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Cancer urinary bladder--5 year experience at Cenar, Quetta
Roohullah1, J Nusrat, S R Hamdani
1Centre for Nuclear Medicine and Radiotherapy (CENAR), Quetta.
Journal of Ayub Medical College, Abbottabad : JAMC
|December 6, 2001
Summary
Cancer of the urinary bladder (Ca UB) predominantly affects males over 40. Transitional Cell Carcinoma is the most common type, with tobacco use being a significant risk factor. Late-stage diagnosis often necessitates radiotherapy.
Area of Science:
- Urology
- Oncology
- Public Health
Background:
- Cancer of the urinary bladder (Ca UB) is a significant health concern.
- Understanding its epidemiology and risk factors is crucial for early detection and management.
Purpose of the Study:
- To determine the incidence, demographics, clinical presentation, and management of Ca UB.
- To analyze histopathological findings and associated personal habits in Ca UB patients.
Main Methods:
- A retrospective study of 100 Ca UB cases over 5 years (1993-1997) at CENAR, Quetta.
- Data collection included patient demographics, symptoms, signs, histopathology, and treatment modalities.
Main Results:
- Ca UB accounted for 2.8% of new cancer cases, with an annual incidence of 20 cases.
- The condition predominantly affected males (4.5:1 ratio) over 40 years old.
- Transitional Cell Carcinoma (75%) was the most common histology; tobacco use (smoking, Hubble-Bubble, Niswar) was prevalent.
Conclusions:
- Ca UB is more common in males over 40, with a high proportion of tobacco users.
- Most patients presented at advanced stages (II+), leading to radiotherapy as the primary treatment.
- Early diagnosis and prevention strategies, particularly tobacco cessation, are vital for improving outcomes.