Abstract
Patients with suspected bladder abnormalities were examined by noninvasive suprapubic sonography to define the accuracy of ultrasound for detecting and staging bladder carcinomas. In 103 patients, 65 tumors were found by cystoscopy, of which sonography detected 61 (94%). Four lesions less than 2–3 mm were missed at the bladder dome, the ventral wall, and side wall. The sonographic staging was correct in 83% of all tumor stages with the lowest value of 69% for T2/T3a tumors; excluding recurrent tumors, the overall accuracy increased.
From these results, suprapublic sonography is considered to be a reliable noninvasive technique for detecting bladder tumors and for preoperative local staging. The staging results are comparable with reports in the literature on the accuracy of intravesical sonography.
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References
Jewett HJ: Cancer of the bladder. Diagnosis and staging.Cancer 32:1072–1076, 1973
Kenny GM, Hardner GJ, Murphy GP: Clinical staging of bladder tumors.J Urol 104:720–725, 1970
Ahlberg NE, Calissendorff B, Wijkström H: Computed tomography in staging of bladder carcinoma.Acta Radiol Diagn 23:47–53, 1982
Bartels KD, Dettmar H Jr, Göckel B: Die Bedeutung der Computertomographie bei der Stadieneinteilung der Harnblasentumoren.Urologe A 22:342–346, 1983
Hodson NJ, Husband JE, MacDonald JS: The role of computed tomography in the staging of bladder cancer.Clin Radiol 30:389–395, 1979
Sager EM, Talle K, Fossa S, Ous S, Stenwig AE: The role of CT in demonstrating perivesical tumor growth in the preoperative staging of carcinoma of the urinary bladder.Radiology 146:443–446, 1983
Weinerman PM, Arger PH, Pollack HM: CT evaluation of bladder and prostate neoplasms.Urol Radiol 4:105–114, 1982
Abu-Yousef MM, Narayana AS, Franken EA Jr, Brown RC: Urinary bladder tumors studied by cystosonography. Part I: Detection.Radiology 153:223–226, 1984
Abu-Yousef MM, Narayana AS, Brown RC, Franken EA Jr: Urinary bladder tumors studied by cystosonography. Part II: Staging.Radiology 153:227–231, 1984
Bree RL, Silver TM: Nongynecologic bladder and perivesical ultrasound.Urol Radiol 4:135–145, 1982
Brun B, Gammelgaard J, Christoffersen J: Transabdominal dynamic ultrasonography in detection of bladder tumors.J Urol 132:19–20, 1984
Egender G, Goidinger K, Jakse G: Klassifikation der Harnblasentumoren durch die SonographieFortschr Röntgenstr 136:416–420, 1982
Greiner KG, Jacob F, Klose KC, Schwartz R: Sicherung der T-Klassifikation von Harnblasentumoren durch transkutane Sonographie, intravesikale Sonographie und Computertomographie.Fortschr Röntgenstr 139:510–515, 1983
Gualdi GF, Di Natale G, Liberti M, Di Biasi C, Iannicelli E: Ultrasound and computed tomography in staging of bladder tumors.Eur J Radiol 2:296–300, 1982
Jaeger N, Radeke HW, Adolphs HD: Die pathologische Harnblase im sonographischen Bild.Ultraschall 4:98–105, 1983
Jaeger N, Radeke HW: T-Klassifizierung des Harnblasenkarzinoms durch intravesikale Sonographie. Presented at the First Meeting of Bladder Sonography, 23/24.3.84, Hannover
Schüller J, Walther V, Schmiedt E, Staehler G, Bauer HW, Schilling A: Intravesical ultrasound tomography in staging of bladder carcinoma.J Urol 128:264–266, 1982
Umek H, Dünser E, Schmidbauer CP: Leistungsbreite der transabdominellen Sonographie bei Blasentumoren.Zentralbl Radiol 128:175, 1984
Walther V, Schüller J: Die Erweiterung der zystoskopischen Diagnostik durch die intravesikale Sonographie.Ultraschall 4:2–6, 1983
Nakamura S, Niijima T: Staging of bladder cancer by ultrasonography. A new technique by transurethral intravesical scanning.J Urol 124:341–344, 1980
Itzchak Y, Singer D, Fischelovitch Y: Ultrasonographic assessment of bladder tumors I. Tumor detection.J Urol 126:31–33, 1981
Morley P: The bladder. In Rosenfield AT (ed):Genitourinary Ultrasonography. New York: Churchill Livingstone 1979, p. 139
McLaughlin LS, Morley P, Deane RF, Barnett E, Graham AG, Kyle KF: Ultrasound in the staging of bladder tumoursBr J Urol 47:51–56, 1975
Singer D, Itzchak Y, Fischelovitch Y: Ultrasonographic assessment of bladder tumors. II. Clinical staging.J Urol 126:34–36, 1981
Schüller J, Walther V, Staehler G, Schmiedt E, Bauer HW: Intravesikale Ultraschalltomographie zur Bestimmung der Infiltrationstiefe von Blasentumoren.Münch Med Wochensch 122:1431–1433, 1980
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Denkhaus, H., Crone-Münzebrock, W. & Huland, H. Noninvasive ultrasound in detecting and staging bladder carcinoma. Urol Radiol 7, 121–131 (1985). https://doi.org/10.1007/BF02926870
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DOI: https://doi.org/10.1007/BF02926870