What are the guidelines recommendations for use of urinary cytology in the diagnosis of bladder cancer?

Updated: Feb 23, 2021
  • Author: Kara N Babaian, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

According to European Association of Urology (EAU) guidelines, urinary cytology is most helpful in diagnosing high-grade tumors and carcinoma in situ (CIS). Low-grade, noninvasive tumors may be missed by routine cytologic analysis. The guidelines caution that cystoscopy is still required and cannot be replaced by cytology or any other noninvasive test. [69] National Comprehensive Cancer Network (NCCN) guidelines state that urine cytology may be obtained around the time of cystoscopy. [1]


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