Open AccessCombined urine Cytology and Cystoscopy can detect recurrence of superficial transitional cell carcinoma of the urinary bladder.
Author(s) -
Mohammad Shafiqur Rahman,
Asm Azizur Rahman Siddique,
Mohammad Saiful Islam,
Faika Farah Ahmed
Publication year - 2019
Publication title -
bangabandhu sheikh mujib medical university journal
Language(s) - English
Resource type - Journals
eISSN - 2224-7750
pISSN - 2074-2908
DOI - 10.3329/bsmmuj.v12i1.38821
Subject(s) - cystoscopy , urine cytology , medicine , cytology , urology , transitional cell carcinoma , biopsy , urine , urinary bladder , urinary system , bladder cancer , radiology , pathology , cancer
The study was aimed to evaluate the accuracy of combined urine cytology and cystoscopy for the detection of recurrence of superficial transitional cell carcinoma of the urinary bladder without bladder biopsy. Total 60 patients of superficial TCC of urinary bladder were selected of these 48 were male and 12 were female with age were between 41 to 80 years (mean age- 63.15 years).Urine cytology was done for all patients .Then cystoscopy done with targeted biopsy taken from any apparently visible growth in the bladder and systematic biopsy were taken where there was no growth. Reports of the cytology and cystoscopy were compared with the histopathology reports.It was found that 18 patients were cytology positive (false positive 2) and 42 patients were cytology negative (false negative 10) with sensitivity 61.5% and specificity 94%. During cystoscopy 24 patients were found recurrent growth in the bladder (false positive 3) and 36 patients were negative (false negative 5) with sensitivity 80.7% and specificity 91%. But when combined urine cytology and cystoscopic findings evaluated, the sensitivity and specificity were found 100% and 91% respectively.So, combined urine cytology and cystoscopy can be used for the detection of recurrence of superficial TCC. Key Ward- Urine Cytology, Cystoscopy, Bladder Biopsy