Staging with computed tomography, transrectal ultrasonography and transurethral resection of bladder tumour: Comparison with final pathological stage in invasive bladder carcinoma
Staging with computed tomography, transrectal ultrasonography and transurethral resection of bladder tumour: Comparison with final pathological stage in invasive bladder carcinoma
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DOI：
10.1046/j.1464-410x.1996.01008.x
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发表时间：
1996-08-01
期刊：
影响因子：
--
通讯作者：
Gogus, O
中科院分区：
文献类型：
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作者：
Yaman, O;Baltaci, S;Gogus, O
目的探讨局部晚期膀胱癌临床分期方法的准确性。方法对65例经直肠超声(TRUS)、计算机断层扫描(CT)和经尿道膀胱肿瘤电切术(TURBT)确诊的浸润性膀胱癌患者的临床分期与根治性膀胱癌切除术后病理分期进行对比分析。结果TRUS、CT和TURBT分期准确率分别为40%、35%和46%。结论TRUS和CT在侵袭性膀胱肿瘤临床分期中的应用价值不大，但三种方法的初步临床分期与最终病理分期之间的等级相关性均显著。这些方法并没有改善TURBT单独获得的结果。
Objective To assess the accuracy of clinical staging methods in patients with locally advanced bladder cancer.Patients and methods Sixty-five patients with invasive bladder cancer primarily staged using transrectal ultrasonography (TRUS), computed tomography (CT) and transurethral resection of the bladder tumour (TURBT) were compared with the final pathological stage determined after radical cystectomy.Results Accurate staging was obtained by TRUS, CT and TURBT in 40, 35 and 46% of the patients, respectively. The rank correlation between primary clinical stage and final pathological stages was significant by all three methods, but not close.Conclusions The results of this study raise doubts about the assumed benefit of TRUS and CT in the clinical staging of invasive bladder tumours. These methods did not improve the findings obtained by TURBT alone.