40 yaş altı mesane tümörlerinde orta dönem takip sonuçlarımız

Year 2018, Volume: 13 Issue: 2, 20 - 25, 01.06.2018

Fatih Uruç Serkan Akan Bekir Aras Özgür Haki Yüksel Aytaç Şahin Ayhan Verit

Abstract

Amaç: Ürotelyal tümörler genç hastalarda
nadiren görülür. Bu nedenle genç hastalarda
hastalığın doğal seyri ile ilgili bilgiler net değildir ve bu kategoride değerlendirilecek hastalar
henüz tanımlanmamıştır. Çalışmamızda,
küçük serilerimize dayanarak genç hastalarda
görülen mesane tümörünün doğal seyrini öngörmeyi
amaçladık.

Gereç ve Yöntemler: Ocak 2012 ile Ocak
2017 arasında üroloji kliniğine başvuran 18-
40 yaşları arasındaki toplam 15 hasta geriye
dönük olarak değerlendirildi. Olgularımız demografik
veriler (yaş ve cinsiyet), sigara öyküsü, tümör tipi, grade, evre, odak sayısı, tümör
rekürrensi ve intravezikal tedavi parameterleri
değerlendirilerek 30 yaş altı ve 30-40 yaş
aralığı olmak üzere iki ayrı gruba ayrılayarak
analiz edildi

Bulgular: Olgularımız 30 yaşın altındaki
(n = 7; % 46.7) veya üzeri (n = 8; % 53.3) idi.
Otuz yaşın altındaki düşük dereceli tümörlerin
oranları 30 yaşın üzerindeki yaş grubuna
göre daha yüksek bulundu (p: 0.007; p <0.01).

Sonuç: Çalışmamızda, hastalar < 30 ve
> 30 yaş hastalar olarak değerlendirildiğinde,
yaş faktörünün, tümör boyutu, histopatolojik
grade ve evre, intravezikal tedaviye verilen
tedavi yanıtları ve tümör rekürrensi ile doğrudan korelasyona sahip potansiyel olarak negatif
bir prediktif faktör olduğu gözlemlendi.

Keywords

Mesane tümörü , genç hasta , tümör rekürrensi

Our mid-term follow-up results in bladder tumors below 40 years of age

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.

Keywords

Bladder tumors , young patients , tumor recurrence

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