Research Article

The Value of Preoperative Alpha-L-Fucosidase Levels in Evaluation of Malignancy and Differential Diagnosis of Urothelial Neoplasms

Table 1

Correlations between preoperative AFU levels and clinicopathological parameters.

VariablesNo. of patients (%)AFU levels (U/L, mean ± SD) value

Patients59914.94 ± 4.53

Agea
≤65y30615.30 ± 4.620.100
>65y29314.57 ± 4.40

Sex
Male45515.24 ± 4.610.001
Female14413.99 ± 4.11

Smoking history
Ever22015.42 ± 4.850.049
Never37914.66 ± 4.30

Painless macroscopic hematuria
Yes42915.18 ± 4.340.010
No17014.34 ± 4.92

Tumor number
Single40514.81 ± 4.590.372
Multiple19415.23 ± 4.38

Tumor sizeab
≤2.8 cm30815.11 ± 4.750.229
>2.8 cm29114.77 ± 4.28

WBCa
≤6.25 × 109/L30114.54 ± 4.630.005
>6.25 × 109/L29815.35 ± 4.38

PLTa
≤226 × 109/L30514.68 ± 4.760.100
>226 × 109/L29415.22 ± 4.26

AKPa
≤68 U/L31614.73 ± 4.610.115
>68 U/L28315.19 ± 4.42

LDHa
≤188 U/L30514.57 ± 4.420.021
>188 U/L29415.33 ± 4.61

PFLa
≤3.12 g/L30215.22 ± 4.680.115
>3.12 g/L29714.66 ± 4.36

Pathological characteristics
Papilloma814.56 ± 5.220.803
PUNLMP5614.93 ± 4.67
Pure UC51514.99 ± 4.50

Grade of pure UC
High-grade34014.64 ± 4.100.051
Low-grade17515.67 ± 5.12

Tumor invasion of MUT
Invasive32814.79 ± 4.270.164
Noninvasive11815.38 ± 4.36
Unknown89

Continuous variables are expressed as mediana. Bold values are statistically significant ().PUNLMP papillary urothelial neoplasm of low malignant potential; UC: urothelial cancer; MUT: malignant uroepithelial tumor; WBC: white blood cell; PLT platelet; AKP: alkaline phosphatase; LDH: lactate dehydrogenase; PFL: plasma fibrinogen. : Kruskal–Wallis H-test; : Mann–Whitney U test.