Narrow band imaging-assisted cystoscopy in bladder tumor follow-up : Can more tumors be identified?

BACKGROUND: Narrow band imaging (NBI) is a new technique of urethrocystoscopy, in which only certain wavelengths [415 (blue) and 540 nm (green)] are used to detect urothelial carcinoma. The aim of the investigation was to analyze the potential benefit of NBI in the follow-up of patients with transitional cell carcinoma of the bladder.

METHODS: Between August 2013 and July 2014, patients with a history of transitional cell carcinoma of the bladder, presenting for follow-up cystoscopy, were either examined via flexible white light endoscopy (WLE) plus second look WLE (n = 251, controls) or second look NBI cystoscopy alone (n = 251) in the same session.

RESULTS: Rates of recurrences were similar in the two groups [NBI 68 (27.1 %); WLE 70 (27.9 %)]. NBI after WLE identified more tumors in 13 patients (5.69 vs. 3.92). In 8 patients NBI showed no vascularization in suspicious areas. In the control arm, in 8 cases more tumors (3.75 vs. 3.13) were identified in the second WLE.

CONCLUSIONS: The additional use of NBI in the follow-up cystoscopy of patients after transurethral resection of nonmuscle invasive bladder cancer leads to an increased number of detected tumors; however, a part of the additionally detected tumors can be explained by the double examination. NBI appears to provide information in individual cases whether transurethral resection of bladder tumor is necessary.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:55

Enthalten in:

Der Urologe. Ausg. A - 55(2016), 3 vom: 13. März, Seite 370-5

Sprache:

Deutsch

Weiterer Titel:

"Narrow-band-imaging-assistierte" Zystoskopie in der Blasentumornachsorge : Sind mehr Tumoren erkennbar?

Beteiligte Personen:

Hirner, L [VerfasserIn]
Stagge, E [VerfasserIn]
Rübben, H [VerfasserIn]
Schenck, M [VerfasserIn]
Eisenhardt, A [VerfasserIn]

Links:

Volltext

Themen:

Carcinoma, invasive nonmuscle
Journal Article
Tumor detection rate
Urethrocystoscopy
Vascularization
White light cystoscopy

Anmerkungen:

Date Completed 27.12.2016

Date Revised 30.03.2022

published: Print

Citation Status MEDLINE

doi:

10.1007/s00120-015-3942-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM252756169