International Journal of Research in Medical Sciences | May 2020 | Vol 8 | Issue 5 Page 1
International Journal of Research in Medical Sciences
Sanni DA et al. Int J Res Med Sci. 2020 May;8(5):xxx-xxx
www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012
Original Research Article
Histopathology of bladder carcinomas: an eight year retrospective
study at Lagos state university teaching hospital, Ikeja, Nigeria
Daniel A. Sanni
1
*, Oluwaseun O. William
1
, Sunday S. Soyemi
1
, Abimbola A. Abolarinwa
2
,
Abiodun O. Popoola
3
INTRODUCTION
Bladder cancer is the 10th most common cancer
worldwide, the 6
th
most commonly occurring cancer in
men and the 17
th
most commonly occurring cancer in
women.
1
There were almost 550,000 new cases and
200,000 deaths globally in 2018.
1
In both sexes, the
highest incidence rates of bladder cancer are observed in
Europe and North America.
2
Bladder cancer is a significant health care burden in
developed countries due to its high incidence rates. It is
estimated that bladder cancer costs €4.9 billion in the
European Union in 2012.
3
Accurate epidemiological data
about the incidence and mortality of bladder cancer are
unavailable for regions with lower development indices.
4
However, the highest mortality rates have been recorded
in Western Asia and Northern Africa.
5,6
Bladder cancer
formed 6.4% of all malignancies seen in Kano in
Northern Nigeria compared to 1.25% in Ibadan, South
west Nigeria.
7,8
The exact causes of bladder cancer are unknown;
however, there are several associated risk factors. These
include environmental factors, such as smoking and
exposure to certain industrial chemicals (aromatic
amines, polycyclic aromatic hydrocarbons and
chlorinated hydrocarbons).
9
Chronic bladder
inflammation due to Schistosomia haematobium
infection, chemotherapeutic agents, analgesic abuse and
1
Department of Pathology and Forensic Medicine,
2
Department of Surgery,
3
Department of Radiology, Lagos State
University Teaching Hospital, Ikeja, Lagos State, Nigeria
Received: 10 March 2020
Accepted: 16 March 2020
*Correspondence:
Dr. Daniel A. Sanni,
E-mail: daniel.sanni@lasucom.edu.ng
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: This study was undertaken to evaluate the histological types, frequency, age and sex distribution of
bladder carcinoma in Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos state. This study aims to
classify bladder carcinoma in this centre according to the World Health Organisation/ International Society of
Urological Pathology.
Methods: An eight-year retrospective study of all bladder carcinomas specimens that were sent to the department of
Pathology and Forensic Medicine, LASUTH between 1st January, 2011 and 31st December, 2018 was done. Relevant
data consisting of the age and sex distributions as well as histopathological types were extracted from the
departmental information system and filed documents. The data was analysed using the IBM-SPSS version 25.0.
Results: There were 87 cases of bladder tumours, out of which 55 (63.2%) were bladder carcinomas. The mean age at
diagnosis of bladder carcinomas was 56.9±13.9 years. Sex distribution has male to female ratio of 1: 1. Urothelial
carcinoma predominates as the most common histological type.
Conclusions: Bladder carcinoma presents most frequently at the 5th decade of life, with a slight male preponderance.
Keywords: Age at diagnosis, Bladder carcinoma, Histological type
DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20201489