Atypical cells can be due to inflammation or infection like cystitis, so you should not be worried at this moment.
As there was a trace of blood in urine and atypical urothelial cells on cytology, your urologist will probably recommend you for a cystoscopy to rule out Bladder Cancer. A repeat cystoscopy should also be done 3 months after the first one, even if the first one was normal. Additional test that can be done are CT Scan of Kidneys and Intravenous Pyelogram. There are also some urinary biomarkers for Bladder Cancer which you can discuss with your Urologist but they do not substitute cytoscopy.
Here are some questions, I would like to ask you.
Based on your username, I am guessing your age is 60yrs? Is that correct?
Is there any personal history of smoking?
Any Family history of cancers?
Did the Urine Test had leukocyte esterase positive anytime?
Thank you for your question.
Ashutosh (Ash) K. Tewari, MD
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