HEMATURIA HOME SCREENING - REPEAT TESTING RESULTS

被引:67
作者
MESSING, EM
YOUNG, TB
HUNT, VB
NEWTON, MA
BRAM, LL
VAILLANCOURT, A
HISGEN, WJ
GREENBERG, EB
KUGLITSCH, ME
WEGENKE, JD
机构
[1] UNIV WISCONSIN,DEPT SURG,MADISON,WI 53792
[2] DEAN MED CTR,PHYSICIANS PLUS INTERNAL MED ASSOCIATES,MADISON,WI
[3] JACKSON CLIN,MADISON,WI
[4] UNIV COLORADO,DENVER,CO 80202
[5] BLUE CROSS BLUE SHIELD,DURHAM,NC
关键词
URINE; HEMATURIA; URINATION DISORDERS; BLADDER NEOPLASMS; CARCINOMA;
D O I
10.1016/S0022-5347(01)67224-0
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
To determine at what interval screening should be repeated to detect bladder cancer before it becomes muscle invasive 856 men who had 14 negative daily home tests for hematuria with a chemical reagent strip 9 months previously performed repeat tests. Of these men 50 (5.8%) had at least 1 positive test during the second 14-day screening period and 38 were evaluated, 15 of whom (39.5%) had significant urological pathological conditions, including 8 with malignancies. Bladder cancer was noted in 7 men, with no tumor invading the muscularis propria. The finding of 7 bladder cancers in 856 men (0.82%) who had a negative test 9 months previously indicates that bladder cancer has a brief preclinical duration and that testing must be repeated at least annually for screening to detect bladder cancer consistently before invasion occurs.
引用
收藏
页码:57 / 61
页数:5
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