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Urinary cytology not useful as screen for bladder invasion.(Obstetrics)

OB GYN News

| March 01, 2005 | Moon, Mary Ann | COPYRIGHT 2005 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

WASHINGTON -- Urinary cytology was found to be "of limited use" in detecting whether pelvic cancer has invaded the bladder, Kelly L. Molpus, M.D., reported at the annual meeting of the Central Association of Obstetricians and Gynecologists.

He and his associates hypothesized that a pelvic tumor that has invaded the bladder might shed malignant cells that could be detected by microscopic examination of the urine, in much the same way that peritoneal "washes" are examined for the microscopic spread of ovarian or other cancers.

In a retrospective study using databases at two medical centers, the researchers reviewed the findings on urine samples collected from 93 women with pelvic cancer (mean age 48 years) who were treated between 1999 and 2004. The samples were collected when the women underwent cystoscopy for staging of their pelvic cancer.

Most of the women had primary cervical cancer. Six had locally extensive endometrial cancer; three each had vulvar, vaginal, or recurrent cervical cancer; one had ovarian cancer; and one had a primary rectal cancer that also involved the vagina, said Dr. Molpus, the McClure L. Smith Professor of ...

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