The effect of intravenous pyelography and cystoscopy on the staging of cervical cancer

Nagell, J.R. van; Sprague, A.D.; Roddick, J.W.

doi:10.1016/0090-8258(75)90010-4

Cited by 23 publications

(6 citation statements)

References 6 publications

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“…6 According to the FIGO system, all patients except those with disease stages 1A1 and 1B1 are required to undergo this test. The use of IVU requires bowel preparation, good renal function, and the use of contrast agents.…”

Section: Discussionmentioning

confidence: 99%

Renal sonography in the diagnosis of renal obstruction or hydronephrosis in patients with cervical cancer

Vanderpuye

2002

J of Clinical Ultrasound

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Section: Discussionmentioning

confidence: 99%

Renal sonography in the diagnosis of renal obstruction or hydronephrosis in patients with cervical cancer

Vanderpuye

2002

J of Clinical Ultrasound

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“…The proximal ureteral obstruction caused by retroperitoneal lymph node metastases among plexopathy patients contrasted with the distal ureteral obstruction caused by cervical enlargement commonly found at the time of cervical cancer staging. 30 Radiation therapy palliated pain in one third of the patients treated, but survival was less than 6 months for all patients with plexopathy. The tumor histologic type for all retroperitoneal-mediated neurologic complications was squamous cell.…”

Section: Discussionmentioning

confidence: 99%

Neurologic complications of cervical cancer. A review of 2261 cases

Saphner

Gallion

Nagell

et al. 1989

Cancer

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The authors reviewed the records of 2261 patients with histologically proven cervical cancer. Among the 1042 patients with carcinoma in situ, four neurologic complications occurred (0.4%), including three strokes and one seizure. None of the neurologic complications were related to cervical cancer. Among the 1219 patients with International Federation of Gynecology and Obstetrics (FIGO) Stage I or greater disease, 99 neurologic complications occurred (8%). Metastatic neurologic complications were twice as common as nonmetastatic neurologic complications and included lumbosacral plexopathy (50 patients), peripheral nerve compressions (eight patients), spinal cord compressions (two patients), and brain metastases (six patients). Nonmetastatic neurologic complications were less frequent and included stroke (11 patients), encephalopathies (three patients), infectious complications (two patients), effects of therapy (six patients), and seizures (11 patients). In conclusion, neurologic complications are rare in cervical cancer and virtually nonexistent in Stage 0 disease. Metastatic neurologic complications were more common than nonmetastatic complications and lumbosacral plexopathy caused by retroperitoneal lymph node metastases was the most common neurologic complication.

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“…Many studies had demonstrated in the same way. The data from Shingleton et al (1971) ; Van Nagell et al (1975); Griffin et al (1976); Udomthavornsuk et al (1987) showed the prevalence of urinary bladder mucosal infiltration in cervical cancer of 5.7%, 7.72%, 1.76%, and 3.25%, respectively. All of these patients had stage III or more advanced diseases.…”

Section: Discussionmentioning

confidence: 99%

“…At Srinagarind Hospital, we perform cystoscopy as a routine procedure for clinical staging. The prevalence of invasive urinary bladder mucosal infiltration in cervical cancer ranged from 1.76-7.72% (Shingleton et al, 1971;Van Nagell et al, 1975;Griffin et al, 1976;Udomthavornsuk et al, 1987). Cystoscopy requires specific equipment, skill, cost, and time.…”

Section: Introductionmentioning

confidence: 99%

Hematuria Screening Test for Urinary Bladder Mucosal Infiltration in Cervical Cancer

Chuttiangtum

Udomthavornsuk²,

Chumworathayi³

2012

Asian Pacific Journal of Cancer Prevention

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Objective: To determine the diagnostic performance of hematuria as a screening test for urinary bladder infiltration in cervical cancer patients with a prospective study design. Materials and Methods: Newly diagnosed cervical cancer patients at Srinagarind hospital from 14 June 2011 to 30 April 2012 were enrolled in this study. We collected midstream urine samples for urinalysis from every patient before routine cystoscopic exam for clinical staging. The presence of 3 or more red blood cells (RBCs) per high power field was defined as positive for hematuria. A two-by-two table was used to determine the diagnostic performance of hematuria to detect urinary bladder mucosal infiltration using cystoscopy and biopsy as the gold standard. Result: A total of 130 were patients included, 54 of which (41.5%) had hematuria. Of these, four patients (3.08%) had pathological report from cystoscopic biopsy confirmed metastatic squamous cell carcinoma. The sensitivity, specificity, PPV, NPV, and accuracy of hematuria as a screening test to detect urinary bladder mucosal infiltration of cervical cancer were 100%, 60.3%, 7.4%, 100%, and 61.5%, respectively. There was no single case of urinary bladder mucosal infiltration in patients initially staged less than stage III. Conclusions: Hematuria can be used as a screening test to detect urinary bladder mucosal infiltration of cervical cancer. This can reduce the number of cervical cancer patients who really need to undergo cystoscopy as a staging procedure to less than half and to less than 20% if stage III or more were included without missing a single case of urinary bladder mucosal infiltration.

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The effect of intravenous pyelography and cystoscopy on the staging of cervical cancer

Cited by 23 publications

References 6 publications

Renal sonography in the diagnosis of renal obstruction or hydronephrosis in patients with cervical cancer

Renal sonography in the diagnosis of renal obstruction or hydronephrosis in patients with cervical cancer

Neurologic complications of cervical cancer. A review of 2261 cases

Hematuria Screening Test for Urinary Bladder Mucosal Infiltration in Cervical Cancer

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