Does cystoscopy correlate with the histology of recurrent papillary tumours of the bladder? Academic Article uri icon

Overview

abstract

  • OBJECTIVE: To correlate the cystoscopic appearance of recurrent papillary bladder tumours with the histology after transurethral resection, and thus ascertain whether cystoscopy can reliably identify low-grade, noninvasive papillary tumours suitable for outpatient fulguration. PATIENTS AND METHODS: In all, 150 recurrent papillary tumours of the bladder identified at outpatient flexible cystoscopy were classified as either low-grade and noninvasive (TaG1), high-grade and noninvasive (TaG3), or invasive (TIG3) tumours, and correlated with urine cytology and histology of tumour stage and tumour grade after transurethral resection. RESULTS: Cystoscopy classified 84 of the 150 papillary tumours as TaG1 and 66 as either TaG3 or T1G3. Cystoscopy correctly predicted the histology of 78 of 84 (93%) TaG1 tumours, 71 of 72 (98%) TaG1 tumours associated with a negative urine cytology, and 92% of TaG3 or T1G3 tumours. CONCLUSIONS: A skilled urologist can identify noninvasive, low-grade recurrent papillary bladder tumours on follow-up cystoscopy that do not require biopsy and that may be treated by outpatient fulguration alone.

publication date

  • November 1, 2001

Research

keywords

  • Adenocarcinoma, Papillary
  • Cystoscopy
  • Neoplasm Recurrence, Local
  • Urinary Bladder Neoplasms

Identity

Scopus Document Identifier

  • 0035788611

Digital Object Identifier (DOI)

  • 10.1046/j.1464-4096.2001.02396.x

PubMed ID

  • 11890237

Additional Document Info

volume

  • 88

issue

  • 7