Abstract:
OBJECTIVE:To determine the efficacy of urinary BTA-TRAK as a marker in monitoring superficial transitional cell carcinoma of the bladder and to compare urine cytology with urinary sediment testing. METHODS:700 consecutive determinations using BTA-TRAK to monitor unselected patients that had undergone surgery for transitional cell carcinoma of the bladder were analyzed. Cystoscopy, urinary sediment and urine cytology were performed during follow-up. Urography was performed yearly or when tumor of the upper urinary tract was suspected. (positive cytology or hematuria with no bladder tumor). Cystoscopy was performed a few days after determination of BTA-TRAK and voiding urine cytology and urinary sediment analyses (considered positive when microhematuria was observed) were both requested. RESULTS:Of the 700 determinations, 95 (13.6%) were urothelial carcinomas (93 bladder, 2 upper urinary tract) that had been discovered during patient monitoring. Of the 93 bladder tumors, 39 were Ta (37 TaG1 and 2 TaG2), 29 T1 (4 T1G1, 20 T1G2 and 5 T1G3), 5 Tis and 20 muscle-infiltrating tumors (progression from T2-4 during monitoring). The sensitivity of urine cytology to detect urothelial tumor was 41.1% and the specificity was 97.3%. The urine cytologies were negative in 48.4% and inflammatory in 9.5% of the tumors. The sensitivity was 19% in low grade tumors. The sensitivity of urinary sedimentation testing to detect urothelial tumor (microhematuria) was 40% and the specificity was 96.7%. When associated with pyuria, it was considered to be a urinary infection or urothelial inflammatory condition, which was observed in 10.6% of the cases. Considering the proposed normal reference value for BTA-TRAK (< or = 14 U/ml), we have found a sensitivity of 62.1% and a specificity of 68.4%. A logistic regression model was developed, including BTA-TRAK, urinary sedimentation and cytology, to identify the independent variables that are useful for tumor detection during follow-up of superficial carcinoma of the bladder in this series. The combination of three variables showed an odds ratio of 18.5 (8.9-38.5) for urinary cytology, 11.8 (5.9-23.5) for urinary sedimentation and an odds ratio for BTA-TRAK that did not fall within the equation. CONCLUSIONS:Although overall the sensitivity of BTA-TRAK is higher than that of urine cytology and urinary sedimentation testing, it provides no additional information than that obtained from the combination of urine cytology and urinary sedimentation testing in the detection of tumor recurrence during monitoring for superficial bladder cancer.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Fernández Gómez JM,García Rodríguez J,Escaf Barmadah S,Raigoso P,Rodríguez Martínez JJ,Allende MT,Casasola Chamorro J,Rodríguez Faba O,Martín Benito JL,Regadera Sejas FJsubject
Has Abstractpub_date
2002-01-01 00:00:00pages
41-9issue
1eissn
0004-0614issn
1576-8260journal_volume
55pub_type
杂志文章abstract:OBJECTIVES:To report a new case of renal colic in a patient with crossed renal ectopia and L-shaped kidney, and to perform a bibliographic review. METHODS AND RESULTS:A 33-year-old male patient consulted for abdominal right pain. Ultrasound and CT showed a L-Shaped Kidney with left renal and ureteral stones. These sto...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVES:To report the first case of bladder diverticulectomy in a female patient. METHODS:74-year-old female patient with a two-year history of recurrent lower urinary tract infection and the diagnosis of big bladder diverticulum. A laparoscopic bladder diverticulectomy was performed. RESULTS:Operative time was 90...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142006000800008
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVES:To analyze the influence of the different pre - cystectomy factors, both clinical and pathological, in the follow up of patients with no residual tumor ( pT0) in the pathological examination of the radical cystectomy specimen as predictors of tumor recurrence. Secondly we intend to compare overall survival, ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2014-11-01 00:00:00
abstract::Some common conservative treating methods of urolithiasis are critically discussed. Based on physico-chemical relationships of solubility and cristallisation of stone-forming compounds our own methods of conservative treatment of urolithiasis is presented. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1979-03-01 00:00:00
abstract:OBJECTIVES:To report a case of renal artery embolism. To review the clinical, diagnostic and therapeutic features of this disease interesting for the urologist. METHODS/RESULTS:Case of a 47 year old male with history of cardiovascular disease who presents in the emergency room with left flank pain. Radiological studie...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:To determine the utility of different diagnostic imaging techniques in diverticulum of the urachus and discuss the approach in the incidentally discovered cases such as those detected due to infectious complications. METHODS/RESULTS:We reviewed the literature, with special reference to the diagnostic and the...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVE:To report a case of prostate lymphoma and a brief review of the literature. METHODS/RESULTS:A 70 year-old mele patient was referred to the Urology departament with a clinical picture of prostatism, with acute urinary retention (AUR). Surgery with retropubic prostatectomy was performed, and pathology revealed...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142006000500015
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVES:To present a series of four cases of Gartner cysts and their clinical presentation. A bibliographic review was performed. METHODS:The series consisted of 4 women, mean age 39, who complained of a bulge at the anterior vaginal wall, associated with a variety of urinary symptoms. RESULTS:Surgical removal was...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2014-03-01 00:00:00
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journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142008000900028
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:We report one case of metastatic dissemination of a rectal adenocarcinoma to the prepuce. METHODS:61-year-old patient with the diagnosis of rectal adenocarcinoma treated 18 months before by surgery and chemotherapy. He presents with a painful enlargement of the penis associated with outgrowing erythematous l...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142006000700011
