Epidemiology of Bladder Malignancies in the Patients Treated by Trans Urethral Resection in Kurdistan Province in 2012-2017

Heshmatollah Soofimajidpour, Arman Karami, Mozhdeh Amiri, Bushra Zareie, Hooshmand Soofimajidpour, M. Rasouli
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Abstract

Background and Aim: Bladder cancer is the ninth most common cancer in the world. Also, it is the fourth most common cancer in men in Iran and the second most common genitourinary cancer after prostate cancer. This study deals with epidemiology of bladder malignancy in the patients treated by transurethral resection in Tohid Hospital in Sanandaj. Materials and Methods: In this cross-sectional study, data were extracted from321 medical records of the patients with bladder malignancy treated by transurethral resection from 2012 to 2017. Data included age, gender, place of residence, occupation, smoking history, histopathology results, disease stage and type of treatment. Frequency and percentage of every variable was calculated. Stata software Ver. 14 was used for data analysis. Results: The results of this study showed that mean ± standard deviation of age of the subjects was 65.6 ± 14 years. 264 (82.2%) patients were men and 247 (76.9%) lived in Sanandaj city. 172 patients (53.6%) had history of smoking and 20 patients (6.2%) had family history of bladder cancer. Histopathology reports of most patients were indicative of transitional cell carcinoma. 210 patients (65.4%) were at stage 1 and 8 patients (2.5%) at stage 4 of the disease. Treatment methods were TURBT in 207 patients (64.5%) and TURBT and BCG into the bladder in 74 patients (23%). Age, gender and disease stage showed no significant statistical association with one another (P>0.05). Conclusion: The incidence of bladder cancer is on the rise, although this increase may be due to improved cancer registration system, as well as use of new diagnostic methods and increased patients' awareness, but change in lifestyle, adverse effects of job on health and other risk factors can lead to increased risk of bladder cancer. Therefore, planning for identification of the causes of this cancer can be helpful in prevention of this cancer.
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2012-2017年库尔德斯坦省经尿道切除术患者膀胱恶性肿瘤流行病学分析
背景与目的:膀胱癌是世界上第九大常见癌症。此外,它是伊朗男性中第四大常见癌症,也是仅次于前列腺癌的第二大常见泌尿生殖系统癌症。本研究探讨在Sanandaj Tohid医院经尿道切除术患者膀胱恶性肿瘤的流行病学。材料与方法:本横断面研究数据取自2012 - 2017年经尿道膀胱恶性肿瘤切除术患者的321例病历。数据包括年龄、性别、居住地、职业、吸烟史、组织病理学结果、疾病分期和治疗类型。计算每个变量的频率和百分比。采用Stata软件Ver. 14进行数据分析。结果:本研究结果显示,受试者年龄的平均值±标准差为65.6±14岁。男性264例(82.2%),居住在Sanandaj市247例(76.9%)。有吸烟史172例(53.6%),有膀胱癌家族史20例(6.2%)。大多数患者的组织病理学报告显示为移行细胞癌。210名患者(65.4%)处于1期,8名患者(2.5%)处于4期。治疗方法为TURBT 207例(64.5%),TURBT联合BCG入膀胱74例(23%)。年龄、性别、疾病分期差异无统计学意义(P>0.05)。结论:膀胱癌的发病率呈上升趋势,虽然这种上升可能是由于癌症登记制度的完善,以及新的诊断方法的使用和患者意识的提高,但生活方式的改变、工作对健康的不良影响等危险因素可导致膀胱癌的风险增加。因此,规划确定这种癌症的原因可以帮助预防这种癌症。
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