Predictive factors for worse pathological outcomes of upper tract urothelial carcinoma: experience from a nationwide high‐volume centre in China
Objectives To analyse the predictive factors for worse pathological outcome (muscle invasive pT2+, non‐organ‐confined pT3+ or N+ and histological Grade 3) of upper tract urothelial carcinoma (UTUC) in a Chinese population from a nationwide high‐volume centre in China. Patients and Methods Predictors...
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| Veröffentlicht in: | BJU international 2013-11, Vol.112 (7), p.917-924 |
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| creator | Chen, Xiao‐Peng Xiong, Geng‐Yan Li, Xue‐Song Matin, Surena F. Garcia, Maurice Fang, Dong Wang, Tian‐Yu Yu, Wei Gong, Kan Song, Yi He, Zhi‐Song He, Qun Zhou, Li‐Qun |
| description | Objectives
To analyse the predictive factors for worse pathological outcome (muscle invasive pT2+, non‐organ‐confined pT3+ or N+ and histological Grade 3) of upper tract urothelial carcinoma (UTUC) in a Chinese population from a nationwide high‐volume centre in China.
Patients and Methods
Predictors were studied by retrospectively reviewing the clinicopathological data of 729 consecutive patients with UTUC treated in our centre from January 2002 to December 2010.
Univariate and multivariate logistic regression analyses were used.
Results
There were more female patients (56.4%) than males and more tumours were located in the ureter (52.7%) than in the pelvis.
In multivariate analysis, male gender (hazard ratio [HR] 1.898, P = 0.001), sessile architecture (HR 3.249, P < 0.001), high grade (HR 5.007, P < 0.001), ipsilateral hydronephrosis (HR 4.768, P < 0.001), renal pelvis location (HR 2.620, P < 0.001) and tumour without multifocality (HR 1.639, P = 0.028) were predictive factors for muscle‐invasive UTUC.
Male gender (HR 2.132, P < 0.001), renal pelvis location (HR 3.466, P < 0.001), tumour without multifocality (HR 2.532, P = 0.001), sessile tumour architecture (HR 3.274, P < 0.001), and high grade (HR 3.019, P < 0.001) were predictive factors for non‐organ‐confined disease.
Chronological old age (HR 1.047, P < 0.001), sessile tumour architecture (HR 25.192, P < 0.001), ipsilateral hydronephrosis (HR 1.689, P = 0.024), and positive urinary cytology (HR 1.997, P = 0.006) were predictive factors for histological Grade 3 UTUC.
Conclusions
There was a predominance of female patients and ureteric tumours in UTUCs of this Chinese population.
Male gender, sessile architecture, tumour location, tumour without multifocality, high histological grade and preoperative ipsilateral hydronephrosis were independent predictive factors for worse pathological outcome of UTUCs. |
| doi_str_mv | 10.1111/bju.12238 |
| format | Article |
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To analyse the predictive factors for worse pathological outcome (muscle invasive pT2+, non‐organ‐confined pT3+ or N+ and histological Grade 3) of upper tract urothelial carcinoma (UTUC) in a Chinese population from a nationwide high‐volume centre in China.
Patients and Methods
Predictors were studied by retrospectively reviewing the clinicopathological data of 729 consecutive patients with UTUC treated in our centre from January 2002 to December 2010.
Univariate and multivariate logistic regression analyses were used.
Results
There were more female patients (56.4%) than males and more tumours were located in the ureter (52.7%) than in the pelvis.
In multivariate analysis, male gender (hazard ratio [HR] 1.898, P = 0.001), sessile architecture (HR 3.249, P < 0.001), high grade (HR 5.007, P < 0.001), ipsilateral hydronephrosis (HR 4.768, P < 0.001), renal pelvis location (HR 2.620, P < 0.001) and tumour without multifocality (HR 1.639, P = 0.028) were predictive factors for muscle‐invasive UTUC.
Male gender (HR 2.132, P < 0.001), renal pelvis location (HR 3.466, P < 0.001), tumour without multifocality (HR 2.532, P = 0.001), sessile tumour architecture (HR 3.274, P < 0.001), and high grade (HR 3.019, P < 0.001) were predictive factors for non‐organ‐confined disease.
Chronological old age (HR 1.047, P < 0.001), sessile tumour architecture (HR 25.192, P < 0.001), ipsilateral hydronephrosis (HR 1.689, P = 0.024), and positive urinary cytology (HR 1.997, P = 0.006) were predictive factors for histological Grade 3 UTUC.
Conclusions
There was a predominance of female patients and ureteric tumours in UTUCs of this Chinese population.
