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American Journal of Epidemiology Vol. 119, No. 4: 510-515
Copyright © 1984 by The Johns Hopkins University School of Hygiene and Public Health


other

URINARY TRACT INFECTION AND RISK OF BLADDER CANCER

ARLENE F. KANTOR1,4, PATRICIA HARTGE1, ROBERT N. HOOVER1, AMBATI S. NARAYANA2, J. W. SULLIVAN3 and JOSEPH F. FRAUMENI, JR.1

1Environmental Epidemiology Branch, National Cancer Institute Landow Building, room 3C07, Bethesda, MD 20205
2Department of Urology, University of Iowa Hospital and Clinics Iowa City IA
3Department of Urology, Louisiana State University Medical Center New Orleans LA

4Landow Building, room 3C07, Bethesda, MD 20205 (address for reprint requests)

In an epidemiologic study of 2982 bladder carcinoma patients and 5782 population controls from 10 geographic areas of the United States, the role of urinary tract infection and inflammation in the etiology of this neoplasm was evaluated. A history of urinary tract infection significantly elevated the risk of bladder cancer, particularly in individuals who reported three or more infections (relative risk (RR) = 2.0). Significantly increased bladder cancer risk was also found for bladder stones (RR = 1.8), while kidney stones showed no relation. A history of three or more urinary tract infections was strongly related to squamous cell carcinoma in particular (RR = 4.8).

bladder calculi; bladder neoplasms; diabetes mellitus; kidney calculi; urinary tract infections


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