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Table 5 Comparison in patients with renal pelvis tumor only and with ureteral tumor only

From: Comparison of clinicopathologic characteristics, epigenetic biomarkers and prognosis between renal pelvic and ureteral tumors in upper tract urothelial carcinoma

 

Location

Comparison between three groups

Comparison after excluding cases in both locations

All

Renal pelvis only

Ureter only

Both locations

Chi-square or Z

p value

Chi-square or Z

p value

Patients, no. (%)

612 (100)

304 (49.7)

267 (43.6)

41 (6.7)

    

Pre-operative characteristic

 Gender, no. (%)

    

1.595

0.450

0.495

0.501

  Male

340 (55.6)

163 (53.6)

151 (56.6)

26 (63.4)

    

  Female

272 (44.4)

141 (46.4)

116 (43.4)

15 (36.6)

    

 Age, no. (%)

    

5.554

0.062

5.391

0.023*

  <70

340 (55.6)

182 (59.9)

134 (50.2)

24 (58.5)

    

   ≥ 70

272 (44.4)

122 (40.1)

133 (49.8)

17 (41.5)

    

 Age, mean ± SD

 

65.09 ± 11.32

68.12 ± 10.22

66.52 ± 10.79

11.059

0.004*

−3.298

0.001*

 Previous or concomitant bladder cancer, no. (%)

    

31.791

< 0.001*

8.721

0.004*

  Absent

545 (89.1)

286 (94.1)

232 (86.9)

27 (65.9)

    

  Present

67 (10.9)

18 (5.9)

35 (13.1)

14 (34.1)

    

 Initial complaint, no. (%)

    

23.992

< 0.001*

23.745

< 0.001*

  Absent

84 (13.7)

22 (7.2)

57 (21.3)

5 (12.2)

    

  Present

528 (86.3)

282 (92.8)

210 (78.7)

36 (87.8)

    

 Gross hematuria, no. (%)

    

66.717

< 0.001*

65.579

< 0.001*

  Absent

148 (24.2)

33 (10.9)

107 (40.1)

8 (19.5)

    

  Present

464 (75.8)

271 (89.1)

160 (59.9)

33 (80.5)

    

 Preoperative renal function, no. (%)

    

39.081

< 0.001*

29.841

< 0.001*

  End-stage CKD (eGFR<15)

34 (5.6)

21 (6.9)

10 (3.7)

3 (7.3)

    

  Moderate CKD (60>eGFR≥15)

198 (32.4)

64 (21.1)

112 (41.9)

22 (53.7)

    

  Early CKD (eGFR≥60)

378 (61.8)

218 (71.7)

144 (53.9)

16 (39.0)

    

 eGFR, mean ± SD

 

71.30 ± 29.38

62.63 ± 22.32

55.80 ± 31.99

34.160

< 0.001*

−5.108

< 0.001*

 Hydronephrosis, no. (%)

    

156.085

< 0.001*

151.247

< 0.001*

  Absent

273 (44.6)

212 (69.7)

49 (18.4)

12 (29.3)

    

  Present

339 (55.4)

92 (30.3)

218 (81.6)

29 (70.7)

    

 Multifocality, no. (%)

    

156.779

< 0.001*

10.618

< 0.001*

  Single

472 (77.1)

266 (87.5)

206 (77.2)

0

    

  Multiple

140 (22.9)

38 (12.5)

61 (22.8)

41 (100)

    

Pathological outcomes

 Architecture, no. (%)

    

39.792

< 0.001*

39.811

< 0.001*

  Papillary

479 (78.3)

269 (88.5)

178 (66.7)

32 (78.0)

    

  Sessile

133 (21.7)

35 (12.5)

89 (33.3)

9 (22.0)

    

 Tumor stage, no. (%)

    

0.160

0.923

0.155

0.723

  Ta-T1

206 (33.7)

100 (32.9)

92 (34.5)

14 (34.1)

    

  T2–4

406 (66.3)

204 (67.1)

175 (65.5)

27 (65.9)

    

 Tumor grade, no. (%)

    

30.572

< 0.001*

28.242

< 0.001*

  G1

19 (3.1)

4 (1.3)

15 (5.6)

0

    

  G2

334 (54.6)

214 (70.4)

115 (43.1)

25 (61.0)

    

  G3

259 (42.3)

106 (34.9)

137 (51.3)

16 (39.0)

    

 Lymph node status, no. (%)

    

3.772

0.152

3.769

0.064

  N0 or Nx

571 (93.3)

278 (91.4)

255 (95.5)

38 (92.7)

    

  N+

41 (6.7)

26 (8.6)

12 (4.5)

3 (7.3)

    

 Non-organ-confined disease, no. (%)

    

10.339

0.006*

9.592

0.002*

  No

412 (67.3)

186 (61.2)

196 (73.4)

30 (73.2)

    

  Yes

200 (32.7)

118 (38.8)

71 (26.6)

11 (26.8)

    

 Tumor size, mean ± SD

 

3.56 ± 1.94

3.25 ± 2.40

3.89 ± 3.39

13.014

0.001*

−3.695

< 0.001*

 Methylation status

        

