Uffer Matieu, Jichlinski Patrice
Service d'urologie CHUV, 1011 Lausanne.
Rev Med Suisse. 2010 Dec 8;6(274):2352-4.
White-light cystoscopy and cytology are the standard tools to diagnose bladder cancer. White-light cystoscopy is excellent to detect macroscopic exophytic tumors, but its sensitivity is poor for flat tumors such as carcinoma in situ. Use of fluorescence cystoscopy during transurethral bladder resection improve tumor detection, particulary for carcinoma in situ. Fluorescence cystoscopy reduce residual tumor rate, especially for voluminous and multifocal tumors with consecutive lower recurrence. Fluorescence is now recommended to diagnose and treat bladder cancer.
白光膀胱镜检查和细胞学检查是诊断膀胱癌的标准手段。白光膀胱镜检查在检测肉眼可见的外生性肿瘤方面表现出色，但对原位癌等扁平肿瘤的敏感性较差。在经尿道膀胱切除术期间使用荧光膀胱镜检查可提高肿瘤检测率，尤其是对原位癌。荧光膀胱镜检查可降低残留肿瘤率，特别是对于体积较大和多灶性肿瘤，其复发率也随之降低。目前推荐使用荧光检查来诊断和治疗膀胱癌。
