a mortality of 3.3 per 100,000, which are rates approximately four times those seen among women globally. Clinicopathological profiling is highly significant in bladder carcinoma because the majority of specimens are received through TURBT. Materials and Methods. This observational descriptive study takes a retrospective approach. The population of this study consists of paraffin blocks obtained from biopsy, transurethral resection of bladder tumor, and cystectomy that were used to diagnose urothelial carcinoma of the bladder through histopathological analysis in the Dr. Soetomo General Academic Hospital between January 2018 and December 2022. The demographic and histopathological data were taken from the patients’ medical records. Results. The majority of patients were men (88%). The average age of the patients was 58.65 years, with a range of 21–80 years and peak incidence occurring at 51–60 years (39%). The procedure most frequently employed was TURBT (68.48%), and squamous differentiation was the most frequent histologic finding (87.5%). The most common type of urothelial carcinoma of the bladder found on urine cytopathology examination was negative for high-grade urothelial carcinoma (81%). Conclusions. The clinicopathological profile is very important in determining the prognostic factor in urothelial carcinoma of the bladder. Most patients herein were men in the age group of 51–60 years. The procedure most frequently employed was TURBT. Most tumors comprised urothelial carcinoma with squamous differentiation, and the majority was negative for high-grade urothelial carcinoma on urine cytopathological examination.
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