Nwafor Chukwuemeka Charles, Etuk Emmanuel Benjamin, Obioha Kanu, Udoh Elijah A
Department of Pathology, University of Uyo, Akwa Ibom State, Nigeria.
Department of Surgery, University of Uyo, Akwa Ibom State, Nigeria.
Niger J Surg. 2020 Jul-Dec;26(2):95-98. doi: 10.4103/njs.NJS_48_19. Epub 2020 Jul 27.
The aim of this study is to know the pattern of urine cytology (UC) requests seen in Uyo and how relevant they were to the management of the patients.
This retrospective study was carried out in the Department of Pathology, University of Uyo Teaching Hospital. The extracted data from the cytology registers were analyzed using the Statistical Package for the Social Sciences version 17.
A total of 46 patients did UC during the period. The patients were aged between 21 years and 90 years, with a mean age of 56.89 ± 14.65. Thirty (67.4%) were male. The age group of 60-69 years accounted for most cases (37.8%). Suspicion of bladder cancer was the most common indication as it was seen in 28.9% ( = 13) of cases. Thirty-eight cases (84.4%) were referred from urology clinic, 2 each (4.4%) from general outpatient clinic, general surgery clinic, and from gynecology clinic. In 44.4% ( = 20) of cases, the cytological diagnosis was inflammatory smear, while the UC was normal in 24.4% ( = 11) cases. Malignant cells were seen in 11.1% of ( = 5) cases. Of the 13 cases that the indication was suspected bladder cancer, only four were positive for malignant cells and one was suspicious on UC. No malignant cell or suspicious cell was seen in any of the UC specimens from patients that had prostate cancer, lower urinary tract outlet obstruction with hematuria due to prostatic enlargement.
UC should not be requested for in prostatic diseases since the reports are always negative or at most inflammatory. The department should start using The Paris System of UC reporting to assist the managing physician/surgeon to take the best decision.
本研究旨在了解在乌约市进行尿液细胞学检查（UC）的需求模式，以及它们与患者管理的相关性。
本回顾性研究在乌约大学教学医院病理科进行。从细胞学登记册中提取的数据使用社会科学统计软件包第17版进行分析。
在此期间共有46例患者进行了UC检查。患者年龄在21岁至90岁之间，平均年龄为56.89±14.65岁。30例（67.4%）为男性。60 - 69岁年龄组的病例最多（37.8%）。怀疑膀胱癌是最常见的指征，占病例的28.9%（n = 13）。38例（84.4%）来自泌尿外科门诊，各有2例（4.4%）分别来自普通门诊、普通外科门诊和妇科门诊。44.4%（n = 20）的病例细胞学诊断为炎性涂片，24.4%（n = 11）的病例UC检查正常。11.1%（n = 5）的病例发现恶性细胞。在指征为怀疑膀胱癌的13例病例中，只有4例恶性细胞呈阳性，1例UC检查可疑。在患有前列腺癌、因前列腺增生导致血尿的下尿路出口梗阻患者的任何UC标本中均未发现恶性细胞或可疑细胞。
前列腺疾病不应进行UC检查，因为报告总是阴性或最多为炎性。该科室应开始使用巴黎尿液细胞学报告系统，以协助主治医生/外科医生做出最佳决策。
