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Table 6 The number of patients where clinical examination, laboratory tests and diagnostic procedures performed or ordered by a GP had diagnostic importance, in total and with symptomatic initiation

From: Symptoms and signs of urogenital cancer in primary care

   

Cancer site

   

Bladder, ureter, urethra

Renal

Prostate

Cervix uteri

Corpus uteri

Ovary

Clinical examination

 Abdominal examination

3 (3)

1 (1)

1 (1)

 

1 (1)

5 (5)

 Digital rectal examination

1 (1)

2 (2)

27 (23)

   

 Gynecological examination

1 (1)

  

5 (3)

5 (5)

1 (1)

Proctoscopy/sigmoidoscopy

 Other examination, not specified

9 (8)

4 (4)

5 (4)

 

2 (2)

 

 No contribution from clinical examination

16 (14)

9 (7)

20 (11)

3 (2)

6 (6)

3 (2)

 Missing

3 (3)

1 (1)

4 (3)

1 (1)

  

Laboratory tests

 Haemoglobin concentration

2 (1)

2 (2)

2 (2)

 

1 (1)

 

 Erythrocyte Sedimentation rate

1 (0)

2 (2)

1 (1)

 

1 (0)

 

 C-Reactive Protein

1 (0)

1 (1)

1 (1)

  

1 (1)

 Test for occult blood in stool

1 (1)

1 (3)

    

 Cervical cytology

   

3 (1)

1 (1)

 

 Prostate Specific Antigen

  

45 (32)

   

 Urinary examination

14 (14)

8 (7)

1 (1)

 

1 (1)

 

 Other

4 (3)

3 (3)

1 (1)

1 (0)

1 (1)

1 (1)^^

 No diagnostic contribution from laboratory tests

10 (9)

5 (4)

6 (4)

3 (3)

9 (9)

5 (4)

 Missing

2 (2)

 

4 (4)

2 (2)

1 (1)

1 (1)

Diagnostic procedures

 X-ray

 

1 (1)

3 (2)

1 (1)

  

 Ultrasound

7 (7)

2 (2)

10 (5)

 

4 (4)

3 (3)

 Computer tomography

7 (5)

13 (11)

5 (4)

1 (1)

4 (4)

5 (4)

 Magnetic resonance

 

3 (3)

8 (5)

1 (1)

1 (1)

 

 Upper GI Endoscopy

1 (1)

     

 Colonscopy

1 (1)

     

 Cystoscopy

21 (18)

3 (3)

5 (4)

 

1 (1)

 

 Other

  

13 (7)*

3 (1)**

3 (3)^

 

 None of the above

1 (1)

 

16 (12)

4 (3)

2 (2)

1 (0)

 Missing

2 (2)

 

11 (10)

2 (2)

2 (2)

1 (1)

Number of patients

30

16

56

10

14

8

  1. More than one examination/procedure could be recorded for one patient, where appropriate
  2. Number of patients with symptomatic initiation of the diagnostic process in parentheses
  3. *9 of these were biopsies of prostate
  4. **Kolposcopy
  5. ^Cytology / histology of endometrium
  6. ^^CEA