Prospective evaluation of the prognostic relevance of molecular staging for urothelial carcinoma.

Abstract:

BACKGROUND:Nearly 50% of urothelial carcinoma patients with lymph node-negative invasive cancers recur after radical surgery. In many cases, occult local or lymph node disease may be present but undetectable by current approaches. Reverse-transcriptase polymerase chain reaction (RT-PCR)-detectable mRNA of Uroplakin II (UPII), a urothelial-specific gene mRNA, was evaluated in perivesical and lymph node samples removed at radical surgery as a predictor of clinical recurrence. METHODS:From November 1999 to August 2002, 46 patients with cTa-T4N0M0 urothelial bladder cancer enrolled in a prospective clinical trial and underwent radical cystectomy and pelvic lymphadenectomy. RT-PCR for UPII was performed on biopsies of the external surface of the bladder specimen and lymph nodes. Results were compared with conventional pathology. Patients were followed every 6 months for tumor recurrence. RESULTS:Pathologically node-negative patients had a UPII RT-PCR perivesical positivity of 27% and a lymph node positivity rate of 33%. All 22 UPII RT-PCR node-negative patients were pathologically node-negative and all 13 with pathologically positive nodes had positive UPII RT-PCR lymph node signals. In all, 46% of UPII RT-PCR lymph node-positive patients were pathologically node-negative and 5% of pathologically node-negative/UPII RT-PCR node-negative patients had disease recurrence, whereas 91% of pathologically node-negative/UPII RT-PCR node-positive patients (P < .001) recurred. UPII RT-PCR node positivity was a significant predictor of tumor recurrence in multivariate analysis CONCLUSIONS:Molecular determination of lymph node metastases by UPII RT-PCR node positivity apparently identifies patients with a poor prognosis and may be more predictive of disease recurrence than conventional pathologic analysis.

journal_name

Cancer

journal_title

Cancer

authors

Copp HL,Chin JL,Conaway M,Theodorescu D

doi

10.1002/cncr.21953

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

60-6

issue

1

eissn

0008-543X

issn

1097-0142

journal_volume

107

pub_type

临床试验,杂志文章

相关文献

CANCER文献大全
  • Observations on growth rate of breast carcinomas and its possible implications for lead time.

    abstract::Doubling times were estimated for 15 breast carcinomas in 13 patients, and were found to be between 42 and 397 days with the average at 211 days. The mean lead time at mean growth rate from the average size of 44 preclinical to the average size of 118 clinical tumors was estimated to be 3 years. This period may be con...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197710)40:4<1722::aid-cncr282040

    authors: Lundgren B

    更新日期:1977-10-01 00:00:00

  • Double alkylating agent therapy with ifosfamide and cyclophosphamide for advanced non-small cell lung cancer. From the Manchester Lung Tumour Group.

    abstract::Forty-five patients with advanced non-small cell lung cancer (NSCLC), with progressive inoperable tumors were treated. Twenty-three patients were of "limited" stage. Six patients had received previous thoracic radiotherapy. Patients with central nervous system (CNS) metastases, Karnofsky scores of less than 30 or more...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19880101)61:1<14::aid-cncr282061

    authors: Thatcher N,Smith DB,Lind MJ,Anderson H,Barclay J,Chopra MP,Fitzgerald MD

    更新日期:1988-01-01 00:00:00

  • The prognostic significance of nuclear DNA content in malignant epithelial tumors of the ovary.

    abstract::Recent studies have indicated that the nuclear DNA content of certain malignant neoplasms can be used as an adjunct in predicting their biologic behavior. The DNA content of 99 ovarian carcinomas was determined by flow cytometric analysis of nuclei obtained from paraffin-embedded tissue. Of the 99 tumors, 51 were dipl...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900101)65:1<141::aid-cncr28206

    authors: Brescia RJ,Barakat RA,Beller U,Frederickson G,Suhrland MJ,Dubin N,Demopoulos RI

