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Urinary bladder cancer as a late sequela of traumatic spinal cord injury

Military Medical Research 2022年第1期9卷 21-31页

作者： Ralf Bthig Christian Tiburtius Wolfgang Schps Michael Zellner Oliver Balzer Birgitt Kowald Sven Hirschfeld Roland Thietje Aki Pietsch Ines Kurze Martin Forchert Thura Kadhum Klaus Golka Department of Neuro-Urology Centre for Spinal Cord InjuriesBG Klinikum Hamburg21033 HamburgGermany Urological Practice 53757 Sankt AugustinGermany Department of Urology and NeuroUrology Johannesbad Fachklinik94072 Bad FussingGermany Biomechanical Laboratory Centre for Spinal Cord InjuriesBG Klinikum Hamburg21033 HamburgGermany Centre for Spinal Cord Injuries BG Klinikum Hamburg21033 HamburgGermany Department of Sports and Rehabilitation Medicine BG Klinikum Hamburg21033 HamburgGermany Department of Paraplegiology and Neuro-Urology Centre for Spinal Cord InjuriesZentralklinik Bad Berka Berka99437 Bad BerkaGermany Staff Position Accident Insurance Law Statutory Accident Insurance for Wood and Metal(BGHM)33602 BielefeldGermany Department of Psychosomatic Rehabilitation Mittelrheinklinik Fachklinik56154 Boppard-Bad SalzigGermany Clinical Occupational Medicine Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund(IfADo)44139 Bothig et al.Mil Med Res 2021

Background:Traumatic spinal cord injury(SCI)is also a combat-related injury that is increasing in modern *** aim of this work is to inform medical experts regarding the different course of bladder cancer in able-bodied patients compared with SCI patients based on the latest medical scientific knowledge,and to present decision-making aids for the assessment of bladder cancer as a late sequela of traumatic ***:A study conducted between January 1998 and December 2019 in the BG Trauma Hospital Hamburg formed the basis for the decision-making *** bladder cancer was diagnosed in 40 out of 7396 treated outpatient and inpatient SCI *** patient information,latency period,age at initial diagnosis,type of bladder management and survival of SCI patients with bladder cancer were collected and analysed.T category,grading and tumor entity in these patients were compared with those in the general *** bladder cancer risk factors in SCI patients were ***,relevant published literature was taken into ***:Initial diagnosis of urinary bladder cancer in SCI patients occurs at a mean age of 56.4 years(SD±10.7 years),i.e.,approximately 20 years earlier as compared with the general *** bladder cancers are significantly more frequently muscle invasive(i.e.,T category≥T2)and present a higher grade at initial ***,SCI patients show a significantly higher proportion of the more aggressive squamous cell carcinoma than that of the general population in areas not endemic for the tropical disease ***,the survival time is extremely unfavourable.A very important finding,for practical reasons is that,in the Hamburg study as well as in the literature,urinary bladder cancer is more frequently observed after 10 years or more of *** on these findings,a matrix was compiled where the various influencing factors,either for or against the recognition of an associ

关键词： Traumatic spinal cord injury Neurogenic bladder Transitional cell carcinoma Squamous cell carcinoma Survival time battlefield injury Medical assessment

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