Male gender, sessile architecture, tumour location, tumour without multifocality, high histological grade and preoperative ipsilateral hydronephrosis were independent predictive factors for worse pathological outcome of UTUCs.]]></description><identifier>ISSN: 1464-4096</identifier><identifier>EISSN: 1464-410X</identifier><identifier>DOI: 10.1111/bju.12238</identifier><identifier>PMID: 23905945</identifier><identifier>CODEN: BJINFO</identifier><language>eng</language><publisher>Oxford: Wiley-Blackwell</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Carcinoma, Transitional Cell - complications ; Carcinoma, Transitional Cell - pathology ; China ; Female ; Gender ; Humans ; Hydronephrosis - etiology ; Kidney Neoplasms - complications ; Kidney Neoplasms - pathology ; Kidney Pelvis ; Male ; Medical research ; Medical sciences ; Middle Aged ; Multiple tumors. Solid tumors. Tumors in childhood (general aspects) ; Multivariate analysis ; Nephrology. Urinary tract diseases ; non‐organ‐confined disease ; Prognosis ; Retrospective Studies ; Sexually transmitted diseases ; STD ; Tumors ; Tumors of the urinary system ; upper urinary tract carcinoma ; Ureteral Neoplasms - complications ; Ureteral Neoplasms - pathology ; Urinary tract. Prostate gland ; urothelial carcinoma ; worse pathological outcome ; Young Adult</subject><ispartof>BJU international, 2013-11, Vol.112 (7), p.917-924</ispartof><rights>2013 The Authors. BJU International © 2013 BJU International</rights><rights>2014 INIST-CNRS</rights><rights>2013 The Authors. BJU International © 2013 BJU International.</rights><rights>BJUI © 2013 BJU International</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbju.12238$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbju.12238$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27854426$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23905945$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Xiao‐Peng</creatorcontrib><creatorcontrib>Xiong, Geng‐Yan</creatorcontrib><creatorcontrib>Li, Xue‐Song</creatorcontrib><creatorcontrib>Matin, Surena F.</creatorcontrib><creatorcontrib>Garcia, Maurice</creatorcontrib><creatorcontrib>Fang, Dong</creatorcontrib><creatorcontrib>Wang, Tian‐Yu</creatorcontrib><creatorcontrib>Yu, Wei</creatorcontrib><creatorcontrib>Gong, Kan</creatorcontrib><creatorcontrib>Song, Yi</creatorcontrib><creatorcontrib>He, Zhi‐Song</creatorcontrib><creatorcontrib>He, Qun</creatorcontrib><creatorcontrib>Zhou, Li‐Qun</creatorcontrib><title>Predictive factors for worse pathological outcomes of upper tract urothelial carcinoma: experience from a nationwide high‐volume centre in China</title><title>BJU international</title><addtitle>BJU Int</addtitle><description><![CDATA[Objectives
To analyse the predictive factors for worse pathological outcome (muscle invasive pT2+, non‐organ‐confined pT3+ or N+ and histological Grade 3) of upper tract urothelial carcinoma (UTUC) in a Chinese population from a nationwide high‐volume centre in China.
Patients and Methods
Predictors were studied by retrospectively reviewing the clinicopathological data of 729 consecutive patients with UTUC treated in our centre from January 2002 to December 2010.
Univariate and multivariate logistic regression analyses were used.
Results
There were more female patients (56.4%) than males and more tumours were located in the ureter (52.7%) than in the pelvis.
In multivariate analysis, male gender (hazard ratio [HR] 1.898, P = 0.001), sessile architecture (HR 3.249, P < 0.001), high grade (HR 5.007, P < 0.001), ipsilateral hydronephrosis (HR 4.768, P < 0.001), renal pelvis location (HR 2.620, P < 0.001) and tumour without multifocality (HR 1.639, P = 0.028) were predictive factors for muscle‐invasive UTUC.
Male gender (HR 2.132, P < 0.001), renal pelvis location (HR 3.466, P < 0.001), tumour without multifocality (HR 2.532, P = 0.001), sessile tumour architecture (HR 3.274, P < 0.001), and high grade (HR 3.019, P < 0.001) were predictive factors for non‐organ‐confined disease.
Chronological old age (HR 1.047, P < 0.001), sessile tumour architecture (HR 25.192, P < 0.001), ipsilateral hydronephrosis (HR 1.689, P = 0.024), and positive urinary cytology (HR 1.997, P = 0.006) were predictive factors for histological Grade 3 UTUC.
Conclusions
There was a predominance of female patients and ureteric tumours in UTUCs of this Chinese population.
