Clinical Management

Marcus L. Quek, Trinity J. Bivalacqua, Ashish M. Kamat, Mauro Saieg, Alexander I. Sankin, Yuji Tokuda, Bas W.G. Van Rhijn

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Urine cytology remains an important adjunctive test in the diagnostic armamentarium of the urologist. The clinical scenarios in which urine cytology is performed include the evaluation of hematuria and irritative voiding symptoms, initial work-up for a suspected urothelial malignancy, and surveillance following treatment for urothelial cancer. The work-up for a given cytologic diagnosis may include contrast-enhanced imaging and cystoscopy, depending on the degree of clinical suspicion. Urine cytology may be particularly useful in situations where direct endoscopic visualization can be difficult or impractical, such as in the upper urinary tract or following urinary diversion. The ultimate care of the patient should be individualized based on all available information. Communication between the clinician and cytopathologist is essential in order to optimally utilize urine cytology.

Original languageEnglish (US)
Title of host publicationThe Paris System for Reporting Urinary Cytology
Subtitle of host publicationSecond Edition
PublisherSpringer International Publishing
Pages257-266
Number of pages10
ISBN (Electronic)9783030886868
ISBN (Print)9783030886851
DOIs
StatePublished - Jan 1 2022

Keywords

  • CT urography
  • Cystoscopy
  • Fluorescence cystoscopy
  • Hematuria
  • Intravesical chemotherapy
  • Intravesical immunotherapy
  • Narrowband imaging
  • Radical cystectomy
  • Transurethral resection of bladder tumor
  • Upper tract urothelial carcinoma
  • Urethral recurrence
  • Urothelial carcinoma

ASJC Scopus subject areas

  • General Medicine

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