Vol. 7, Issue 3, Part E (2024)

Background: Urine cytology is a noninvasive, cost-effective and widely used diagnostic tool for screening of genitourinary tract neoplasms. The Paris system for reporting urine cytology is useful for reporting urine cytology.

Aims and Objectives: To determine the frequency of high grade and low grade urothelial carcinoma in urine cytology specimens and to evaluate the accuracy of Paris system.

Materials and Methods: A retrospective study was conducted in the Department of Pathology (Cytology), at B.J Medical College and Civil Hospital, Ahmedabad from March 2022 to May 2024 where a total of 150 cases were included. All freshly collected urine specimens were cyto-centrifuged, prepared as thin slides fixed with methanol and stained with Papanicolaou stain then evaluated under light microscopy.

Inclusion Criteria: All the cases that came to the Department of Pathology (Cytology), with clinical history of bladder tumors during that period. Patients of all age groups and both sexes were included.

Exclusion Criteria: Samples inadequate for diagnosis were excluded.

Results: In our study total of 150 cases were analysed, 108 were males and 42 were females, the male to female ration being 2.6:1. The most commonly affected age group was 51-60 years. Out the 150 cases examined, 12% cases had High Grade Urothelial Carcinoma, 18.6% cases were Suspicious for High Grade Urothelial Carcinoma, 9.3% cases had Atypical urothelial cells, and 5.3% cases had Low Grade Urothelial Neoplasm.

Conclusion: As by using the The Paris System for reporting urine cytology decreased the cases of Atypical urothelial cells and raises the reporting cases of High Grade Urothelial Carcinoma and it is also useful for follow up the patient who has the previous history of urothelial carcinoma.