Abstract

Purpose We analyzed the value of the Bard bladder tumor antigen (BTA * * Bard Urological, Covington, Georgia. ) test for the diagnosis of stage Ta superficial bladder cancer and carcinoma in situ, and compared it to the highly sensitive bladder washing cytology. Materials and Methods The BTA test is a latex agglutination test that qualitatively detects the presence of basement membrane complexes in the urine. A total of 60 patients with superficial bladder cancer underwent voided urine BTA analysis and bladder washing cytologies. Results Of the patients 65 percent were correctly diagnosed with the BTA test compared to 32 percent with bladder washings, which is statistically significant (p less than 0.001). Conclusions The BTA test is a noninvasive diagnostic tool that is superior to bladder washing cytology for diagnosing superficial bladder cancer.

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