Abstract:

Purpose: Urothelial tumors are rarely seen in young patients. Therefore in these types of patients, information related to natural course of the disease are not clear-cut and patients who will be evaluated in the young age category have not been defined yet. In our study, based on our small series, we aimed to predict the natural course of the bladder tumor seen in young patients peculiar to this age group. Material and Methods: A total of 15 patients aged between 18-40 years who consulted to our urology clinic between January 2012 and January 2017 were retrospectively evaluated. Our cases were analyzed by demographic data (age and gender), smoking history, tumor type, grade, stage, number of foci, tumor recurrence and intravesical treatment parameters and dividing into two groups of under age 30 and age range 30-40 years. Results: Our cases were either below (n=7; 46.7 %) or above (n=8; 53.3 %) 30 years of age. The rates of low grade tumors in the age group of ≤ 30 years were found to be higher when compared with the age group of > 30 years (p:0.007; p<0.01). Conclusion: In our study, when patients were evaluated as those aged < 30 and > 30 years, age factor was observed to be a potentially negative predictive factor directly correlated with tumor size, histopathological grade and stage, treatment responses to intravesical therapy and tumor recurrence.

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