AI Article Synopsis
- Urinary cytology is crucial for checking blood in urine and monitoring patients with bladder tumors.
- A positive test typically indicates the presence of bladder cancer, but in women, it might also suggest cancer in the lower reproductive system or even the rectum.
- There are no clear guidelines for evaluating women with a positive cytology who have normal urinary tract results, prompting a review of existing literature and case scenarios to highlight this challenge for doctors.
Article Abstract
Urinary cytology is indispensable both for the evaluation of gross hematuria and surveillance of patients with urothelial neoplasms. A positive urine cytology usually indicates the presence of urothelial carcinoma somewhere in the urinary tract. However, in women, it may also signal urothelial carcinoma involvement of the lower gynecologic tract or be the presenting sign for a primary cancer of the lower gynecologic tract or rectum. Guidelines for the evaluation of women with a positive cytology and normal urinary tract are lacking. We present a review of the current literature with case scenarios to bring clinicians attention to this diagnostic dilemma.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10406391 | PMC |
| http://dx.doi.org/10.1016/j.urology.2022.12.032 | DOI Listing |
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