An elderly male presents with one episode of gross haematuria. All of the following investigations are recommended for invastigating this patient except: (A) Cystoscopy, (B) Urine microscopy for malignant cells, (C) Urine tumor markers, (D) Intravenous pyelogram
Answer is C. Elderly male with gross hematuria the provisional diagnosis is ca urinary bladder . Investigations in a case of urinary bladder ca .1) urine cytology - this is not a good screening test but a positive result is highly specific and is more useful with highgrade disease and CIS . New tests based on nuclear matrix proteins ( NMP22 ) or mini microsome maintainance proteins ( MCM ) or epigenetic events are under evaluation and not routinely used . 2) Blood - HB , electrolytes , urea 3) CT ,MRI ,IVU , USG -should be done in all patients 4) cystourethroscopy is the mainstay of evaluation ( Bailey and Love 27th edition chapter 77 .pg no. 1449 .)