Should "suspicious for high-grade urothelial carcinoma" and "positive for high-grade urothelial carcinoma" remain separate categories?

Abstract:

BACKGROUND:The Paris System (TPS) for Reporting Urinary Cytology aims to standardize urine cytology reporting. Per TPS, the diagnosis of "suspicious for high-grade urothelial carcinoma (SHGUC)" is applied in cases that have few urothelial cells with severe atypia but are quantitatively insufficient for a diagnosis of "high-grade urothelial carcinoma (HGUC)." In our study, we compared the diagnostic accuracy and risk of malignancy (ROM) of these 2 categories to assess whether they could be combined in clinical practice to perhaps improve overall interobserver variability. METHODS:All urine specimens with a diagnosis of either SHGUC or HGUC from January 2016 to July 2019 were retrieved from the pathology database of 2 large academic institutions. Only cases with follow-up biopsies within 6 months were included. RESULTS:One hundred eighty-nine cases met the study criteria. Of these, 122 had a cytologic diagnosis of SHGUC, and 67 had a diagnosis of HGUC. Ninety-five (78%) cases from the SHGUC group and 64 (96%) cases from the HGUC group had biopsy-proven HGUC. The majority of cases with discordance had a history of treatment with either intravesical bacillus Calmette-Guérin or mitomycin. The difference in the rate of biopsy-proven HGUC between the SHGUC category and the HGUC category (95/122 vs 64/67, respectively) was statistically significant (P < .001). CONCLUSIONS:The difference in ROM between SHGUC and HGUC was statistically significant in our study cohort. Intravesical chemotherapy was frequently observed in negative biopsy cases in both groups. Our preliminary findings suggest that the 2 TPS categories should remain separate.

journal_name

Cancer Cytopathol

journal_title

Cancer cytopathology

authors

Nguyen L,Nilforoushan N,Krane JF,Bose S,Bakkar R

doi

10.1002/cncy.22357

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

156-163

issue

2

eissn

1934-662X

issn

1934-6638

journal_volume

129

pub_type

杂志文章
  • Reliability of immunostaining using pan-melanoma cocktail, SOX10, and microphthalmia transcription factor in confirming a diagnosis of melanoma on fine-needle aspiration smears.

    abstract:BACKGROUND:Accurate fine-needle aspiration (FNA) diagnosis of metastatic melanoma is of therapeutic and prognostic significance and often requires ancillary studies. To the authors' knowledge, the reliability of immunostaining using a pan-melanoma cocktail, Sry-related HMG-BOX gene 10 (SOX10), and microphthalmia transc...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21458

    authors: Clevenger J,Joseph C,Dawlett M,Guo M,Gong Y

    更新日期:2014-10-01 00:00:00

  • Adequacy in voided urine cytology specimens: The role of volume and a repeat void upon predictive values for high-grade urothelial carcinoma.

    abstract:BACKGROUND:Adequacy assessment is one of the most controversial and overlooked components in the daily practice of cytopathology, because it is generally determined from limited samples. Because voided urine varies widely in terms of its volume and cellularity, there is little consensus about the proper role for these ...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21634

    authors: VandenBussche CJ,Rosenthal DL,Olson MT

    更新日期:2016-03-01 00:00:00

  • FNA of epithelioid sarcoma: Curie Institute experience and critical review of the literature.

    abstract:BACKGROUND:Epithelioid sarcoma (ES) is a rare mesenchymal tumor that is divided into 2 types: classic and proximal. To the authors' knowledge, ES has been poorly studied in cytology, with fewer than 50 cases reported to date. The objective of the current study was to analyze the cytological and immunohistochemical info...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.22052

    authors: Gajdzis P,Laé M,Klijanienko J

    更新日期:2018-11-01 00:00:00

  • Programmed death ligand 1 expression in EBUS aspirates of non-small cell lung cancer: Is interpretation affected by type of fixation?

    abstract:BACKGROUND:Much of the reluctance about using cytology specimens rather than histology specimens to assess programmed death ligand 1 (PD-L1) expression for guiding the use of immune modulating drugs in the management of non-small cell lung cancer (NSCLC) is based on the belief that the alcohol-based fixatives favored b...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22216

    authors: Gosney JR,Haragan A,Chadwick C,Giles TE,Grundy S,Tippett V,Gumparthy KP,Wight A,Tan HG

    更新日期:2020-02-01 00:00:00

  • Diagnostic predictive value of the Bladder EpiCheck test in the follow-up of patients with non-muscle-invasive bladder cancer.

    abstract:BACKGROUND:The objective of this study was to evaluate the diagnostic accuracy of the Bladder EpiCheck test in the follow-up of patients with non-muscle-invasive bladder cancer (NMIBC) and to compare it with the accuracy of urinary cytology, cystoscopy, and/or histology. METHODS:In total, 243 patients were enrolled in...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22152

    authors: Trenti E,D'Elia C,Mian C,Schwienbacher C,Hanspeter E,Pycha A,Kafka M,Degener S,Danuser H,Roth S,Pycha A

    更新日期:2019-07-01 00:00:00

  • Cytomorphologic features of thyroid disease in patients with DICER1 mutations: A report of cytology-histopathology correlation in 7 patients.

