Vera-Donoso C D, Llopis B, Oliver F, Server G, Alonso M, Jimenez-Cruz J F
Service of Urology, La Fe Hospital, Valencia, Spain.
Eur Urol. 1990;17(1):17-9. doi: 10.1159/000463991.
To study the efficacy, specificity and sensitivity of ultrasonography, cytology and phospholipid/fatty acid quotient (PL/FA) in the detection of recurrences in patients with superficial bladder cancer we performed these three examinations simultaneously with cystoscopy. In over 405 cystoscopies, 348 were negative and 57 were positive for tumor. Sensitivity, the most important parameter, was 73% for the three examinations together. Each method separately had the following sensitivity: ultrasound 26%; cytology 14%, and PL/FA 47%. Considering that there were only 15 false-negatives, with this follow-up scheme we save the patient from a lot of cystoscopies, avoiding their inherent morbidity.
为研究超声检查、细胞学检查及磷脂/脂肪酸比值（PL/FA）检测浅表性膀胱癌患者复发情况的疗效、特异性和敏感性，我们将这三项检查与膀胱镜检查同时进行。在405余次膀胱镜检查中，348次检查结果为阴性，57次检查发现肿瘤呈阳性。作为最重要的参数，三项检查综合起来的敏感性为73%。每种方法单独的敏感性如下：超声检查为26%；细胞学检查为14%，PL/FA为47%。鉴于仅有15例假阴性结果，采用这种随访方案可使患者避免许多膀胱镜检查，避免其固有的发病率。
