The Importance of Urethrocystoscopy and Bladder Biopsy in Gynecologic Patients

Flores-Carreras, Oscar; Ruiz, María Isabel González; Espinoza, Claudia Josefina Martínez

doi:10.5772/28671

Cited by 1 publication

(1 citation statement)

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“…P.Bozzoni in 1805 described the first cystoscope consisting of a metal tube which on the extra-vesicle end applied a spark plug through which the vesicle field was illuminated. The first bladder biopsy forceps was independently described by Young and Manon in 1929 by which it was possible to extract [15] portions of tumour tissue. Cystoscopy and TURBT are commonly practiced therapeutic and diagnostic procedures that allow urologists to completely visualize bladder mucosa followed by sampling of the tissue for the histopathological examination.…”

Section: Discussionmentioning

confidence: 99%

Histopathological Spectrum of Urothelial Lesions: An Observational Study

Ahmad

Banerjee

Srivastava

2020

PIJR

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BACKGROUND: Urinary bladder cancer is second most common cancer after prostate cancer in the genitourinary system. Urothelial Carcinoma is the commonest tumour type accounting for 90% of all primary tumours of the bladder Histopathological analysis of cystoscopic bladder biopsy and Transurethral resection of the bladder tumour (TURBT) material are the mainstay for cancer diagnosis. This study was aimed to determine the frequency of different types of neoplastic lesions of the urinary bladder and to determine the grade and stage of urothelial tumours. MATERIAL METHOD: The study was carried out in the Department of Pathology, Rajendra Institute of Medical Sciences (RIMS), Ranchi from January 2018 to June 2020 and included 30 cases of cystoscopic biopsies and TURBT specimens. RESULTS: Out of 30 cases of neoplastic lesions, majority were of high grade papillary urothelial carcinoma (n=14, 46.67%) followed by low grade papillary urothelial carcinoma (n=9, 30%), 3 cases (10%) were of PUNLMP, 2 cases (6.66%) of papilloma and 1 (3.33%) case each of moderately differentiated squamous cell carcinoma and extra nodal NHL. The most common age group was 41-50 years and 51-60 years with 9 (30%) cases each. Muscle invasion was seen only in high grade papillary urothelial carcinomas. CONCLUSION: High-grade urothelial carcinomas with lamina propria and muscle invasion are the most common neoplastic lesion of urinary bladder with significant morbidity and mortality. Muscle invasion and grading, as per TNM staging, are valuable prognostic factors.

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Section: Discussionmentioning

confidence: 99%