The Journal of urology · 1996
Risk factors for bladder tumors in spinal cord injury patients.
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Stonehill W H, Dmochowski R R, Patterson A L, Cox C E
Аннотация
PURPOSE: We evaluated risk factors for the development of bladder tumors in spinal cord injury patients.
MATERIALS AND METHODS: A retrospective review was done of all bladder tumors at 1 institution with matched controls for 7 years.
RESULTS: We identified 17 malignant and 2 benign tumors. Indwelling bladder catheters and a history of bladder stones were statistically significant risk factors. Four patients with negative biopsies underwent repeat biopsy due to suspicious cytology and cancer was found.
CONCLUSIONS: An indwelling urinary catheter and a history of bladder stones are statistically significant risk factors. Cytology and biopsy are complimentary in the evaluation of urothelial malignancy in this population. A high index of suspicion and thorough evaluation are needed in spinal cord injury patients.
MATERIALS AND METHODS: A retrospective review was done of all bladder tumors at 1 institution with matched controls for 7 years.
RESULTS: We identified 17 malignant and 2 benign tumors. Indwelling bladder catheters and a history of bladder stones were statistically significant risk factors. Four patients with negative biopsies underwent repeat biopsy due to suspicious cytology and cancer was found.
CONCLUSIONS: An indwelling urinary catheter and a history of bladder stones are statistically significant risk factors. Cytology and biopsy are complimentary in the evaluation of urothelial malignancy in this population. A high index of suspicion and thorough evaluation are needed in spinal cord injury patients.