    更新日期:1990-01-01 00:00:00

  • Patterns of care for women with cervical cancer in the United States.

    abstract:BACKGROUND:Recommendations for pretreatment evaluation and treatment of cervical cancer have significantly evolved over the last decade because of the results of multiple randomized studies comparing the addition of platin-based chemoradiation as well as the widespread dissemination and use of imaging modalities. This ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23682

    authors: Trimble EL,Harlan LC,Gius D,Stevens J,Schwartz SM

    更新日期:2008-08-15 00:00:00

  • Neurofibroma of the urinary bladder.

    abstract:BACKGROUND:Neurofibroma of the urinary bladder is rare. Only isolated case reports have appeared. Information regarding the long term follow-up of patients with neurofibroma is limited. METHODS:The authors studied 4 cases of neurofibroma of the bladder diagnosed at Mayo Clinic from 1965 through 1990. Immunostains for ...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:

    authors: Cheng L,Scheithauer BW,Leibovich BC,Ramnani DM,Cheville JC,Bostwick DG

    更新日期:1999-08-01 00:00:00

  • Diagnosis of brain metastases from a primary hemangiosarcoma of the spleen with magnetic resonance imaging.

    abstract:BACKGROUND:Primary malignant splenic neoplasms are rare tumors. Apart from involvement of the spleen by malignant lymphoma, hemangiosarcoma is the most common form of primary malignant neoplasm in the spleen. The diagnosis often is made at autopsy or after spontaneous splenic rupture. The prognosis is usually poor, and...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19930101)71:1<138::aid-cncr28207

    authors: Søndenaa K,Heikkilä R,Nysted A,Søreide JA,Odegaard H,Pollard ML,Holter J

    更新日期:1993-01-01 00:00:00

  • Epidermal growth factor receptor expression correlates with poor survival in patients who have breast carcinoma treated with doxorubicin-based neoadjuvant chemotherapy.

    abstract:BACKGROUND:To the authors' knowledge there are few data that correlate the expression of the epidermal growth factor receptor (EGFR) with the outcome of patients who have breast carcinoma and are treated with anthracycline chemotherapy. METHODS:Pretreatment tumor tissue samples were available from 82 patients who had ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.21217

    authors: Buchholz TA,Tu X,Ang KK,Esteva FJ,Kuerer HM,Pusztai L,Cristofanilli M,Singletary SE,Hortobagyi GN,Sahin AA

    更新日期:2005-08-15 00:00:00

  • Comparison between the nuclear diameters of primary and metastatic breast cancer cells obtained by cytologic aspiration.

    abstract::In order to determine if there are morphologically identifiable characteristics between malignant cells obtained from a primary cancer and its metastasis the nuclear diameter was used as an indicator of the degree of malignancy, since there is good correlation between nuclear size, DNA content, and chromosome numbers....

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19851001)56:7<1605::aid-cncr2820

    authors: Zajdela A,Asselain B,Ghossein NA

    更新日期:1985-10-01 00:00:00

  • A phase II study of bortezomib in the treatment of metastatic malignant melanoma.

    abstract:BACKGROUND:Bortezomib is a proteasome inhibitor with manageable clinical toxicity and laboratory evidence of anti-melanoma activity. Therefore, it was considered for clinical testing in patients with metastatic melanoma. METHODS:Patients with metastatic melanoma and adequate hematologic, renal, and hepatic function we...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/cncr.21108

    authors: Markovic SN,Geyer SM,Dawkins F,Sharfman W,Albertini M,Maples W,Fracasso PM,Fitch T,Lorusso P,Adjei AA,Erlichman C

    更新日期:2005-06-15 00:00:00

  • Overexpression in colorectal carcinoma of two lysosomal enzymes, CLN2 and CLN1, involved in neuronal ceroid lipofuscinosis.

