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Abstract Bladder cancer (BC) is the most common malignancy affecting the urinary tract. Urothelial carcinoma is the most prevalent histologic type of urinary bladder cancers. It is the fourth most common cancer in men and the ninth most common in women worldwide. In Gharbia government (as an indicator for rates in Egypt), bladder cancer ranks the third (8.7%) in both sexes being the second in males (13.6%) and the seventh (3.6%) in females. It is at least three times more common in males than females. Excessive exposure to carcinogens, such as cigarette smoke and industrial chemicals, has been suggested to be a cause of higher incidence of bladder cancer in men. However, after controlling of these carcinogenic factors, men still have a substantially higher risk of bladder cancer than women suggesting the role of sex hormones in initiation and progression of bladder cancer. Per patient, the cost of bladder cancer management is the highest among all tumors and the management of bladder cancer has remained essentially unchanged, with no new efficient treatment options approved over the past few decades, so it represents an area of a great need for medical development and research. Data from animal and human studies suggested the role of sex steroids in the physiological functions of lower urinary tract and in urothelial carcinoma initiation and progression. The aim of the current work was to study the immunohistochemical expression of (AR) and (ERβ) in urothelial carcinoma and correlate their expression with the known prognostic parameters of urothelial carcinoma to illustrate their prognostic role. |