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- Title
Der Wert von Mikrohämaturie, Harnzytologie, TPA und Neopterin in der Nachsorge von Blasentumorpatienten.
- Authors
Mack, D.; Scheiber, K.; Rauschmeier, H.; Hamberger, L.; Jakse, G.
- Abstract
Tumor recurrences were observed 70 times in 715 cystoscopies performed in 253 patients. The sensitivity of microhematuria to detect a tumor recurrence was 61%, the specificity 84%. The sensitivity of microhematuria increased to 90% in Tis and T2 tumors. Urine cytology showed a specificity of 100% and a sensitivity of only 43%. The specificity and sensitivity of TPA was only 58% and 41%, respectively, the latter increased to 80% in Tis. 60 patients with proven tumor recurrence showed an increase of neopterine with higher tumor stage. In tumors of stage T2 and Tis serum neopterine was raised in 90% and urine neopterine in 75%. Based on these results cystoscopy, exfoliative urinary cytology and urine analysis are obligatory in the follow-up of patients with superficial bladder cancer. Because of the low specificity (29-41%) TPA and neopterine are not suitable for follow-up. Copyright © 1987 S. Karger AG, Basel
- Publication
Urologia Internationalis, 1987, Vol 42, Issue 5, p363
- ISSN
0042-1138
- Publication type
Article
- DOI
10.1159/000281994