Objectives: The objective of the study was to determine the effect of variant histology on pathological outcomes and survival in patients operated for the upper urinary tract urothelial carcinoma (UTUC). Methods: Data of 128 patients who were operated for UTUC between 2001 and 2019 were retrospectively analyzed. Patients with pure urothelial carcinoma and patients with variant histology were compared in terms of demographics, pathological outcomes, and survival. Results: The mean age of the patients was 65±11 years, female to male ratio was 30/98 and median follow-up period was 26.5 (1–176) months. Variant histology was detected in 14.8% of patients. Variant histology was found to be associated with surgical margin positivity, lymph node metastasis, presence of lymphovascular invasion, high tumor stage and grade (p=0.001, p=0.012, p=0.001, p=0.002, and p=0.009, respectively). Three-year cancer-specific and overall survival rates were 79.6% and 77.3%, respectively. There was no statistically significant relationship between variant histology with cancer-specific and overall survival (p=0.514 and p=0.515, respectively). Conclusion: Variant histology of UTUC was found to be associated with locally advanced disease, but its effect on survival could not be demonstrated.
Purpose: To determine the effect of Varyant histology on the pathological and survival results of patients who have been operated with the cause of the urethyl system cancer. Method: Data of 128 patients who had been operated with the cause of urethelial carcinoma in the upper urine system in one center between 2001 and 2019 were reviewed backward. Patients with pure urethelial cancer and those with variable histology were compared with each other in terms of demographic characteristics, pathological results and survival parameters. The average age of the patient was 65±11 years. The female male ratio was 30/98 and the median follow-up period was 26.5 (1-176) months. In 14.8% of the errors varyant histology was detected. Varyant histology was found related to the surgical limit positivity, lymph nod metastasis, the presence of lymphovascular invasion, the high tumor stage and degree (p=0.001, p=0.012, p=0.001, p=0.002, p=0.009, respectively). The three-year cancer specific and general survival rates were identified at 79.6% and 77.3% respectively. A statistically meaningful relationship between variant histology and cancer specific survival and general survival was not established. (p=0.514, p=0.515, respectively) The result: Variant histology in the urethelial carcinoma of the upper urinary system is associated with local advanced disease, while no effect on survival is shown. (SETB-2021-06-175)
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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