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Cytologic detection of urinary bladder involvement in cervical cancer
A.O. Omigbodun1, J.O. Thomas, I.F. Adewole
1Department of Obstetrics and Gynaecology and Department of Pathology, University College Hospital, Ibadan, Nigeria.
Abstract:
One-hundred and four patients with advanced carcinoma of the cervix had their urine specimens collected, at the time of cystoscopy, for cytologic detection of the presence of malignant cells. Forty-eight (46%) of the patients had evidence of bladder mucosal involvement at cystoscopy. The overall sensitivity of urine cytology in detecting bladder mucosal involvement was 56%, with a specificity of 93%. The predictive value for a positive result was 87% and the accuracy of the test was 76%. The findings indicate that urine cytology is a useful test for detecting bladder mucosal involvement in cervical cancer where cystoscopy is not available.