Biopsy pathological analysis of bladder mucosal red patch
10.3969/j.issn.1009-8291.2024.08.005
- VernacularTitle:膀胱黏膜红斑样病灶的特征和活检病理结果分析
- Author:
Xin WANG
1
;
Zhiyang WANG
1
;
Huiyu CHEN
1
;
Hongwei SHEN
1
;
Shun ZHANG
1
;
Qing ZHANG
1
;
Yongming DENG
1
;
Shiwei ZHANG
1
;
Hongqian GUO
1
Author Information
1. Department of Urology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China
- Publication Type:Journal Article
- Keywords:
bladder cancer;
red patch;
biopsy;
pathology;
cystoscopy
- From:
Journal of Modern Urology
2024;29(8):685-690
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To analyze the characteristics and malignancy of red-patch like lesion (RPL) during cystoscopy, and to explore the significance of RPL biopsy. 【Methods】 Clinical data of patients who had RPL detected in our hospital during Jan.2019 and Jun.2023 were retrospectively analyzed, including gender, age, cause of examination, presence of scars, complications and biopsy pathology.The patients were divided into the benign and malignant groups, and their clinical and RPL characteristics were analyzed. 【Results】 A total of 521 cases of RPL were enrolled including 416 (79.8%) benign cases, and 105 (20.2%) malignant cases.The averae age of the malignant group was higher than the benign group’s \[ (66.8±12.2) years vs. (62.8±12.9) years, P=0.005\].The malignant detection rate of RPL in postoperative follow-up patients, those with hematuria and those with lower urinary tract symptoms was 23.7% (92/389), 19.6% (9/46) , 4.7% (4/86) , respectively.According to direct observation and experience, the detection rate of pathological malignancy in the three groups of patients with high suspicion of RPL malignancy, mild suspicion of RPL malignancy and high probability of benign was 56.9% (37/65), 37.0% (30/81) and 10.1% (38/375), respectively. 【Conclusion】 Once RPL is detected during cystoscopy, active biopsy should be performed.For elderly male patients undergoing postoperative follow-up, RPL biopsy is particularly important,especially when the lesion is located on or near the scar surface.
