Bladder cancer, a two phased disease?

Abstract:

:The processes of intraepithelial migration, intraluminal seeding, and field cancerization as models for initiation, spread, and recurrences of urothelial cell carcinoma (UCC) are reviewed in light of recent molecular investigations. The accumulated molecular data on synchronous and metachronous tumors indicate that the majority of recurrent and multiple tumors are monoclonal. Molecular data has also shown the presence of chromosomal and genetic changes in precursor lesions as well as in normal urothelial cells. Genetic-histological mapping of cystectomized bladders has shown that overt tumors occur as local events in areas of genetically altered urothelium. A model is put forward in which the tumor process is initiated by genetically altered but histologically normal cells that produce fields of altered cells by intraepithelial displacement. By the accumulation of further genetic changes the fields of altered urothelium reaches a state of criticality, which locally may produce frank tumors.

journal_name

Semin Cancer Biol

authors

Höglund M

doi

10.1016/j.semcancer.2006.02.002

keywords:

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

225-32

issue

3

eissn

1044-579X

issn

1096-3650

pii

S1044-579X(06)00023-X

journal_volume

17

pub_type

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