Epidemiology of Unconventional Histological Subtypes of Urethral Cancer
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Epidemiology of Unconventional Histological Subtypes of Urethral Cancer. / Wenzel, Mike; Collà Ruvolo, Claudia; Würnschimmel, Christoph; Nocera, Luigi; Hoeh, Benedikt; Tian, Zhe; Saad, Fred; Briganti, Alberto; Tilki, Derya; Banek, Severiné; Mandel, Philipp; Becker, Andreas; Kluth, Luis A; Chun, Felix K H; Karakiewicz, Pierre I.
In: UROL INT, Vol. 107, No. 1, 2023, p. 15-22.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Epidemiology of Unconventional Histological Subtypes of Urethral Cancer
AU - Wenzel, Mike
AU - Collà Ruvolo, Claudia
AU - Würnschimmel, Christoph
AU - Nocera, Luigi
AU - Hoeh, Benedikt
AU - Tian, Zhe
AU - Saad, Fred
AU - Briganti, Alberto
AU - Tilki, Derya
AU - Banek, Severiné
AU - Mandel, Philipp
AU - Becker, Andreas
AU - Kluth, Luis A
AU - Chun, Felix K H
AU - Karakiewicz, Pierre I
N1 - © 2022 The Author(s). Published by S. Karger AG, Basel.
PY - 2023
Y1 - 2023
N2 - INTRODUCTION: The aim of the study was to examine cancer-specific mortality (CSM) of unconventional urethral cancers.METHODS: Within the SEER (2004-2016) database, we analyzed CSM of 165 patients with unconventional urethral-cancer histology. Kaplan-Meier plots were used to test the effect of unconventional histologies in urethral cancer on CSM.RESULTS: Of 165 eligible patients, the Mullerian type accounted for 55 (33.3%) versus melanocytic (26.7%) versus neuroendocrine 25 (15.2%) versus lymphoma 22 (13.3%) versus mesenchymal/sarcoma 15 (9.1%) versus spindle cell 4 (2.1%) patients. Median age at diagnosis was 81 years in spindle cell, 75 in melanocytic, 74 in neuroendocrine and mesenchymal/sarcoma, 67 in lymphoma, and 62 years Mullerian type (p < 0.001). Of all, 116 (70.3%) were female. The Mullerian type exhibited the highest female ratio (96.4%) versus the lowest female ratio in neuroendocrine (24.0%). The Mullerian type was most frequent in African-American females. In Caucasian females, the melanocytic type was most frequent (49.1%). In African-American (38.9%) and Caucasian males (33.3%), neuroendocrine histology was most frequent. Three-year CSM was, respectively, 27.5%, 23.1% 22.3%, 20.5%, and 16.1% for melanocytic, mesenchymal/sarcoma, Mullerian type, neuroendocrine, and lymphoma histology. Median cancer-specific survival was 106 versus 10 months for combined nonmetastatic versus metastatic nonconventional histologies.CONCLUSION: Important age, sex, racial/ethnic group distribution, and survival differences exist between each unconventional urethral-cancer histological subtypes.
AB - INTRODUCTION: The aim of the study was to examine cancer-specific mortality (CSM) of unconventional urethral cancers.METHODS: Within the SEER (2004-2016) database, we analyzed CSM of 165 patients with unconventional urethral-cancer histology. Kaplan-Meier plots were used to test the effect of unconventional histologies in urethral cancer on CSM.RESULTS: Of 165 eligible patients, the Mullerian type accounted for 55 (33.3%) versus melanocytic (26.7%) versus neuroendocrine 25 (15.2%) versus lymphoma 22 (13.3%) versus mesenchymal/sarcoma 15 (9.1%) versus spindle cell 4 (2.1%) patients. Median age at diagnosis was 81 years in spindle cell, 75 in melanocytic, 74 in neuroendocrine and mesenchymal/sarcoma, 67 in lymphoma, and 62 years Mullerian type (p < 0.001). Of all, 116 (70.3%) were female. The Mullerian type exhibited the highest female ratio (96.4%) versus the lowest female ratio in neuroendocrine (24.0%). The Mullerian type was most frequent in African-American females. In Caucasian females, the melanocytic type was most frequent (49.1%). In African-American (38.9%) and Caucasian males (33.3%), neuroendocrine histology was most frequent. Three-year CSM was, respectively, 27.5%, 23.1% 22.3%, 20.5%, and 16.1% for melanocytic, mesenchymal/sarcoma, Mullerian type, neuroendocrine, and lymphoma histology. Median cancer-specific survival was 106 versus 10 months for combined nonmetastatic versus metastatic nonconventional histologies.CONCLUSION: Important age, sex, racial/ethnic group distribution, and survival differences exist between each unconventional urethral-cancer histological subtypes.
KW - Male
KW - Humans
KW - Female
KW - Urethral Neoplasms
KW - SEER Program
KW - Sarcoma/pathology
U2 - 10.1159/000525673
DO - 10.1159/000525673
M3 - SCORING: Journal article
C2 - 35882213
VL - 107
SP - 15
EP - 22
JO - UROL INT
JF - UROL INT
SN - 0042-1138
IS - 1
ER -