Incidence rates and contemporary trends in primary urethral cancer

  • Purpose: We assessed contemporary incidence rates and trends of primary urethral cancer. Methods: We identified urethral cancer patients within Surveillance, Epidemiology and End Results registry (SEER, 2004–2016). Age-standardized incidence rates per 1,000,000 (ASR) were calculated. Log linear regression analyses were used to compute average annual percent change (AAPC). Results: From 2004 to 2016, 1907 patients with urethral cancer were diagnosed (ASR 1.69; AAPC: -0.98%, p = 0.3). ASR rates were higher in males than in females (2.70 vs. 0.55), respectively and did not change over the time (both p = 0.3). Highest incidence rates were recorded in respectively ≥75 (0.77), 55–74 (0.71) and ≤54 (0.19) years of age categories, in that order. African Americans exhibited highest incidence rate (3.33) followed by Caucasians (1.72), other race groups (1.57) and Hispanics (1.57), in that order. A significant decrease occurred over time in Hispanics, but not in other race groups. In African Americans, male and female sex-stratified incidence rates were higher than in any other race group. Urothelial histological subtype exhibited highest incidence rate (0.92), followed by squamous cell carcinoma (0.41), adenocarcinoma (0.29) and other histologies (0.20). In stage stratified analyses, T1N0M0 stage exhibited highest incidence rate. However, it decreased over time (−3.00%, p = 0.02) in favor of T1-4N1-2M0 stage (+ 2.11%, p = 0.02). Conclusion: Urethral cancer is rare. Its incidence rates are highest in males, elderly patients, African Americans and in urothelial histological subtype. Most urethral cancer cases are T1N0M0, but over time, the incidence of T1N0M0 decreased in favor of T1-4N1-2M0.

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Author:Mike WenzelORCiDGND, Luigi NoceraORCiD, Claudia Collà RuvoloORCiD, Christoph WürnschimmelORCiD, Zhe Tian, Shahrokh F. ShariatORCiDGND, Fred SaadORCiDGND, Alberto BrigantiORCiD, Derya TilkiORCiDGND, Philipp MandelORCiDGND, Andreas BeckerGND, Luis KluthORCiDGND, Felix ChunORCiDGND, Pierre I. Karakiewicz
URN:urn:nbn:de:hebis:30:3-750798
DOI:https://doi.org/10.1007/s10552-021-01416-2
ISSN:1573-7225
Parent Title (English):Cancer Causes & Control
Publisher:Springer Science + Business Media B.V.
Place of publication:Dordrecht [u.a.]
Document Type:Article
Language:English
Date of Publication (online):2021/03/22
Date of first Publication:2021/03/22
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2023/10/13
Tag:Histology; Incidence rate; Race; Region; Time trend; Urethral cancer
Volume:32
Issue:6
Page Number:8
First Page:627
Last Page:634
Note:
Open Access funding enabled and organized by Projekt DEAL.
HeBIS-PPN:514472901
Institutes:Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - CC BY - Namensnennung 4.0 International