A study of diagnostic accuracy of CT scan in the diagnosis of urinary bladder tumors at tertiary health care centre
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 11
Abstract
Background: Computed tomography (CT) has been the most commonly used imaging technique for evaluation and staging bladder tumours. Overall accuracy of CT staging and lymph node assessment varies in different study series. Aim: To determine the diagnostic accuracy of CT scan in the diagnosis of urinary bladder tumours at tertiary health care centre. Material and Methods: A total of 30 patients already diagnosed and with signs and symptoms suggestive of urinary bladder carcinoma were included in the study. Radiological imaging studies were carried out on all patients. Both plain and contrast enhanced CT scans were obtained. Results: CT could accurately detect 80% perivesical spread of tumour, 67% pelvic side wall and abdominal wall, lymphnode involvement in 85.3 cases, involvement of adjacent organ in 75% cases and distant metastases in 83.4% cases. Conclusion: Overall accuracy of staging of bladder cancer by CT found to be 73.3%, although accuracy in differentiating superficial and deep muscle involvement was poor.
Authors and Affiliations
Paramananda Taye, Anup Kumar
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