| Description |
The registered cancers of the urinary tract presented 90,308 (8.3 % of all neoplasms) in males and 42,454 (4.1 %) in females in 1959-2007 with relative incidence of 72.8 per 100,000 males and 34.9 per 100,000 females in 2007. Between 1989-2005, their prevalence increased by 245 % in males to 20,753 and by 286 % in females to 11,122 survived. A total of 19,203 multiple cancers of the urinary tract, registered in 1976-2005 in the Czech Cancer Registry, there were 6,278 primary and 7,129 subsequent cases in males, 2,221 primary and 3,575 subsequent in females, of which were 19.9 % multiple cancers of the urinary tract of all their newly registered diseases in males and 17.7 % in females. The number of primary cancers increased from 78 to 192 cases (maximum in 1996-2000), of subsequent from 8 to 1,126 in 2005. Almost 60 % of primary cases in males and 44 % in females, 27 % of subsequent in males and 31 % in females were registered in the age group of 35-64 years. A total of 14 Czech regions were distributed 43 % of all multiplicities in the four regions (Prague, the Northern and Southern Moravia, Plzeň). The primary urinary cancers followed 7,270 other neoplasms (ICD-10:C00-D48) in males and 5,598 in females, of which were 1,672 (23 %) synchronous in males and 530 (21 %) in females. The ratio of synchronous and metachronous cases was 1:3.3 in males and 1:3.8 in females; the average interval between primary and subsequent neoplasm was 5 years in males and 5.5 years in females. The most frequent synchronous were cancers of other urinary, genital, digestive and respiratory tract in males, of other urinary, digestive and genital tract and breasts. A total of 13,407 multiple urinary cencers in males survived nearly 26 % primary and 26 % subsequent, of 5,796 females 31 % primary and 31 % subsequent cases up to October 2007. The medical surveillance and screening is decisive in a view of risk of multiple neoplasms not only in urology.
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