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39 yr old female; blood in urine; atypical cytology
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39 yr old female; blood in urine; atypical cytology

My first unine that sampled positive for blood was done in Sept 08 (25 Ery/uL).  A followup in mid-oct was deemed ok at 10 Ery/uL).  In Sep 09 blood in urine was 50 Ery/uL.  I went for a cytology on Nov 2 and it was atypical (I did not find this out until March 2010 after a repeat urine test showed a small amount of blood present - all other aspects/measurements were within normal range for the urinalysis - colour was dark yellow).  I have an appointment with a urologist in 3 days.  I am worried sick.
I'm a en ex-smoker.

Can this be very serious?  Can it be something small?
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242579_tn?1252114771
Thank you for your question. Asymptomatic microscopic hematuria has many causes, ranging from minor incidental findings that do not require treatment to highly significant lesions that are immediately life-threatening. Most patients with asymptomatic microscopic hematuria will undergo a full urologic evaluation (often including repeat urinalysis, urine culture, upper urinary tract imaging, cystoscopy and urinary cytology).

Atypical cells on cytology are often difficult to interpret. A CT scan and a cystoscopy could be warranted, especially with the positive history of smoking.

Sincerely,

Ashutosh (Ash) Tewari, MD

http://www.cornellroboticprostate.org

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