Detection of bladder malignancy by bard BTA stat test among patients with haematuria

• Main Authors: N K Mohanty, A K Jha, S P Singh, R P Arora
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2000-01-01
• Series: Indian Journal of Urology
• Subjects: BTA Stat; Bard; Bladder Cancer; Surveillance.
• Online Access: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2000;volume=16;issue=2;spage=126;epage=128;aulast=Mohanty

The ideal bladder-tumour-marker should be rapid, of-fice-based, inexpensive, non-invasive, accurate with high sensitivity and specificity. Aim : Our aim was to compare BTA (Stat) Bard to voided urine for cytology in patients with haematuria in detec-tion of TCC of genito urinary system. In our study of 120 patients (100 males and 20 females) between the age group of 18 to 85 years presenting with haematuria we investigated with BTA (Stat), urine for cy-tology and cystoscopies as an outpatient procedure. Result: Result revealed BTA (Stat) to be 87.5% sensi-tive and 71.4% specific in detecting TCC of urinary blad-der and upper tracts while urine cytology showed 25% sensitivity giving a statistically significant p-value (p< 0.0001) Conclusion: We conclude BTA Stat (Bard) to be a sim-ple non-invasive, rapid and highly sensitive test signifi-cantly superior to urine for cytology in detection of TCC of genitourinary system and should be an adjunctive to cystoscopy in surveillance of bladder malignancy but be-cause of its relatively low specificity cannot replace cys-toscopies.