 TMEFF2, no. (%)

    

6.972

0.031*

6.481

0.011*

  Unmethylated

346 (56.5)

158 (52.0)

167 (62.5)

21 (51.2)

    

  Methylated

266 (43.5)

146 (48.0)

100 (37.5)

20 (48.8)

    

 HSPA2, no. (%)

    

3.398

0.183

3.064

0.089

  Unmethylated

355 (58.0)

167 (54.9)

166 (62.2)

22 (53.7)

    

  Methylated

257 (42.0)

137 (45.1)

101 (37.8)

19 (46.3)

    

 GDF15, no. (%)

    

56.507

< 0.001*

56.310

< 0.001*

  Unmethylated

304 (49.7)

107 (35.2)

178 (66.7)

19 (46.3)

    

  Methylated

308 (50.3)

197 (64.8)

89 (33.3)

22 (53.7)

    

 RASSF1A, no. (%)

    

22.562

< 0.001*

22.341

< 0.001*

  Unmethylated

448 (73.2)

197 (64.8)

220 (82.4)

31 (75.6)

    

  Methylated

164 (26.8)

107 (35.2)

47 (17.6)

10 (24.4)

    

 SALL3, no. (%)

    

9.797

0.007*

6.982

0.010*

  Unmethylated

403 (65.8)

188 (61.8)

193 (72.3)

22 (53.7)

    

  Methylated

209 (34.2)

116 (38.2)

74 (27.7)

19 (46.3)

    

 VIM, no. (%)

    

3.367

0.186

1.819

0.192

  Unmethylated

219 (35.8)

103 (33.9)

105 (39.3)

11 (26.8)

    

  Methylated

393 (64.2)

201 (66.1)

162 (60.7)

30 (73.2)

    

 ABCC6, no. (%)

    

6.282

0.043*

6.119

0.016*

  Unmethylated

523 (85.5)

250 (82.2)

239 (89.5)

34 (82.9)

    

  Methylated

89 (14.5)

54 (17.8)

28 (10.5)

7 (17.1)

    

 CDH1, no. (%)

    

1.054

0.590

0.116

0.809

  Unmethylated

524 (85.6)

260 (85.5)

231 (86.5)

33 (80.5)

    

  Methylated

88 (14.4)

44 (14.5)

36 (13.5)

8 (19.5)

    

 THBS1, no. (%)

    

1.041

0.594

0.096

0.772

  Unmethylated

457 (74.7)

230 (75.7)

199 (74.5)

28 (68.3)

    

  Methylated

155 (25.3)

74 (24.3)

68 (25.5)

13 (31.7)

    

 BRCA1, no. (%)

    

2.219

0.330

0.863

0.375

  Unmethylated

504 (82.4)

256 (84.2)

217 (81.3)

31 (75.6)

    

  Methylated

108 (17.6)

48 (15.8)

50 (18.7)

10 (24.4)

    

 Presence of hypermethylation in any gene, no. (%)

    

8.739

0.013*

8.537

0.004*

  Unmethylated

70 (11.4)

24 (7.9)

42 (15.7)

4 (9.8)

    

  Methylated

542 (88.6)

28 (92.1)

225 (84.3)

37 (90.2)

    

 Mean methylated genes

 

3.70 ± 2.33

2.83 ± 2.18

3.85 ± 2.35

21.900

< 0.001*

−4.431

< 0.001*

 Number of methylated genes, no. (%)

    

20.046

< 0.001*

16.108

< 0.001*

  0–2

254 (41.5)

108 (35.5)

135 (50.6)

11 (26.8)

    

  3–5

243 (39.7)

126 (41.4)

97 (36.3)

20 (48.8)

    

  6–10

115 (18.8)

70 (23.0)

35 (13.1)

10 (24.4)

    

Prognostic outcomes

aOverall mortality, no. (%)

    

0.059

0.011*

4.547

0.033*

  Survive

379 (66.4)

210 (69.1)

169 (63.3)

23 (56.1)

    

  Death

192

94 (30.9)

98 (36.7)

18 (43.9)

    

aCancer-specific mortality, no. (%)

    

0.059

0.011*

4.547

0.033*

  Survive

425 (69.4)

223 (73.4)

178 (66.7)

34 (58.5)

    

  Death

187 (30.6)

81 (26.6)

89 (33.3)

17 (41.5)

    

aIntravesical recurrence, no. (%)

    

6.131

0.047*

2.879

0.090

  No recurrence

438 (71.6)

228 (75.0)

185 (69.3)

25 (61.0)

    

  Recurrence

174 (28.4)

76 (25.0)

82 (30.7)

16 (39.0)

    

aContralateral recurrence, no. (%)

    

6.668

0.036*

0.610

0.435

  No recurrence

580 (94.8)

291 (95.7)

253 (94.8)

41 (87.8)

    

  Recurrence

32 (5.2)

13 (4.3)

14 (5.2)

5 (12.2)

    
  1. CKD chronic kidney disease, eGFR estimated glomerular filtration rate, SD standard deviation
  2. *Statistically significant
  3. aLog-rank test was used