尿细胞学在尤约,尼日利亚看到:它是如何相关的医疗实践?

Nigerian Journal of Surgery Pub Date : 2020-07-01 Epub Date: 2020-07-27 DOI:10.4103/njs.NJS_48_19
Chukwuemeka Charles Nwafor, Emmanuel Benjamin Etuk, Kanu Obioha, Elijah A Udoh
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引用次数: 0

摘要

目的:本研究的目的是了解尿细胞学(UC)要求在Uyo看到的模式,以及它们与患者管理的相关性。材料与方法:本回顾性研究在尤尤大学附属教学医院病理科进行。从细胞学登记中提取的数据使用社会科学版本17的统计包进行分析。结果:46例患者在此期间发生UC。患者年龄21 ~ 90岁,平均年龄56.89±14.65岁。男性30例(67.4%)。60 ~ 69岁年龄组占多数(37.8%)。怀疑膀胱癌是最常见的适应症,28.9% (n = 13)的病例发现膀胱癌。泌尿科门诊转诊38例(84.4%),普通门诊、普外科、妇科各2例(4.4%)。44.4% (n = 20)的病例细胞学诊断为炎性涂片,24.4% (n = 11)的病例UC正常。恶性细胞占11.1% (n = 5)例。在13例怀疑膀胱癌的适应症中,只有4例恶性细胞阳性,1例怀疑UC。前列腺癌、下尿路出口梗阻伴血尿患者UC标本均未见恶性细胞或可疑细胞。结论:UC在前列腺疾病中不应被要求检查,因为其报告通常为阴性或大多数是炎症性的。科室应开始使用UC报告的巴黎系统来协助主治医师/外科医生做出最佳决定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Urine Cytology as Seen in Uyo, Nigeria: How Relevant Is It to Medical Practice?

Aim: The aim of this study is to know the pattern of urine cytology (UC) requests seen in Uyo and how relevant they were to the management of the patients.

Materials and methods: This retrospective study was carried out in the Department of Pathology, University of Uyo Teaching Hospital. The extracted data from the cytology registers were analyzed using the Statistical Package for the Social Sciences version 17.

Results: A total of 46 patients did UC during the period. The patients were aged between 21 years and 90 years, with a mean age of 56.89 ± 14.65. Thirty (67.4%) were male. The age group of 60-69 years accounted for most cases (37.8%). Suspicion of bladder cancer was the most common indication as it was seen in 28.9% (n = 13) of cases. Thirty-eight cases (84.4%) were referred from urology clinic, 2 each (4.4%) from general outpatient clinic, general surgery clinic, and from gynecology clinic. In 44.4% (n = 20) of cases, the cytological diagnosis was inflammatory smear, while the UC was normal in 24.4% (n = 11) cases. Malignant cells were seen in 11.1% of (n = 5) cases. Of the 13 cases that the indication was suspected bladder cancer, only four were positive for malignant cells and one was suspicious on UC. No malignant cell or suspicious cell was seen in any of the UC specimens from patients that had prostate cancer, lower urinary tract outlet obstruction with hematuria due to prostatic enlargement.

Conclusion: UC should not be requested for in prostatic diseases since the reports are always negative or at most inflammatory. The department should start using The Paris System of UC reporting to assist the managing physician/surgeon to take the best decision.

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