Document Detail


Urine cytology as a screening test for bladder infiltration in cervical cancer.
MedLine Citation:
PMID:  16884370     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ultrasound is currently used as a screening test for bladder infiltration in patients with advanced-stage cervical cancer at our institution. Cystoscopy is reserved for patients with abnormal bladder ultrasound findings. This study was undertaken to reevaluate this policy and to compare the results of different screening tests. The study was carried out in Pretoria academic complex. All newly diagnosed cervical carcinoma patients stage II and above were included in this study. The standard staging investigations were done on all patients. In addition, urine midstream and catheter specimens were sent for cytology. Cystoscopy and biopsy were performed on all patients. Two hundred twenty-eight patients were enrolled into this study. At cystoscopy, 47 patients had bladder mucosa suspicious of malignant infiltration, of which 17 had bladder mucosa infiltration diagnosed on histology. Urine catheter cytology has a sensitivity of 94% and specificity of 82% for bladder mucosa infiltration. The predictive value of a positive test is 31% and for a negative test is 99%. Catheter urine cytology is a very useful screening test for bladder infiltration in patients with cervical cancer. Cystoscopy should be reserved for patients with abnormal urine cytology in resource-poor settings with a large burden of disease.
Authors:
L C Snyman; B A Zondagh; G Dreyer; B G Lindeque; M Louw
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of gynecological cancer : official journal of the International Gynecological Cancer Society     Volume:  16     ISSN:  1048-891X     ISO Abbreviation:  Int. J. Gynecol. Cancer     Publication Date:    2006 Jul-Aug
Date Detail:
Created Date:  2006-08-03     Completed Date:  2006-12-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111626     Medline TA:  Int J Gynecol Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1587-90     Citation Subset:  IM    
Affiliation:
Gynaecological Oncology Unit, Department of Obstetrics and Gynaecology and Department of Anatomical Pathology, University of Pretoria, South Africa. leon.snyman@up.ac.za
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MeSH Terms
Descriptor/Qualifier:
Biopsy
Cystoscopy
False Positive Reactions
Female
Humans
Mass Screening / methods*
Predictive Value of Tests
Prospective Studies
Sensitivity and Specificity
Urinary Bladder / pathology*
Urinary Bladder Neoplasms / diagnosis*
Urine / cytology*
Uterine Cervical Neoplasms / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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