[Fluorescent diagnostics of urinary bladder cancer]

Autor: N A, Lopatkin, A A, Kamalov, Iu V, Kudriavtsev, F V, Tokarev
Rok vydání: 2001
Předmět:
Zdroj: Urologiia (Moscow, Russia : 1999). (4)
ISSN: 1728-2985
Popis: Introduction of optic markers in screening for cancer of the urinary bladder (UB) raises diagnostic significance of UB cystoscopy. Application of intravesical form of 5-aminolevulinic acid (5-ALA), precursor of photodynamically active protoporphirine IX, prevents complications in systemic use of tetracycline or hepatoprophirines. Fluorescent cystoscopy with 5-ALA (n = 59) was made in 51 patients treated in the Research Institute of Urology. UB cancer was detected in 32 patients. This procedure proved highly sensitive and specific (97.0 and 75.6%, respectively, being much more effective than standard cystoscopy and biopsy in the white light (85.1 and 81.4%, respectively). Specificity of fluorescent cystoscopy is much higher in detection of tumors and pretumor lesions (88.4%). Fluorescent diagnosis is expected to become a gold standard in the program of UB cancer detection.
Databáze: OpenAIRE