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Comparative Study
. 1996 Jan;155(1):105-9; discussion 109-10.

Detection of early bladder cancer by 5-aminolevulinic acid induced porphyrin fluorescence

M Kriegmair  1 , R Baumgartner, R Knüchel, H Stepp, F Hofstädter, A Hofstetter
Affiliations
  • PMID: 7490803
Comparative Study

Detection of early bladder cancer by 5-aminolevulinic acid induced porphyrin fluorescence

M Kriegmair et al. J Urol. 1996 Jan.

Abstract

Purpose: We determined whether the sensitivity of detecting dysplasia or early bladder cancer can be improved by 5-aminolevulinic acid induced porphyrin fluorescence.

Materials and methods: A 3% 5-aminolevulinic acid solution was instilled intravesically before cystoscopy in 104 patients. The 5-aminolevulinic acid induced porphyrin fluorescence was excited by violet light from a krypton ion laser (wavelength 406.7 nm.).

Results: The sensitivity of the fluorescence cystoscopy (96.9%) was significantly (p < 0.0001) greater than that of white light cystoscopy (72.7%). There was no impact on specificity.

Conclusions: Due to the high sensitivity of the procedure fluorescence guided biopsies are recommended instead of random biopsies.

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