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Concurrent Preoperative Presence of Hydronephrosis and Flank Pain Independently Predicts Worse Outcome of Upper Tract Urothelial Carcinoma

Author

Listed:
  • Hsin-Chih Yeh
  • Hau-Chern Jan
  • Wen-Jeng Wu
  • Ching-Chia Li
  • Wei-Ming Li
  • Hung-Lung Ke
  • Shu-Pin Huang
  • Chia-Chu Liu
  • Yung-Chin Lee
  • Sheau-Fang Yang
  • Peir-In Liang
  • Chun-Nung Huang

Abstract

Objectives: To investigate the impact of preoperative hydronephrosis and flank pain on prognosis of patients with upper tract urothelial carcinoma. Methods: In total, 472 patients with upper tract urothelial carcinoma managed by radical nephroureterectomy were included from Kaohsiung Medical University Hospital Healthcare System. Clinicopathological data were collected retrospectively for analysis. The significance of hydronephrosis, especially when combined with flank pain, and other relevant factors on overall and cancer-specific survival were evaluated. Results: Of the 472 patients, 292 (62%) had preoperative hydronephrosis and 121 (26%) presented with flank pain. Preoperative hydronephrosis was significantly associated with age, hematuria, flank pain, tumor location, and pathological tumor stage. Concurrent presence of hydronephrosis and flank pain was a significant predictor of non-organ-confined disease (multivariate-adjusted hazard ratio = 2.10, P = 0.025). Kaplan-Meier analysis showed significantly poorer overall and cancer-specific survival in patients with preoperative hydronephrosis (P = 0.005 and P = 0.026, respectively) and in patients with flank pain (P

Suggested Citation

  • Hsin-Chih Yeh & Hau-Chern Jan & Wen-Jeng Wu & Ching-Chia Li & Wei-Ming Li & Hung-Lung Ke & Shu-Pin Huang & Chia-Chu Liu & Yung-Chin Lee & Sheau-Fang Yang & Peir-In Liang & Chun-Nung Huang, 2015. "Concurrent Preoperative Presence of Hydronephrosis and Flank Pain Independently Predicts Worse Outcome of Upper Tract Urothelial Carcinoma," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-13, October.
    • Handle: RePEc:plo:pone00:0139624
    DOI: 10.1371/journal.pone.0139624
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