更新日期:2006-09-01 00:00:00
abstract::Papillary transitional cell carcinoma of the bladder (PTCCB) is characterized by a high recurrence rate with infiltration of bladder wall and surrounding tissues. The outcome is poor in 10-20% of the cases and these cannot be detected by conventional methods. Different methods have been utilized to identify this high ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVES:Two additional cases of signet-ring cell adenocarcinoma of the urinary bladder, an uncommon highly malignant tumor type, are described. METHODS/RESULTS:The clinical features, histopathological findings and immunohistochemical study are presented. CONCLUSIONS:Both cases previously had cystic glandular cysti...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVE:Recently, intraoperative floppy-iris syndrome (IFIS) has been related to tamsulosin treatment. This review evaluates the epidemiological evidence of the association of tamsulosin with IFIS and the necessity of a prior ophthalmolo-gic examination in this group of patients. METHOD:Systematic review of the lite...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142008000800008
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVES:To review the pathological criteria used to select patients for active surveillance, the optimization of biopsies and the role of confirmatory biopsy and of the transperineal approach. METHODS:A bibliographic revision of the last years about active surveillance in prostate cancer as well as prostate biopsy,...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2014-06-01 00:00:00
abstract::We report on a 62-year-old female patient who consulted for G.I. tract disorders and was diagnosed as having renal oncocytoma. The rarity of this disease entity prompted us to report on this case, highlighting the malignant course of this tumor type despite its apparently benign features. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1989-04-01 00:00:00
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journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
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journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVES:Upper urinary tract tumors are a rare condition. We review our experience in the diagnosis of upper urinary tract tumors and their recurrences, emphasizing the management of recurrences. METHODS:From January 1980 to June 2002 139 endourological procedures were carried out in 94 patients with the working dia...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVES:To report our experience in the diagnosis and treatment of the lower urinary tract obstruction after urinary incontinence corrective surgery, analysing the different techniques performed, retropubic or vaginal urethrolysis. METHODS:We report a series of 14 patients with the diagnosis of obstruction after in...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVE:To report a case of infected urachal cyst, with special reference to the difficulty in making the diagnosis due to the low incidence of this condition. METHODS/RESULTS:The embryologic origin of the urachus, its anomalies, clinical features, diagnosis and treatment are discussed. CONCLUSION:A high index of s...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract::A case of testicular fibrous pseudotumor is reported with special reference to the site of implantation, in testicular adnexa and tunica albuginea. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
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journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1978-07-01 00:00:00
abstract:OBJECTIVES:To review the ultrasound technique, normal anatomy, bibliography, as well as the most frequent scrotal ultrasound findings in infertile patients studied in our center over the last five years, with special emphasis in the diagnosis of varicocele and its follow-up after surgical treatment or embolization. ME...
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pub_type: 杂志文章,评审
doi:
更新日期:2004-11-01 00:00:00
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journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVES:To remind the most relevant features on the presenting clinical picture, diagnosis and treatment of this disease, which is not uncommon although many times is not suspected. METHODS:We review five cases of female urethra diverticula diagnosed in our department over the last five years. We describe the clini...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:To report an uncommon case of idiopathic calcinosis of the scrotum. METHODS/RESULTS:A case of idiopathic scrotal calcinosis in a 50-year-old male who presented with multiple hard masses in the scrotum is described. Cytological (fine needle aspiration) and histological (biopsy and resection) analyses of these...
journal_title:Archivos espanoles de urologia
pub_type: 历史文章,杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVES:We report 5 new cases of primary psoas abscess in this review. We describe the various pathogen agents involved in the development of this disease, as well as the etiopathogenesis, which is explained by several theories, being the most commonly accepted hematogenous dissemination from a septic focus. In the ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVES:In recent years, different studies have mentioned the recurrence of vesicoureteral reflux (VUR) endoscopically resolved, an exceptional event after open surgery. The aim of this study is to describe the evolution of the cases of recurrence identified in our center to assess the importance of this event. MET...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:In patients with prostate cancer and high-risk pathological factors, adjuvant radiotherapy (ART) has been reported to be superior to observation for local disease control and progressionfree survival. But more than 30% of the patients do not present biochemical relapse (BR) and therefore the ART associated wi...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2018-09-01 00:00:00
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journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142006000100014
更新日期:2006-01-01 00:00:00