RESULTS OF A MULTICENTER TRIAL USING THE BTA TEST TO MONITOR FOR AND DIAGNOSE RECURRENT BLADDER-CANCER

被引:194
作者
SAROSDY, MF
WHITE, RWD
SOLOWAY, MS
SHEINFELD, J
HUDSON, MA
SCHELLHAMMER, PF
JAROWENKO, MV
ADAMS, G
BLUMENSTEIN, BA
机构
[1] UNIV MIAMI,SCH MED,DEPT UROL,NEW YORK,NY
[2] UNIV CALIF DAVIS,SCH MED,DEPT UROL,DAVIS,CA 95616
[3] WASHINGTON UNIV,DEPT UROL,ST LOUIS,MO
[4] MEM SLOAN KETTERING CANC CTR,DEPT UROL,NEW YORK,NY 10021
[5] EASTERN VIRGINIA MED SCH,DEPT UROL,NORFOLK,VA
[6] PENN STATE UNIV HOSP,DEPT UROL,HERSHEY,PA
[7] SORRA NC RES CTR,DEPT UROL,BIRMINGHAM,AL
[8] FRED HUTCHINSON CANC RES CTR,DEPT UROL,SEATTLE,WA 98104
关键词
NEOPLASM METASTASIS; BLADDER NEOPLASMS; NEOPLASM ANTIGENS; ANTIBODY SPECIFICITY;
D O I
10.1016/S0022-5347(01)67054-X
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
Objectives: We compare the Bard BTA (bladder tumor antigen) test to voided cytology studies in patients undergoing surveillance cystoscopy for recurrent bladder cancer. Materials and Methods: A prospective, blinded, multicenter trial was performed. Results: A total of 499 patients underwent 1,014 cystoscopic examinations and tumor was identified in 151. The bladder tumor antigen test was more sensitive than cytology studies in detecting recurrent cancer (p<0.001), being positive in 61 cases versus 25 for cytology. The trial in healthy volunteers and nonurological patients estimates bladder tumor antigen test specificity to be 95.9%. Conclusions: The bladder tumor antigen test is a simple, rapid and inexpensive adjunct to cystoscopy, and the results are equivalent or superior to those of voided cytology as performed in this trial,
引用
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页码:379 / 383
页数:5
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