Esposti P L, Edsmyr F, Tribukait B
Urol Res. 1978;6(4):197-200. doi: 10.1007/BF00262617.
Cytological analyses of bladder washings from 974 patients with disorders of the urinary tract are reported. The cytological findings were compared with the clinical and histological diagnoses. The histological grading of bladder tumours was based on the classification proposed by Bergkvist et al. No false positive diagnosis of malignancy was made in the 320 patients without tumour growth. The five cases with positive cytology had histologically verified carcinoma in situ. The frequency of cytological diagnosis of cancer increased with the histological grade of malignancy in the 428 patients with bladder neoplasm. Carcinoma was graded in smears according mainly to the degree of epithelial atypia. A comparison with the histological grading was attempted. Of 226 cases of bladder carcinoma treated with supervoltage irradiation, 108 had persistence or recurrence of carcinoma. The clinical diagnosis was cytologically confirmed in 92 per cent of these cases.
本文报告了对974例尿路疾病患者膀胱冲洗液的细胞学分析结果。将细胞学检查结果与临床诊断及组织学诊断进行了比较。膀胱肿瘤的组织学分级采用Bergkvist等人提出的分类方法。在320例无肿瘤生长的患者中，未出现恶性肿瘤的假阳性诊断。5例细胞学检查呈阳性的患者经组织学证实为原位癌。在428例膀胱肿瘤患者中，癌症的细胞学诊断频率随恶性肿瘤的组织学分级增加而升高。涂片主要根据上皮细胞异型程度对癌进行分级，并尝试与组织学分级进行比较。在226例接受超高压放射治疗的膀胱癌患者中，108例出现癌持续存在或复发。这些病例中92%的临床诊断经细胞学证实。
