Abdulla Y Altimari
MB.ChB, FICMS, Urology specialist, Dept. of Surgery, College of Medicine, University of Basrah, Iraq.
Bladder carcinoma is one of the most common cancers of the genitourinary tract. It can affect
any age and it has been debated whether young patients have a better prognosis than their
counter part.
One hundred and six patients diagnosed as carcinoma of the bladder within two years period
were classified according to age to 3 groups, below 50, 50-65 and above 65 years old.
Comparison was made between the 3 groups in terms of the type, size, stage, grade, and the
type of treatments used.
The average age of the patients was 58 years. Female patients increased with advancing age.
89.5% of the tumors were transitional cell type and there were no differences between the three
groups regarding the histopathological type. There was highly significant differences between
the 3 groups regarding the stage, the grade and the size of the tumors with low stages and
grades and small tumors sizes detected in younger patients. The majority of younger patients
treated with transuretheral resections (TUR) plus intravesical therapy, while the majority of the
older patients treated with TUR plus radiotherapy.
Carcinoma of the bladder is not uncommon in young age group, and a higher percentage of
tumors affecting young age patients in comparison with other populations. Tumors affecting
younger age patients are of lower stage, grade and tumor size at time of presentation.