    abstract:BACKGROUND:Lysosomal proteases are implicated in cancer progression and metastasis. In the current study, using subtraction cloning for genes that are differentially expressed in metastasis, the authors isolated a clone encoding ceroid lipofuscinosis, neuronal 2 (CLN2), which is a lysosomal serine protease defective in...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.21764

    authors: Tsukamoto T,Iida J,Dobashi Y,Furukawa T,Konishi F

    更新日期:2006-04-01 00:00:00

  • Nasopharyngeal carcinoma in childhood and adolescence: a single-institution experience with combined therapy.

    abstract:BACKGROUND:A high cure rate may be attained for locally advanced, undifferentiated nasopharyngeal carcinoma (NPC) in children, provided that a combined modality of treatment is employed. Both local and systemic therapies are necessary. Results at a single pediatric institution were analyzed. METHODS:From November 1988...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Zubizarreta PA,D'Antonio G,Raslawski E,Gallo G,Preciado MV,Casak SJ,Scopinaro M,Morales G,Sackmann-Muriel F

    更新日期:2000-08-01 00:00:00

  • Increase in primary surgical treatment of T1 and T2 oropharyngeal squamous cell carcinoma and rates of adverse pathologic features: National Cancer Data Base.

    abstract:BACKGROUND:There has been increasing interest in the primary surgical treatment of patients with early T classification (T1-T2) oropharyngeal squamous cell carcinoma (OPSCC), with the stated goal of de-escalating or avoiding adjuvant treatment. Herein, the authors sought to determine the degree to which this interest h...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.29938

    authors: Cracchiolo JR,Baxi SS,Morris LG,Ganly I,Patel SG,Cohen MA,Roman BR

    更新日期:2016-05-15 00:00:00

  • Treatment trade-offs in myeloma: A survey of consecutive patients about contemporary maintenance strategies.

    abstract:BACKGROUND:Two randomized trials have demonstrated improved progression-free survival (PFS) with lenalidomide maintenance after autologous transplantation for multiple myeloma (MM). Overall survival (OS) results are conflicting, and quality-of-life (QOL) data are lacking. The authors conducted a systematic survey of pa...

    journal_title:Cancer

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/cncr.28340

    authors: Burnette BL,Dispenzieri A,Kumar S,Harris AM,Sloan JA,Tilburt JC,Kyle RA,Rajkumar SV

    更新日期:2013-12-15 00:00:00

  • Treatment of intrahepatic malignancy with radiofrequency ablation: radiologic-pathologic correlation.

    abstract:BACKGROUND:Radiofrequency (RF)-induced tissue coagulation represents a new approach for the thermal destruction of tumors within the liver. The purpose of the current study was to 1) assess technique safety; 2) determine the extent and evolution of induced cellular damage; and 3) correlate the observed pathologic effec...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Goldberg SN,Gazelle GS,Compton CC,Mueller PR,Tanabe KK

    更新日期:2000-06-01 00:00:00

  • The value of ultrasonic imaging and CT scanning in planning the radiotherapy for prostatic carcinoma.

    abstract::Forty-four consecutive patients with potentially curable carcinoma of the prostate were localized with an Old Delft Simulator with the methods described by Bagshaw. The isocenter and the treatment portal were marked on the skin of the patient. Subsequently, the adequacy of the portal was checked by ultrasonography and...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19800215)45:4<724::aid-cncr28204

    authors: Lee DJ,Leibel S,Shiels R,Sanders R,Siegelman S,Order S

    更新日期:1980-02-15 00:00:00

  • Thyroid-associated antigens in routinely embedded carcinomas. Possibilities and limitations studied in 116 cases.

    abstract::Routinely embedded tumors (116 cases) were screened immunohistochemically for the thyroid-associated antigens, thyroglobulin and calcitonin, and for carcinoembryonic antigen (CEA). Also the influence of different fixatives, decalcification, and embedding procedures were studied. All follicular and papillary carcinomas...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840715)54:2<274::aid-cncr28205

    authors: Logmans SC,Jöbsis AC

    更新日期:1984-07-15 00:00:00

  • Role of stromal-derived cytokines and growth factors in bone metastasis.

