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KMID : 1001020120100030107
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Korean Journal of Urological Oncology
2012 Volume.10 No. 3 p.107 ~ p.112
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Evaluation and Management of Clinically Unconfirmed Positive Urine Cytology
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Choi Seock-Hwan
Kwon Tae-Gyun
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Abstract
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Urine cytology is one of the key screening and surveillance methods in the management of patients with urothelial tumors. Urine cytology usually shows high specificity and low sensitivity. Therefore, positive cytology is generally considered as a precursor of the urothelial malignancy even if there is no clinical confirmation. Clinically unconfirmed positive urine cytology refers to the condition that the result of urine cytology is repeatedly positive but the malignancy cannot be identified with the imaging study or cystoscopy. Based upon current reports, most patients with clinically unconfirmed positive urine cytology will eventually be identified with the recognizable tumors. In the present study cohort, the most common site of malignancy was the bladder. In this article, we address the systematic approach to evaluation and management of clinically unconfirmed positive urine cytology with the literature review.
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KEYWORD
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Urine cytology, Urothelial cancer, Follow-up studies
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