International Urology and Nephrology

Mixed sex cord stromal tumor and incidental findings of perineural and intravascular extraparenchymal Leydig cells: a potential diagnostic pitfall

Paravesical aggressive angiomyxoma, a rare cause of pelvic tumor in men

Chronic intermittent self-bladder catheterization with plastic funnel

The association of the decline in glomerular filtration rate with aggressive endometrial cancers

Most site-specific cancer incidence is increased with the decrease of glomerular filtration rate (GFR). We analyzed endometrial cancers depending on different type, staging, and histology grades. We hypothesized that patients with lower GFR levels have an increased risk for higher staging and histology grades of endometrial cancers. Patients were divided into two subgroups regarding GFR; the first group with GFR  60 ml/min and regarding different histology grades and cancer stages. Cancers were also divided by stages (1-4). Patients were followed up during 1 year through regular controls in the outpatient clinic and during that time cancer recurrence was recorded. GFR was the strongest predictor for higher cancer histology grade and higher cancer staging. Patients with reduced GFR had OR for higher histology grade and higher staging of 1.06 and 1.06. Traditional risk factors for endometrial cancer development were not associated with higher histology grade or higher cancer staging. Higher staging and histology grades in patients with endometrial cancers are associated with reduced GFR. Patients with mild-to-moderate CKD had significantly higher number of cancers with higher histology grades and higher stages than patients with mild or normal GFR category. Decline in GFR was independently associated with more aggressive cancers without other well-known risk factors for endometrial cancer development like age, menopause, diabetes, and obesity.

Serous borderline ovarian epithelial type tumor of the testis