    abstract:BACKGROUND:Interactions between bone marrow-derived cytokines, growth factors, and tumors play a critical role in both the homing of tumors to the bone and the development of bone metastasis. Bone is a storehouse of latent growth factors produced by stromal cells and osteoblasts that, when activated during osteoclastic...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.11148

    authors: David Roodman G

    更新日期:2003-02-01 00:00:00

  • Antitumor effect of methionine-depleting total parenteral nutrition with doxorubicin administration on Yoshida sarcoma-bearing rats.

    abstract::Methionine-depleting total parenteral nutrition (methionine-depleting TPN), which infuses an amino acid solution devoid of L-methionine and L-cysteine as the sole protein source, showed enhancement of the effect of several anti-cancer agents. In this study, the combined effect of the methionine-depleting TPN with the ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19920401)69:7<1865::aid-cncr2820

    authors: Goseki N,Yamazaki S,Endo M,Onodera T,Kosaki G,Hibino Y,Kuwahata T

    更新日期:1992-04-01 00:00:00

  • Mammographically guided fine-needle aspiration biopsy of nonpalpable breast lesions. Can it replace open biopsy?

    abstract::The authors report the accuracy of mammographically guided fine-needle aspiration (FNA) for the diagnosis of nonpalpable breast lesions in a series of 71 patients. Each mammographically guided FNA was immediately followed by hookwire localization and open biopsy. Seven malignancies were identified cytologically, but t...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19911101)68:9<2007::aid-cncr2820

    authors: Layfield LJ,Parkinson B,Wong J,Giuliano AE,Bassett LW

    更新日期:1991-11-01 00:00:00

  • A controlled trial of extended radical mastectomy.

    abstract::One hundred twenty-three women younger than 70 years of age and at clinical Stages I or II were enrolled in a randomized clinical trial of radical versus extended radical mastectomy. The 5-year survival rates in the radical and extended radical groups were 75 +/- 6.7% and 80 +/- 6.7%, respectively. (Cox P value for co...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/1097-0142(19850215)55:4<880::aid-cncr28205

    authors: Meier P,Ferguson DJ,Karrison T

    更新日期:1985-02-15 00:00:00

  • Economic independence in survivors of cancer diagnosed at a young age: A Norwegian national cohort study.

    abstract:BACKGROUND:The impact of cancer on socioeconomic outcomes is attracting attention as the number of survivors of cancer in young age continues to rise. This study examines economic independence in a national cohort of survivors of cancer at a young age in Norway. METHODS:Through the linkage of several national registri...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30253

    authors: Gunnes MW,Lie RT,Bjørge T,Syse A,Ruud E,Wesenberg F,Moster D

    更新日期:2016-12-15 00:00:00

  • A study of 15 cases of primary mediastinal lymphoma of B-cell type.

    abstract::Fifteen cases of pure supradiapragmatic lymphoma with initial prominent antero-superior mediastinal involvement displaying a B-cell pattern of reactivity were studied. These cases occurred in six men and nine women with a median age of 33 years at diagnosis (range, 23 to 75 years). Supradiapragmatic peripheral lymphad...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19920515)69:10<2561::aid-cncr282

    authors: Lavabre-Bertrand T,Donadio D,Fegueux N,Jessueld D,Taib J,Charlier D,Rousset T,Emberger JM,Baldet P,Navarro M

    更新日期:1992-05-15 00:00:00

  • Mucinous carcinoma of the colon and rectum.

    abstract::The clinicopathologic significance of mucus production by adenocarcinoma of the colon and rectum was analyzed in retrospective study with stage matched non-mucus producing control carcinomas. Mucinous carcinoma of the colon and rectum comprised 132 (15%) of 893 cases of colorectal carcinoma. The rectum was the most co...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197604)37:4<1891::aid-cncr282037

    authors: Symonds DA,Vickery AL

    更新日期:1976-04-01 00:00:00

  • Intraoperative radiotherapy for advanced carcinoma of the biliary system.

