The significance of the initial symptom in Chinese patients with upper tract urothelial carcinoma: Regular health examination is still underutilized

Autor: Dong Fang, Yan-Qing Gong, Nirmish Singla, Kun-Lin Yang, Geng-Yan Xiong, Lei Zhang, Xue-Song Li, Li-Qun Zhou
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Kaohsiung Journal of Medical Sciences, Vol 34, Iss 9, Pp 511-521 (2018)
Druh dokumentu: article
ISSN: 1607-551X
DOI: 10.1016/j.kjms.2018.01.003
Popis: This paper is to elucidate the correlation between different symptoms of UTUC and the clinicopathological characteristics and prognosis. The clinicopathological data of 700 consecutive patients with UTUC who were treated with radical nephroureterectomy were reviewed, and symptoms were categorized into three groups: S1-no direct symptoms, S2-local symptoms (including hematuria and flank pain) and S3-systemic symptoms. We found that the distributions of patients in the S1, S2 and S3 groups were 96 (13.7%), 601 (85.9%) and 3 (0.4%), respectively, and most patients in S1 were incidentally found to have abnormal findings on ultrasound during regular health examination. Altogether, 534 patients (76.3%) presented with gross hematuria, and 111 (15.9%) presented with flank pain. Patients in S1 had a higher rate of hydronephrosis (p
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