Diagnostic accuracy of ultrasound T-staging of the urinary bladder cancer in comparison with histology in elderly patients

التفاصيل البيبلوغرافية
العنوان: Diagnostic accuracy of ultrasound T-staging of the urinary bladder cancer in comparison with histology in elderly patients
المؤلفون: Tomislav Tadin, Stanislav Sotošek, Dražen Rahelić, Željko Fučkar
المصدر: Collegium antropologicum
Volume 38
Issue 4
سنة النشر: 2015
مصطلحات موضوعية: cancer, T-staging, urinary bladder, ultrasound, elderly, Urinary Bladder Neoplasms, Humans, Aged, Ultrasonography
الوصف: Urinary bladder cancer (UBC) is dominantly the cancer of the elderly occurring primarily in the 6th, 7th and 8th decade of life. The aim of this study was to evaluate diagnostic accuracy of ultrasound T-staging (UTS) of UBC in the group of elderly patients. In 152 elderly patients referred to transabdominal ultrasound examination in two different facilities (76 each) due to various symptoms (primarily painless gross or microscopic haematuria) UBC was diagnosed. Initial UTS at the moment of detection was performed and compared with fi nal histological T-staging (HTS). A high level of conformity between UTS and HTS was detected. In a total of 152 patients with UBC there were 115 (75.66%) patients with complete match between the UTS and HTS, 24 (15.79%) patients with minimal variation within one stage, and 13 (8.55%) patients with one stage difference between the UTS and HTS. The best result was established for the stage T1, where the accuracy was 94.5%. In other stages the accuracy was between 84.9% and 91.8%. The Youden’s index for all the stages was over 0.6. UTS has a high diagnostic accuracy, especially for stages T1 and T2. It is extremely useful tool in differentiating the superfi cial UBC from the muscle-invasive one, being of signifi cant importance in planning the further treatment of elderly patients and having important role in choosing appropriate surgical approach.
وصف الملف: application/pdf
تدمد: 0350-6134
1848-9486
URL الوصول: https://explore.openaire.eu/search/publication?articleId=pmid_dedup__::afb8b144f1f676a35db0332edbcf6c6f
https://pubmed.ncbi.nlm.nih.gov/25842745
Rights: OPEN
رقم الانضمام: edsair.pmid.dedup....afb8b144f1f676a35db0332edbcf6c6f
قاعدة البيانات: OpenAIRE