Desarrollo de un protocolo para la derivación de los pacientes con células atípicas en el sedimento urinarioexperiencia del hospital de Móstoles
- D. Lorence Prado
- M.J. Fernández Aceñero
- L. Criado Gómez
- E. Aguirregoicoa
- Ángela Rodríguez Piñero
- J. Navarro Sebastián
- J. Borrega
- R. Barón
- A. Colomo
ISSN: 1888-4008
Argitalpen urtea: 2009
Alea: 2
Zenbakia: 2
Orrialdeak: 87-93
Mota: Artikulua
Beste argitalpen batzuk: Revista del laboratorio clínico
Laburpena
Introduction The Department of Clinical Chemistry of Móstoles General Hospital (Madrid, Spain) has diagnosed the presence of atypical cells in the urinary sediment (ACUS) for many years , but this finding only led to a comment in the urinalysis final report, informing the clinician of this fact in case it was decided to perform further studies in these patients. Material and methods The Clinical Chemistry Department together with the Hospital Department of Surgical Pathology introduced a new protocol in 2004, according to which all the urinary sediment samples with ACUS are sent for cytological analysis. A preliminary pilot study was performed to confirm whether the urinary sediment would be suitable for pathological analysis. Results In our first 93 samples we had a confirmatory diagnosis of malignancy in 41 patients (44%). Forty-eight percent of all the samples and 67% of the positive ones were from primary care. The mean age of the patients with positive samples was 70 years and 70.8% were men. In 50% of the cases the reason for the urinary analysis was non-urological. Discussion With this new strategy we can directly diagnose whether the ACUS are associated with a carcinoma or another process, and this has allowed us to reduce time until diagnosis in our patients and also to avoid unnecessary studies in negative cases.