Transurethral resection and surveillance of bladder cancer supported by 5-aminolevulinic acid-induced fluorescence endoscopy

Kriegmair, M. and Zaak, D. and Stepp, H. and Stepp, H. and Baumgartner, R. and Knuechel, Ruth and Hofstetter, A. (1999) Transurethral resection and surveillance of bladder cancer supported by 5-aminolevulinic acid-induced fluorescence endoscopy. EUROPEAN UROLOGY, 36 (5). pp. 386-392. ISSN 0302-2838,

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Abstract

Purpose: We determined whether neoplastic disease, which was missed under white light can be found during transurethral resection of bladder cancer by 5-aminolevulinic acid-induced porphyrin fluorescence. Materials and Methods: 5-Aminolevulinic acid-induced fluorescence endoscopy was carried out in 328 cases. A 3% 5-aminolevulinic acid solution was instilled intravesically in a mean time of 2.8 h before endoscopy, The fluorescence was excited by a special incoherent light source which provided blue light in addition to white light. Results: In 82 (25%) cases additional neoplastic lesions were found only because of their red porphyrin fluorescence which was induced by 5-aminolevulinic acid. 31% of these neoplastic foci which were found in normal and nonspecific inflamed mucosa had a poorly differentiated histology. Conclusions: 5-Aminolevulinjc acid facilitates detection of neoplastic disease during transurethral resection of bladder cancer and increases the accuracy of diagnosis.

Item Type: Article
Uncontrolled Keywords: TRANSITIONAL-CELL-CARCINOMA; INTRAVESICAL INSTILLATION; PROTOPORPHYRIN-IX; TUMORS; RECURRENCE; DIAGNOSIS; BIOPSIES; LESIONS; MUCOSA; 5-aminolevulinic acid; fluorescence; bladder neoplasm
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Pathologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 13 Dec 2022 08:07
Last Modified: 13 Dec 2022 08:07
URI: https://pred.uni-regensburg.de/id/eprint/48875

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