Male gender, sessile architecture, tumour location, tumour without multifocality, high histological grade and preoperative ipsilateral hydronephrosis were independent predictive factors for worse pathological outcome of UTUCs.]]></description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Transitional Cell - complications</subject><subject>Carcinoma, Transitional Cell - pathology</subject><subject>China</subject><subject>Female</subject><subject>Gender</subject><subject>Humans</subject><subject>Hydronephrosis - etiology</subject><subject>Kidney Neoplasms - complications</subject><subject>Kidney Neoplasms - pathology</subject><subject>Kidney Pelvis</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</subject><subject>Multivariate analysis</subject><subject>Nephrology. Urinary tract diseases</subject><subject>non‐organ‐confined disease</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>upper urinary tract carcinoma</subject><subject>Ureteral Neoplasms - complications</subject><subject>Ureteral Neoplasms - pathology</subject><subject>Urinary tract. Prostate gland</subject><subject>urothelial carcinoma</subject><subject>worse pathological outcome</subject><subject>Young Adult</subject><issn>1464-4096</issn><issn>1464-410X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0c1u1DAQAGALgegPHHgBZAkh9bKt_-Ik3MqKX1WCA5W4RRNn0niV2MGOu_TGIyAekSfB225BwheP7M8z1gwhzzg75XmdtZt0yoWQ1QNyyJVWK8XZ14f3Mav1ATmKccNYPtDFY3IgZM2KWhWH5NfngJ01i71G2oNZfIi094Fuc4B0hmXwo7-yBkbq02L8hJH6nqZ5xkCXkF_QFPwy4GgzMRCMdX6CVxS_Z2HRmZw3-IkCdbBY77a2QzrYq-H3j5_XfkwTUoNuCUito-vBOnhCHvUwRny634_J5ds3X9bvVxef3n1Yn1-sZsnqaiVF1zIuQeiqV51QXCqGveCdqjXyUnGtS5AlQ0SJWnJhoG2lLKErUINGeUxO7vLOwX9LGJdmstHgOIJDn2LDlZJK1KzSmb74j258Ci7_bqe4LnRRiaye71VqJ-yaOdgJwk1z3-0MXu4BxNzRPoAzNv5zZVUoJXblzu7c1o548_ees2Y37iaPu7kdd_P64-VtIP8A-YufAw</recordid><startdate>201311</startdate><enddate>201311</enddate><creator>Chen, Xiao‐Peng</creator><creator>Xiong, Geng‐Yan</creator><creator>Li, Xue‐Song</creator><creator>Matin, Surena F.</creator><creator>Garcia, Maurice</creator><creator>Fang, Dong</creator><creator>Wang, Tian‐Yu</creator><creator>Yu, Wei</creator><creator>Gong, Kan</creator><creator>Song, Yi</creator><creator>He, Zhi‐Song</creator><creator>He, Qun</creator><creator>Zhou, Li‐Qun</creator><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>201311</creationdate><title>Predictive factors for worse pathological outcomes of upper tract urothelial carcinoma: experience from a nationwide high‐volume centre in China</title><author>Chen, Xiao‐Peng ; Xiong, Geng‐Yan ; Li, Xue‐Song ; Matin, Surena F. ; Garcia, Maurice ; Fang, Dong ; Wang, Tian‐Yu ; Yu, Wei ; Gong, Kan ; Song, Yi ; He, Zhi‐Song ; He, Qun ; Zhou, Li‐Qun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p3098-32db013a268f4d241340ef21d496e1741667a370eee3e6312cabb337ad5e6a6e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Transitional Cell - complications</topic><topic>Carcinoma, Transitional Cell - pathology</topic><topic>China</topic><topic>Female</topic><topic>Gender</topic><topic>Humans</topic><topic>Hydronephrosis - etiology</topic><topic>Kidney Neoplasms - complications</topic><topic>Kidney Neoplasms - pathology</topic><topic>Kidney Pelvis</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</topic><topic>Multivariate analysis</topic><topic>Nephrology. Urinary tract diseases</topic><topic>non‐organ‐confined disease</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Sexually transmitted diseases</topic><topic>STD</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>upper urinary tract carcinoma</topic><topic>Ureteral Neoplasms - complications</topic><topic>Ureteral Neoplasms - pathology</topic><topic>Urinary tract. Prostate gland</topic><topic>urothelial carcinoma</topic><topic>worse pathological outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Xiao‐Peng</creatorcontrib><creatorcontrib>Xiong, Geng‐Yan</creatorcontrib><creatorcontrib>Li, Xue‐Song</creatorcontrib><creatorcontrib>Matin, Surena F.