[Visual diagnosis while performing transurethral resection of bladder tumors: power or myth?]. / Blickdiagnose bei der transurethralen Resektion von Harnblasentumoren : Macht oder Mythos?

INTRODUCTION: The gold standard for diagnosis and immediate therapy of bladder cancer is a transurethral resection (TURB) followed by histopathologic evaluation. The aim of this study was to assess the reliability of visual diagnosis by the operating urologist concerning dignity (malignant/benign) and staging compared to histopathologic evaluation. This is especially crucial since early mitomycin C instillation is based on the urologist's first impression. STUDY DESIGN AND METHODS: This prospective study included 311 cases of TURB from five German institutions. Surgeons were asked to estimate dignity of the neoplasm, tumor stage, and grade according to a standardized questionnaire. RESULTS: The subjective estimation/visual diagnosis of the operating urologist achieved a sensitivity with respect to identifying malignant tumors as such of 97%, while specificity was only 41%. Accordingly, the positive (PPV) and negative predictive values (NPV) were 76% and 88%, respectively. In general, muscle invasive cancer was predicted more often than confirmed by pathology (PPV 52%). However, whenever muscle invasive cancer was excluded by the urologist, this was confirmed by the pathologist in most the cases (NPV 95%). The educational degree did not influence the reliability and predictive value of visual diagnosis. CONCLUSION: This study shows that urologists cannot reliably distinguish benign from malignant lesions of bladder mucosa-regardless of their educational degree. A reliable diagnosis of a pathologist is definitely needed to plan final therapeutic steps.

The helminth fauna of the common seal (Phoca vitulina vitulina, Linné, 1758) from the Wadden Sea in Lower Saxony. Part 1: Trematodes, cestodes and acanthocephala.

Between August 1988 and January 1989 110 common seals found dead along the coast of Lower Saxony were investigated for the occurrence of trematodes, cestodes and acanthocephala. Two fluke species, Cryptocotyle lingua Creplin, 1825 and Phagicola septentrionalis Van Den Broek, 1967, two tapeworm species Diphyllobothrium cordatum Leuckart, 1863 and Diphyllobothrium elegans Krabbe, 1865, and the acanthocephala species Corynosoma strumosum Rudolphi, 1802 were found. Phagicola septentrionalis and the cestodes were always found together with Cryptocotyle lingua. The prevalence of Phagicola septentrionalis, the diphyllobothriids and the acanthocephala increased with increasing age of the pinniped host. The worm counts of all species appeared to increase with increasing age of the host. The adult male seals were more often infested with Phagicola septentrionalis and cestodes than the female adults and the younger pinnipeds. There was no correlation between blubber thickness of the seals and parasitic infection. The prevalence of the diphyllobothriids and the intensity of the infection with acanthocephala were higher in seals found in the eastern part of the Wadden Sea.

The helminth fauna from the common seal (Phoca vitulina vitulina, Linné, 1758) of the Wadden Sea in Lower Saxony. Part 2: Nematodes.

During the seal epidemic in 1988 and the beginning of 1989, 115 common seals found dead on the shores of the Wadden Sea of Lower Saxony were investigated for the presence of nematodes. The lungworm Otostrongylus circumlitus Railliet 1899 was found in 26.1% of the seals, the lungworm Parafilaroides gymnurus Railliet 1899 in 26.9% and the heartworm Dipetalonema spirocauda Leidy 1858 in 32.2% of the seals. In the digestive tract, two anisakid species were found, Pseudoterranova decipiens Mozgovoi 1951 in 87.8% and Contracaecum osculatum Rudolphi 1802 in 10.4% of the seals. Statistical analysis revealed a negative correlation between age of the seals and prevalence and intensity of infestation with the two lungworm species and the heartworms. Adult seals were found not to be infected with Dipetalonema spirocauda and Parafilaroides gymnurus, whereas the prevalence of the two anisakid species increased with increasing age of the seals. Pseudoterranova decipiens was found more often in autumn and winter than in summer. This parasite was more prevalent and had higher worm counts in the eastern part of the Wadden Sea than in the western part. Parafilaroides gymnurus and Dipetalonema spirocauda were found more often in seals with smaller blubber thickness than in well fed seals.

[Parasitologic, clinical, hematologic and serologic findings in puppies after lactogenic infection with Ancylostoma caninum ERCOLANI 1859 (Ancylostomidae)]. / Parasitologische, klinische, hämatologische und serologische Befunde bei Welpen nach galaktogener Infektion mit Ancylostoma caninum ERCOLANI 1859 (Ancylostomidae).

The correlation between intensity of Ancylostoma caninum infections in bitches and the intensity of lactogenic infections and clinical signs of their puppies was investigated. On average, 825, 1,867 or 2,125 specimens were observed in litters of two bitches inoculated with 5,000, 10,000 or 20,000 third stage larvae (LIII) respectively, at the day of conception. Adverse effects of the infection on the growth and behaviour of the puppies were observed after onset of their second week of life: 11/27 puppies died during the fourth week. The body weight of puppies surviving 28 days was up to 750 g less than that of uninfected controls. Eosinophilia, erythroblastosis and microcytic, hypochromic anemia developed in all puppies during their first four weeks. The IFA test (LIII antigen) was positive for only 5/18 heavily infected puppies after uptake of colostrum.

[Transplanted infections with Toxocara canis as a model for the effectiveness testing of anthelmintics]. / Transplantatorische Infektionen mit Toxocara canis als Modell zur Wirksamkeitsprüfung von Anthelminthika.

Patent infections of adult dogs with Toxocara canis induced by transplantation of immature, intestinal stages were examined for their suitability for testing of anthelmintics. Each of 5 dogs were infected four times by transplantation of 80 immature, intestinal stages of Toxocara canis. The dogs were treated with various anthelmintics of well established efficacy (pyrantel, nitroscanate, mebendazole, piperazine) 20 dpi. All anthelmintics tested showed the same efficacy as had been assessed earlier by treatment of dogs infected prenatally with Toxocara canis.