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尿路上皮移行细胞癌诊断与随访中的细胞学检查:病例系列综述

Cytology in the diagnosis and followup of transitional cell carcinoma of the urothelium: a review with a case series.

作者信息

Lewis R W, Jackson A C, Murphy W M, Leblanc G A, Meehan W L

出版信息

J Urol. 1976 Jul;116(1):43-6. doi: 10.1016/s0022-5347(17)58666-8.

DOI:10.1016/s0022-5347(17)58666-8
PMID:933287
Abstract

Acceptance of the value of urinary cytology in transitional cell carcinoma has been mixed. Over-all accuracy is only fair to good and the results in mass screening are poor. However, cytology can be valuable in the serial evaluation of selected patients by the collection of multiple specimens. It is an important adjunct in upper tract lesions, in carcinoma in situ and in the evaluation of the patient with unexplained hematuria. Herein we analyze patients with transitional cell carcinoma of the urothelium with special reference to the use of cytology irrigation specimens from the bladder and the renal pelvis as an initial diagnostic tool and as an adjunctive technique for the evaluation of recurrence.

摘要

尿细胞学检查在移行细胞癌中的价值认可度不一。总体准确率仅为尚可到良好,在大规模筛查中的结果不佳。然而,通过采集多个标本,细胞学检查在对特定患者的系列评估中可能具有价值。在上尿路病变、原位癌以及对不明原因血尿患者的评估中,它是一项重要的辅助检查。在此,我们分析了尿路上皮移行细胞癌患者,特别提及了使用来自膀胱和肾盂的细胞学冲洗标本作为初始诊断工具以及作为评估复发的辅助技术。

相似文献

1
Cytology in the diagnosis and followup of transitional cell carcinoma of the urothelium: a review with a case series.尿路上皮移行细胞癌诊断与随访中的细胞学检查:病例系列综述
J Urol. 1976 Jul;116(1):43-6. doi: 10.1016/s0022-5347(17)58666-8.
2
Endoscopic brush cytology of the upper urinary tract. Evaluation of its efficacy and potential limitations in diagnosis.上尿路的内镜刷检细胞学检查。评估其在诊断中的有效性和潜在局限性。
Acta Cytol. 1997 Mar-Apr;41(2):377-84. doi: 10.1159/000332528.
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Surveillance of upper urinary tract transitional cell carcinoma: the role of ureteroscopy, retrograde pyelography, cytology and urinalysis.上尿路移行细胞癌的监测:输尿管镜检查、逆行肾盂造影、细胞学检查及尿液分析的作用
J Urol. 2000 Dec;164(6):1901-4. doi: 10.1016/s0022-5347(05)66913-3.
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Significance of urinary cytology in the early detection of transitional cell cancer of the upper urinary tract.尿细胞学检查在上尿路移行细胞癌早期检测中的意义。
J Urol. 1976 Dec;116(6):781-3. doi: 10.1016/s0022-5347(17)59010-2.
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Urine cytology and primary carcinoma of the renal pelvis and ureter.尿液细胞学检查与肾盂及输尿管原发性癌
Aust N Z J Surg. 1972 Feb;41(3):230-6.
6
Transitional carcinoma of the upper urinary tract: a histological and cytopathological study.上尿路移行细胞癌:一项组织学和细胞病理学研究
J Clin Pathol. 1986 Mar;39(3):297-305. doi: 10.1136/jcp.39.3.297.
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[Urinary BTA-TRAK in the follow-up of superficial transitional-cell bladder carcinoma].[尿BTA-TRAK在浅表性移行细胞膀胱癌随访中的应用]
Arch Esp Urol. 2002 Jan-Feb;55(1):41-9.
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[Diagnostic procedures in upper urinary tract urothelial carcinoma].[上尿路尿路上皮癌的诊断程序]
Urologe A. 2008 Nov;47(11):1487-96. doi: 10.1007/s00120-008-1893-0.
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The value of upper tract cytology after transurethral resection of bladder tumor in patients with bladder transitional cell cancer.膀胱移行细胞癌患者经尿道膀胱肿瘤切除术后上尿路细胞学检查的价值。
J Urol. 1999 Jan;161(1):77-9; discussion 79-80.
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Voided urine versus bladder washing cytology for detection of urothelial carcinoma: which is better?用于检测尿路上皮癌的排尿尿液与膀胱冲洗细胞学检查:哪种更好?
Scand J Urol. 2017 Aug;51(4):290-292. doi: 10.1080/21681805.2017.1310130. Epub 2017 Apr 11.

引用本文的文献

1
The role of collecting bladder wash fluid before biopsy procedure to help the cytological diagnosis of residual tumor.活检前收集膀胱冲洗液对残余肿瘤细胞学诊断的作用。
J Cytol. 2015 Apr-Jun;32(2):85-9. doi: 10.4103/0970-9371.160549.
2
The clinical value of urinary cytology: 12 years of experience with 615 patients.尿细胞学检查的临床价值:615例患者的12年经验
J Clin Pathol. 1995 Apr;48(4):314-7. doi: 10.1136/jcp.48.4.314.
3
Transitional carcinoma of the upper urinary tract: a histological and cytopathological study.上尿路移行细胞癌:一项组织学和细胞病理学研究
J Clin Pathol. 1986 Mar;39(3):297-305. doi: 10.1136/jcp.39.3.297.