STUDY OF PATTERNS OF BLADDER CANCER IN UPPER EGYPT

Abstract

The present study was conducted uppon 259 patients suffering from bladder cancer, 219 patients were bilharzia! and 40 cases were non-bilharzial, in the Urology Department, Assiut University Hospitals, in a period of 1,5 year (from I-I l-1994 to 1-5-1996). The aim of this work is to discuss the clinicopathologic features of bladder cancer in Upper Egypt as well as the current changes in these • features in the recent years.

In bilharzia! patients, the highest incidence was at the sixth decade (thus it is obvious that there is a significant increase in the peak age incidence), while the mean age incidence was 49.5+0.7 years. In non-bilharzia! patients, the highest incidence was at the seventh decade. As regard sex incidence, male predominance is still a striking feature of bilharzia! bladder cancer, the male/female ratio is 8.1: J. In non-bilharzia! series the male/female ratio is 3.4: I. Regarding locality distribution of the patients with bilharzia! bladder cancer, Assiut Govenorate constitutes the main bulk followed by Qena. This can be explained on the basis that the villages of these governorates experienced the perennial irrigation system for long times. As regard occupation, all patients in our series were farmers with past history of bilharzia! infestation. Cystitis syndrom (Frequency and burning micturition) remains the earliest and most common complaint experienced by patients with bilharzia! bladder cancer. We have noticed that the incidence of patients presented with haematuria in our series have been much increased (66.2 %); this may be due to increased percentage of