Abstract
Purpose: To evaluate the significance of microscopic hematuria detected in participants of Cancer Prevention and Early Detection Program. Materials and Methods: From September 1987 through April 1993, a total of 3 476 individuals completed the first-line assessment of the Cancer Prevention and Early Detection Program in the Cancer Center of Veterans General Hospital-Taipei. For those who showed microscopic hematuria would repeat the urine examination, if the persons demonstrated persistent microscopic hematuria, further work-up procedures consisting of urine culture, excretory urography, cystoscopy, urine cytology, sonography or CT scan will be performed. Results: Twelve percent (420/3476) of the participants showed asymptomatic microscopic hematuria, 7% (242/3 476) showed persistent microhematuria. 199 persons completed the further work-up procedures. 2 early cancers (1 renal cell carcinoma, 1 endometrial carcinoma) were detected. In addition, other benign diseases such as benign prostate hypertrophy (37), inflammatory lesions (49), renal stones (9), ureteral stones (9) and urinary bladder papilloma (1) were associated with persistent microscopic hematuria. Conclusion: Among 3 476 individuals participating cancer detection program, 7% showed persistent microscopic hematuria. Further examination detected two early cancers and 131 benign diseases including benign prostate hypertrophy, inflammatory lesions, renal and ureteral stones and urinary bladder papilloma.
Published Version
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