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Clinicopathological profile of malignancies treated in a urology unit over a period of five years

Authors:

K. Sutharshan,

Colombo South Teaching Hospital, LK
About K.
Department of Urology
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B. Balagobi,

Colombo South Teaching Hospital, LK
About B.
Department of Urology
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S. Gajasinghe,

Colombo South Teaching Hospital, LK
About S.
Department of Urology
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S. Sasikumar,

Colombo South Teaching Hospital, LK
About S.
Department of Urology
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A. Weligamage,

Colombo South Teaching Hospital, LK
About A.
Department of Urology
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M. Ishak,

Colombo South Teaching Hospital, LK
About M.
Department of Urology
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H. Maddumage,

Colombo South Teaching Hospital, LK
About H.
Department of Pathology
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A. M. Abeygunasekera

Colombo South Teaching Hospital, LK
About A. M.
Department of Urology
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Abstract

Objective

To identify the clinico-pathological profile of urological malignancies treated in the urology unit of a tertiary care hospital in Sri Lanka.

 

Materials and methods

Data related to all newly diagnosed and histologically confirmed malignancies in a urology unit of a tertiary care hospital in Sri Lanka were recorded prospectively over a period of five years from 1st of January 2011 to 31st of December 2015.

 

Results

There were 386 prostate cancers, 193 bladder tumours, 173 renal tumours, 13 upper urinary tract carcinomas, eight penile cancers, seven testicular malignancies, one urethral carcinoma and two urachal carcinomas during the study period. Gleason score of 8 or more prostate cancers were seen in 164 (42.5%) patients. Metastases were present in 59.8% of patients with prostate cancer. Muscle invasive urothelial cancers constituted 31.4% patients with bladder carcinoma. Primary carcinoma-in-situ of the bladder was seen in only one patient. Average age at diagnosis of renal cell carcinoma was 56.9 years with a male to female ratio of 3.5:1.

 

Conclusion

Renal cancers in Sri Lanka occur at an earlier age than the developed countries. They are diagnosed at an early stage similar to the developed world in contrast to the late diagnosis of prostate and bladder malignancies in Sri Lanka. Most prostate cancers are high grade with a Gleason score of 8 or more. Primary carcinoma-in-situ of bladder is extremely rare in Sri Lanka.
DOI: http://doi.org/10.4038/sljs.v34i4.8313
How to Cite: Sutharshan, K. et al., (2016). Clinicopathological profile of malignancies treated in a urology unit over a period of five years. Sri Lanka Journal of Surgery. 34(4), pp.1–6. DOI: http://doi.org/10.4038/sljs.v34i4.8313
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Published on 31 Dec 2016.
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