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영남의대학술지 Vol.24_No.2 Suppl. P.S1-11, Dec. 2007

Review

하부요로증상을 보이는 환자들에서 악성종양의 진단

Diagnosis of Malignant Lesion in Patients with Lower Urinary Tract Symptoms

박동춘
영남대학교 의과대학 비뇨기과학교실
책임저자:박동춘, 대구광역시 남구 대명5동 317-1, 영남대학교 의과대학 비뇨기과학교실
Tel: (053) 620-3691, Fax: (053) 627-5535
E-mail: tcpark@med.yu.ac.kr

December 30, 2007

Abstract

Some patients, especially with chronic disease such as diabetes, who suffer from lower urinary tract symptoms (LUTS) just want to take prolonged oral medication (anticholinergics or alpha blockers) without proper evaluation for basic causes. LUTS is commonly occurred by urinary tract infection, several chronic diseases and/or aging itself. However, we should not pass over the fact that LUTS also can be evoked by malignancy. Because there is a higher detection rate of malignancy in patients with microscopic hematuria, urine cytology must be done with ultrasonography, IVP and cystoscopy. In those patients aged over 50 years or high risk group for urothelial carcinoma, it is mandatory to undergo ultrasonography and cystoscopy, even if there is no abnormalities on their urinalysis and urine cytology.

Key Words: Lower urinary tract symptom, Malignancy, Diagnosis

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