Vozmozhnosti uzkospektrovoy fibrotsistoskopii v diagnostike raka mochevogo puzyrya
- Authors: Martov AG1, Maksimov VA1, Ergakov DV1, Andronov AS1
-
Affiliations:
- Issue: No 5 (2009)
- Pages: 54-
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/277578
- ID: 277578
Cite item
Full Text
Abstract
A total of 97 patients (59 males, 38 females, age 26-88 years) with cancer of the urinary bladder (pTa, pT1, pT2) were initially examined with white-light cystoscopy, then narrowband cystoscopy (Narrow Band Imaging, NBI) with application of videofibrocystoscope Okympus. A total of 147 procedures were performed. Videofibrocystoscopy in white light has detected 18 recurrent tumors (sensitivity 0.12 tumor/operation). Narrowband videofibrocystoscopy has detected 17 more recurrencies (sensitivity 0.24 tumor/operation). A histological recurrence was confirmed at standard cystoscopy in 17 of 18 cases (specificity 94%), at narrowband fibrocystoscopy - in 30 of 35 cases (specificity 86%). The above pilot experience with narrowband videofibrocystoscopy has demonstrated that this technique has much higher contrast and acutance of imaging as well as sensitivity vs standard rigid cystoscopy in white light.
References
- Матвеев Б. П. Рак мочевого пузыря. В кн.: Матвеев Б. П. (ред.). Клиническая онкоурология. М.: Вердана; 2003. 197-406.
- Мартов А. Г., Ергаков Д. В., Гнатюк А. П., Серебряный С. А. Эндоскопические методы диагностики и лечения поверхностного рака мочевого пузыря. В кн.: Лопаткин Н. А., Мартов А. Г. (ред.). Избранные лекции по урологии. М.: МИА; 2008. 429-442.
- Crow P., Uff S., Farmer J. A. et al. The use of Raman spectroscopy to identify and characterize transitional cell carcinoma in vitro. Br. J. Urol. Int. 2004; 93 (9): 1232-1236.
- Manyak M., Gladkova N. D., Makari J. H. et al. Evaluation of superficial bladder transitional-cell carcinoma by optical coherence tomography. J. Endourol. 2005: 9 (5): 570-571.
- Lerner S. P., Goh A. C., Tresser N. J., Shen S. S. Optical coherence tomography as an adjunct to white light cystoscopy for intravesical real-time imaging and staging of bladder cancer. Urology 2008: 72 (11): 133-137.
- Крупин В. Н., Стрельцова О. С. Рак мочевого пузыря, проблемы и перспективы. Ремедиум-Приволжье. 2005; 5: 65- 72.
- Jocham D., Stepp H., Waidelich R. Photodynamic diagnosis in urology: State-of-the-Art. Eur. Urol. 2008; 53 (6): 1138- 1150.
- Daniltchenko D. L., Riedl C. R., Sachs M. D. et al. Long-term benefit of 5-aminolevulinic acid fluorescence assisted transurethral resection of superficial bladder cancer: 5-year results of a prospective randomized study. J. Urol. (Baltimore) 2005; 174 (6): 2129-2133.
- Bryan R. T., Billingham L. J., Wallace D. M. Narrow-band imaging flexible cystoscopy in the detection of recurrent urothelial cancer of the bladder. Br. J. Urol. Int. 2007; 101 (6): 702-706.
- Herr H. W., Donat S. M. A comparison of white-light cystoscopy and narrow-band imaging cystoscopy to detect bladder tumour recurrences. Br. J. Urol. Int. 2008; 102 (9): 1111-1114.
Supplementary files
