Bone scintigraphy in staging of bladder carcinoma.
The role of bone scintigraphy in the staging of bladder carcinoma before attempted radical therapy was evaluated from a personal series of 71 consecutive cases. The results from this were correlated to previous reports--accumulated data from a total of 458 staging bone scans were thus obtained. In this accumulated material metastases were diagnosed in 4.6 per cent--in 2.8 per cent true positive and in 1.7 per cent false positive findings. The effect of the bone scanning results on therapy was minimal: cystectomy was performed in spite of the diagnosis of metastases in 16 out of 21 patients. In only 4 patients (0.9%) surgery was avoided because of scintigraphy results. Scintigraphy thus has no place in the routine preoperative staging of bladder carcinoma.
Brismar
J
J
Department of Diagnostic Radiology, University Hospital, Lund, Sweden.
Gustafson
T
T
D000368:Aged; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D001842:Bone and Bones / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D011877:Radionuclide Imaging; D001749:Urinary Bladder Neoplasms / Q000473:pathology*