</creatorcontrib><creatorcontrib>Garcia, Maurice</creatorcontrib><creatorcontrib>Fang, Dong</creatorcontrib><creatorcontrib>Wang, Tian‐Yu</creatorcontrib><creatorcontrib>Yu, Wei</creatorcontrib><creatorcontrib>Gong, Kan</creatorcontrib><creatorcontrib>Song, Yi</creatorcontrib><creatorcontrib>He, Zhi‐Song</creatorcontrib><creatorcontrib>He, Qun</creatorcontrib><creatorcontrib>Zhou, Li‐Qun</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>BJU international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Xiao‐Peng</au><au>Xiong, Geng‐Yan</au><au>Li, Xue‐Song</au><au>Matin, Surena F.</au><au>Garcia, Maurice</au><au>Fang, Dong</au><au>Wang, Tian‐Yu</au><au>Yu, Wei</au><au>Gong, Kan</au><au>Song, Yi</au><au>He, Zhi‐Song</au><au>He, Qun</au><au>Zhou, Li‐Qun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive factors for worse pathological outcomes of upper tract urothelial carcinoma: experience from a nationwide high‐volume centre in China</atitle><jtitle>BJU international</jtitle><addtitle>BJU Int</addtitle><date>2013-11</date><risdate>2013</risdate><volume>112</volume><issue>7</issue><spage>917</spage><epage>924</epage><pages>917-924</pages><issn>1464-4096</issn><eissn>1464-410X</eissn><coden>BJINFO</coden><abstract><![CDATA[Objectives
To analyse the predictive factors for worse pathological outcome (muscle invasive pT2+, non‐organ‐confined pT3+ or N+ and histological Grade 3) of upper tract urothelial carcinoma (UTUC) in a Chinese population from a nationwide high‐volume centre in China.
Patients and Methods
Predictors were studied by retrospectively reviewing the clinicopathological data of 729 consecutive patients with UTUC treated in our centre from January 2002 to December 2010.
Univariate and multivariate logistic regression analyses were used.
Results
There were more female patients (56.4%) than males and more tumours were located in the ureter (52.7%) than in the pelvis.
In multivariate analysis, male gender (hazard ratio [HR] 1.898, P = 0.001), sessile architecture (HR 3.249, P < 0.001), high grade (HR 5.007, P < 0.001), ipsilateral hydronephrosis (HR 4.768, P < 0.001), renal pelvis location (HR 2.620, P < 0.001) and tumour without multifocality (HR 1.639, P = 0.028) were predictive factors for muscle‐invasive UTUC.
Male gender (HR 2.132, P < 0.001), renal pelvis location (HR 3.466, P < 0.001), tumour without multifocality (HR 2.532, P = 0.001), sessile tumour architecture (HR 3.274, P < 0.001), and high grade (HR 3.019, P < 0.001) were predictive factors for non‐organ‐confined disease.
Chronological old age (HR 1.047, P < 0.001), sessile tumour architecture (HR 25.192, P < 0.001), ipsilateral hydronephrosis (HR 1.689, P = 0.024), and positive urinary cytology (HR 1.997, P = 0.006) were predictive factors for histological Grade 3 UTUC.
Conclusions
There was a predominance of female patients and ureteric tumours in UTUCs of this Chinese population.
Male gender, sessile architecture, tumour location, tumour without multifocality, high histological grade and preoperative ipsilateral hydronephrosis were independent predictive factors for worse pathological outcome of UTUCs.]]></abstract><cop>Oxford</cop><pub>Wiley-Blackwell</pub><pmid>23905945</pmid><doi>10.1111/bju.12238</doi><tpages>9</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Carcinoma, Transitional Cell - complications Carcinoma, Transitional Cell - pathology China Female Gender Humans Hydronephrosis - etiology Kidney Neoplasms - complications Kidney Neoplasms - pathology Kidney Pelvis Male Medical research Medical sciences Middle Aged Multiple tumors. Solid tumors. Tumors in childhood (general aspects) Multivariate analysis Nephrology. Urinary tract diseases non‐organ‐confined disease Prognosis Retrospective Studies Sexually transmitted diseases STD Tumors Tumors of the urinary system upper urinary tract carcinoma Ureteral Neoplasms - complications Ureteral Neoplasms - pathology Urinary tract. Prostate gland urothelial carcinoma worse pathological outcome Young Adult |
| title | Predictive factors for worse pathological outcomes of upper tract urothelial carcinoma: experience from a nationwide high‐volume centre in China |
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