Transurethral Ultrasonographic Assessment of Bladder Carcinoma: Its Value and Limitation

Autor:	Nabila E. Metwalli, Mamdouh M. Koraitim, Baher Kamal, Yehia Zaky
Rok vydání:	1995
Předmět:	medicine.medical_specialty Urinary bladder Epithelioma business.industry Urology Pathological staging medicine.medical_treatment medicine.disease Cystectomy Urethra medicine.anatomical_structure medicine Carcinoma Stage (cooking) business Pathological
Zdroj:	Journal of Urology. 154:375-378
ISSN:	1527-3792 0022-5347
DOI:	10.1016/s0022-5347(01)67051-4
Popis:	Purpose: We assess the value and limitation of transurethral ultrasonography in the diagnostic evaluation of bladder carcinoma.Materials and Methods: A total of 115 patients underwent the procedure, either at the same setting as transurethral resection (76) or 2 weeks before radical cystectomy (39). The results were compared with the pathological findings of transurethral and cystectomy specimens.Results: The correlation between transurethral ultrasonography and pathological staging was 100 percent in tumors without muscle invasion (stages Ta and T1), 95.7 percent and 96.8 percent in muscle invasive tumors (stages T2 and T3a, respectively), and 70 percent in tumors with extravesical spread.Conclusions: Transurethral ultrasonography is most valuable in determining the stage of tumor confined to the bladder wall. Also, it is of value in detecting tumors in a diverticulum, and monitoring the distensibility of the bladder wall and transurethral resection of disease. The main limitations are the inabil...
Databáze:	OpenAIRE
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