Detection of Urological malignancies using urine cytology as a basic diagnostic tool – A study on 54 patients
Journal Title: Perspectives In Medical Research - Year 2016, Vol 4, Issue 1
Abstract
Background: Bladder cancer is the fourth most common cancer in men and the tenth most common cancer in women. There are approximately 50,000 new cases and 10,000 deaths from urothelial carcinoma each year. Cigarette smoking is believed to contribute to upto 50% of the diagnosed urothelial cancers in men and 40% in women. Bladder tumors classically produce painless hematuria. The importance of urinary cytology in the detection and follow up of patients with urothelial carcinoma has become well established in recent years.Individuals with a positive cytology but a negative evaluation have a higher risk of developing macroscopic lesions Aim of the Study: The present study aims to detect atypical cells/urological malignancies using urinary cytology as a basic diagnostic tool and also classifying lesions using five-category cytological classification Material and Methods:A total of 54 cases were included in this study. 67 Urine samples from all the 54 cases were categorized on the basis of the guidelines of the “Five-category cytological classification”. The cases were identified on the basis of clinical features i.e hematuria, frequency, urgency, dysuria or past history of bladder tumor. The criteria for inclusion in our study was either a positive urine cytology with a subsequent positive / negative biopsy or positive / negative urine cytology followed by a subsequent biopsy, positive for malignancy. Results: A total of 67 urine samples were received from 54 patients. Majority i.e 94%of the specimens were voided urine samples. 67 Urine samples from all the 54 cases were categorized on the basis of the guidelines of the “Five-category cytological classification”. Out of 67 urine specimens from 54 patients, 16 were categorized as Negative (Neg) and 51 were categorized as positive for atypical or suspicious cells. Conclusion: Urinary cytology is the first simple, easy and non-invasive method with good overall median specificity of 99% and acceptable overall median sensitivity of 34% (20-53%) to detect bladder cancer.
Authors and Affiliations
Kandukuri Mahesh Kumar
Keywords
Related Articles
- EP ID EP299178
- DOI -
- Views 112
- Downloads 0
Correlation between coronary artery calcium and coronary artery stenosis using a 128 slice CT scanner
Purpose:The purpose of this study was to examine the association between Coronary Artery Calcium (CAC) and Coronary Artery Disease (CAD); correlation between Coronary Artery Calcium Score (CACS) and Severity of Coronary...
Kimura’s Disease As Diagnostic Dilemma
Introduction: Kimura’s disease is a chronic inflammatory disease of unknown aetiology. The classical triad includes painless subcutaneous mass in head and neck, eosinophilia and elevated serum immunoglobulin levels. Kimu...
A study of Bacterial Vaginonsis and its association with preterm labor and fetal outcome
Introduction:Bacterial vaginosis (BV) affects 6–32% of pregnant women. BV is a risk factor for Preterm delivery and is also associated with peripartum complications such as Preterm premature rupture of membranes (PPROM),...
Rifampicin induced Thrombocytopenic Purpura
Objective: Thrombocytopenia is defined as a reduction in the peripheral blood platelet count below the lower limit of normal range.Thrombocytopenia is associated with abnormal bleeding that includes spontaneous sin purpu...
Primary Leiomyosarcoma of Breast
Primary leiomyosarcoma of breast is an extremely rare form of breast cancer with an unpredictable biological behavior, and usually presents as a slow growing mass in a middle to old age women. Surgical resection with wid...