“…When additional data from 20 case reports were included for group 1 patients, few (2%) grade 3 tumors were reported but overall still remained predominantly low grade. [15][16][17][18][19][20][21][22][23][24][48][49][50][51][52][53][54][55][56][57] In contrast, Migaldi et al 5 reported in elderly patients (mean, 70.2±8.4 y) incidences for grades 1, 2, and 3 bladder urothelial carcinomas of 13%, 51%, and 36%, respectively. This distribution in elderly patients had fewer grade 1 and as expected had more grade 3/or high-grade tumors when compared with patients in their fourth decades of life only.…”