    abstract::Since November 1973, intraoperative radiotherapy has been performed on five patients with unresectable, advanced carcinoma of the bile duct at the hepatic hilus and six patients with unresectable carcinoma of the gallbladder. A treatment cone with a diameter ranging from 4--10 cm was directly applied at the lesion. A ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19801115)46:10<2179::aid-cncr282

    authors: Todoroki T,Iwasaki Y,Okamura T,Nagoshi K,Asakura H,Nakano M,Inada T,Tsunemoto H,Umegaki Y,Nishimura A,Nakano M,Sato H

    更新日期:1980-11-15 00:00:00

  • Carbon nanotube-enhanced thermal destruction of cancer cells in a noninvasive radiofrequency field.

    abstract:BACKGROUND:Single-walled carbon nanotubes (SWNTs) have remarkable physicochemical properties that may have several medical applications. The authors have discovered a novel property of SWNTs-heat release in a radiofrequency (RF) field-that they hypothesized may be used to produce thermal cytotoxicity in malignant cells...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23155

    authors: Gannon CJ,Cherukuri P,Yakobson BI,Cognet L,Kanzius JS,Kittrell C,Weisman RB,Pasquali M,Schmidt HK,Smalley RE,Curley SA

    更新日期:2007-12-15 00:00:00

  • Phantom breast sensations following mastectomy.

    abstract::Eighty-nine patients were studied for the incidence and nature of phantom breast sensations (PBS) after a modified mastectomy. Twenty-nine (33%) reported experiencing pain or itching in the breast or the more vague sensation that the breast was still present. Phantom breast sensations appeared generally within the fir...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19851215)56:12<2898::aid-cncr282

    authors: Staps T,Hoogenhout J,Wobbes T

    更新日期:1985-12-15 00:00:00

  • Nucleolar organizer regions in small nodular lesions representing early stages of human hepatocarcinogenesis.

    abstract:BACKGROUND:It is believed that in the early stages of hepatocarcinogenesis, some adenomatous hyperplasias (AH) progress to early hepatocellular carcinoma (eHCC), and that many eHCC develop into overt hepatocellular carcinoma (HCC) through nodule-in-nodule formation. However, the proliferative activity of these small no...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19940115)73:2<289::aid-cncr28207

    authors: Aoki K,Sakamoto M,Hirohashi S

    更新日期:1994-01-15 00:00:00

  • Models in cytostatic chemotherapy.

    abstract::Models play a fundamental role in all sciences. Scientific theories can be understood as "intellectual models" of the relations and interrelations between the elements of the science. Such relational models consider the scientific topics as "systems," and may therefore be called "system models." The basic elements of ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840915)54:1+<1229::aid-cncr282

    authors: Brock N,Schneider B

    更新日期:1984-09-15 00:00:00

  • Analysis of RET protooncogene point mutations distinguishes heritable from nonheritable medullary thyroid carcinomas.

    abstract:BACKGROUND:The distinction of sporadic from inherited medullary thyroid carcinomas (MTCs) is of clinical importance because of the differences in prognosis, and the need for family screening for genetic counseling required in the latter. Germline mutations in the RET protooncogene are associated with multiple endocrine...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19950801)76:3<479::aid-cncr28207

    authors: Komminoth P,Kunz EK,Matias-Guiu X,Hiort O,Christiansen G,Colomer A,Roth J,Heitz PU

    更新日期:1995-08-01 00:00:00

  • Primary tumors of the trachea. Results of radiation therapy.

    abstract::From 1959 to 1986, 24 patients with primary malignant tumors of the trachea received radiotherapy as all or part of treatment. Common presentations included respiratory symptoms in 20 patients and hemoptysis in 15. Thirteen patients had squamous carcinomas with undifferentiated and adenoid cystic cancers in five and f...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19890615)63:12<2429::aid-cncr282

    authors: Fields JN,Rigaud G,Emami BN

    更新日期:1989-06-15 00:00:00