Beyond the photodynamic diagnosis: Searching for excellence in the diagnosis of non-muscle-invasive bladder cancer

被引:11
|
作者
Oliva Encina, J. [1 ]
Marco Valdenebro, A. [1 ]
Pelegri Gabarro, J. [1 ]
Rioja Sanz, C. [1 ]
机构
[1] Hosp Royo Villanova, Serv Urol, Zaragoza, Spain
来源
ACTAS UROLOGICAS ESPANOLAS | 2010年 / 34卷 / 08期
关键词
Bladder cancer; Narrow band imaging; Optical coherence tomography; Laser confocal endomicroscopy; TRANSITIONAL-CELL CARCINOMA; WHITE-LIGHT CYSTOSCOPY; OPTICAL COHERENCE TOMOGRAPHY; FLUORESCENCE CYSTOSCOPY; 5-AMINOLEVULINIC ACID; TRANSURETHRAL RESECTION; UROTHELIAL CARCINOMA; FLEXIBLE CYSTOSCOPY; IMAGING TECHNOLOGY; RAMAN-SPECTROSCOPY;
D O I
10.1016/j.acuro.2010.03.035
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Cystoscopy is gold-standard method in non muscule invasive bladder cancer diagnosis. In the cistoscopic exploration 30% of tumors could be overlookeed: it is due to a flat forms, litle size tumours or difficult visualization. Photodynamic diagnosis reduces overlooked tumours rate, and has improved diagnosis on flat forms, with the consequence of increasing lap time to recurrence and decrasing the number of iterative cistoscopy; nevertheless the false positive rate is high. In the last years developed new optical devices who try to improve alone or asociated diagnostic sensibility in cistoscopy whithout reduction of specificity. Among new devices we must emphasize some like Narow Band Imaging, Optical Coherence Tomography or Laser Confocal Endomicroscopy. (C) 2010 AEU. Published by Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:657 / 668
页数:12
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