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The role of transcavitary ultrasonography in diagnosis and staging of nonmuscle ınvasive bladder cancer a prospective non randomized clinical study       
Yazarlar (7)
Gultekin Cagri Oktem
Prof. Dr. Ramazan KOCAASLAN Prof. Dr. Ramazan KOCAASLAN
Kars University Faculty Of Medicine, Türkiye
Mert Ali Karadag
Kars University Faculty Of Medicine, Türkiye
Murat Bagcioglu
Kars University Faculty Of Medicine, Türkiye
Aslan Demir
Kars University Faculty Of Medicine, Türkiye
Kursat Cecen
Kars University Faculty Of Medicine, Türkiye
Erdinc Unluer
Kars University Faculty Of Medicine, Türkiye
Devamını Göster
Özet
To evaluate the efficacy of cystoscopy, computed tomography (CT), transcavitary ultrasound (TCUS) and cytology, separately and in combination, for the diagnosis and evaluation of superficial bladder cancer. Initial cystoscopy and wash-out cytology were performed for 1548 patients. Of these, 206 with proven bladder tumors were included in this prospective study. CT and TCUS were performed for patients with bladder tumors without knowledge of their cystoscopy results. The lesions were classified as low- (pTa) and high- (pT1) risk superficial tumors according to multiplicity and size. Patients were divided into three categories according to their cystoscopically evaluated tumor size: ≤1 cm (88 patients, 42.7%), 1-3 cm (51 patients, 24.8%) and ≥3 cm (67 patients, 32.5%). TCUS identified 46 (22.3%) high-risk patients with/without invasion and 160 (77.7%) low-risk patients with no invasion. Overall, the sensitivity, specificity, positive predictive value and negative predictive value of TCUS for tumor detection were 77.4%, 60%, 94.7% and 22.2%, respectively. Cystoscopy remains the most widely used technique for the diagnosis of bladder cancer. The combined use of CT, TCUS and cytology detected 72% of cystoscopically proven tumors. Among the three, TCUS findings exhibited the strongest correlation with cystoscopy findings.
Anahtar Kelimeler
Nonmuscle-invasive bladder cancer | Cystoscopy | Computed tomography | Transrectal ultrasound
Makale Türü Açık Erişim Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Springerplus
Dergi ISSN 2193-1801 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 09-2014
Cilt No 3
Sayı 1
Sayfalar 519 / 0
Doi Numarası 10.1186/2193-1801-3-519
Makale Linki http://www.springerplus.com/content/3/1/519