CC BY-NC-ND 4.0 · Revista Urología Colombiana / Colombian Urology Journal 2019; 28(03): 218-220
DOI: 10.1055/s-0038-1676314
Article of Reflection | Artículo de Reflexión
Sociedad Colombiana de Urología. Publicado por Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Citología urinaria: ¿Qué sabemos?

Urinary Cytology: What do we know?
Oscar Leguizamón López
1   Residente de Urología, Universidad Nacional de Colombia, Colombia
,
Wilfredo Donoso Donoso
2   Urólogo, coordinador del postgrado de urología de la Universidad Nacional de Colombia, Colombia
,
Andrés Barrios
3   Médico General, Universidad de la Sabana, Colombia
,
Rodolfo Varela
4   Urólogo Oncólogo, profesor asociado de la Universidad Nacional de Colombia, Instituto Nacional de Cancerología, Bogotá DC, Colombia
› Author Affiliations
Further Information

Publication History

08 March 2018

24 September 2018

Publication Date:
13 December 2018 (online)

Resumen

El cáncer de vejiga es, en frecuencia, el segundo cáncer urológico y representa una mortalidad significativa. Es necesario entonces contar con herramientas diagnósticas efectivas que contribuyan a la toma de decisiones terapéuticas y de seguimiento. La citología urinaria es un método útil para dicho fin, pese a que es bien conocida su baja capacidad de identificación de tumores de bajo grado. Se ha demostrado cómo la citología urinaria es capaz de predecir la presencia de tumores uroteliales de alto grado que son, finalmente, aquellos que ameritan intervención pronta y ponen en riesgo la vida del paciente. Correctamente utilizada, la citología urinaria representa un apoyo fundamental en la toma de decisiones cuando el urólogo aborda el cáncer de vejiga.

Abstract

Bladder cancer is in frecuency, the second urological cancer and represents significant mortality. So is necessary to have effective diagnostic tools which contribute to therapeutic decision-making and monitoring. The urinary cytology has been and still is a useful method for this purpose, although it is well known their low ability to identify low-grade tumors. It has been shown how urinary cytology can predict the presence of high-grade urothelial tumors, which are finally those who deserve strict intervention and endanger the patient's life. Properly used, urinary cytology represents a fundamental support in decision-making when the urologist deals with bladder cancer.

 
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