    abstract:BACKGROUND:Germline and somatic mutations of DICER1 have been identified in various types of neoplastic lesions, with germline DICER1 mutation being linked to autosomal dominant hereditary pleiotropic tumor syndrome (DICER1 syndrome). Patients with DICER1 syndrome are at increased risk of developing thyroid disease, in...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22329

    authors: Darbinyan A,Morotti R,Cai G,Prasad ML,Christison-Lagay E,Dinauer C,Adeniran AJ

    更新日期:2020-10-01 00:00:00

  • Split-sample comparison of urothelial cells in ThinPrep and cytospin preparations in urinary cytology: Do we need to adjust The Paris System for Reporting Urinary Cytology criteria?

    abstract:BACKGROUND:The Paris System for Reporting Urinary Cytology (TPS) defines clear morphologic criteria to classify urinary specimens into 7 diagnostic categories. According to TPS, a nuclear-to-cytoplasmic ratio (N:C ratio) >0.7 and hyperchromasia must be observed to render a diagnosis of high-grade urothelial carcinoma (...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22218

    authors: Richardson CJ,Pambuccian SE,Barkan GA

    更新日期:2020-02-01 00:00:00

  • Preoperative bronchial cytology for the assessment of tumor spread through air spaces in lung adenocarcinoma resection specimens.

    abstract:BACKGROUND:Tumor spread through air spaces (STAS), a significant prognostic indicator, has been described recently as a pattern of invasion in pulmonary carcinomas. However, questions remain regarding preoperative identification of STAS and whether it represents an in vivo phenomenon versus an ex vivo artifact. METHOD...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22243

    authors: Medina MA,Onken AM,de Margerie-Mellon C,Heidinger BH,Chen Y,Bankier AA,VanderLaan PA

    更新日期:2020-04-01 00:00:00

  • Aggressive variants of follicular cell-derived thyroid carcinomas: a cytopathologist's perspective.

    abstract::Follicular cell-derived carcinomas of the thyroid gland comprise a heterogeneous group of malignant neoplasms of the thyroid gland with varied histologic appearance and molecular profiles. In most patients, these tumors represent relatively indolent neoplasms; however, certain subtypes/variants behave in an aggressive...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.21417

    authors: Lastra RR,LiVolsi VA,Baloch ZW

    更新日期:2014-07-01 00:00:00

  • The utility of napsin-A in the identification of primary and metastatic lung adenocarcinoma among cytologically poorly differentiated carcinomas.

    abstract:BACKGROUND:New developments in the treatment of lung cancer have necessitated the further histologic and cytologic subtyping of nonsmall cell lung carcinomas. Thyroid transcription factor-1 (TTF-1) long has served as the predominant marker for demonstrating lung origin. However, it is also expressed in a variety of oth...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.20108

    authors: Stoll LM,Johnson MW,Gabrielson E,Askin F,Clark DP,Li QK

    更新日期:2010-12-25 00:00:00

  • The impact of the new proposed Papanicolaou Society of Cytopathology terminology for pancreaticobiliary cytology in endoscopic US-FNA: A single-institutional experience.

    abstract:BACKGROUND:The Papanicolaou Society of Cytopathology has recently published a new proposal for pancreaticobiliary cytology terminology. For the current study, the authors applied this new classification for pancreaticobiliary cytology to a set of previously diagnosed endoscopic ultrasound (EUS)-guided fine-needle aspir...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21559

    authors: Saieg MA,Munson V,Colletti S,Nassar A

    更新日期:2015-08-01 00:00:00

  • Anal cancer and cervical cancer screening: key differences.

    abstract::Cervical cancer and anal cancer share many similarities including causation by oncogenic human papillomaviruses; however, significant differences exist in their epidemiology, risk factors, biologic behavior, management, and treatment. Although rare, the incidence of anal cancer is alarmingly high and continues to incr...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.20126

    authors: Darragh TM,Winkler B

    更新日期:2011-02-25 00:00:00

  • Focus on technology: How important is resolution in telecytopathology?

    abstract:BACKGROUND:The authors conducted an analysis of 2 telepathology systems with different resolutions to determine how resolution affects the pathologists' ability to provide preliminary diagnoses for fine-needle aspirations (FNA). METHODS:FNA cases evaluated by telepathology between February 1, 2011 and January 18, 2012...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21404

    authors: McMahon RQ,McCarthy EE,Hetzel SJ,Das K,Stewart J 3rd

    更新日期:2014-07-01 00:00:00

  • Ocular cytology: Diagnostic features and ongoing practices.

    abstract::Ocular cytology specimens are small, with limited options for a repeat biopsy. Appropriate handling of these specimens and triaging for ancillary testing can be taxing. In this article, the author reviews a selection of potentially challenging diagnoses and current common practices and methods used in diagnosing ocula...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.22384

    authors: Laver NMV

    更新日期:2020-11-02 00:00:00

  • Branched-chain in situ hybridization for κ and λ light chains: A powerful ancillary technique for determining B-cell clonality in cytology samples.

    abstract:BACKGROUND:Current immunohistochemical and in situ hybridization (ISH) assays are generally inconclusive for clonality unless plasmacytic differentiation is present. This study examined a series of cytology specimens and explored the ability of a branched-chain RNA (bRNA) ISH assay for immunoglobulin κ constant (IGKC) ...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21629

    authors: Arora K,Chebib I,Zukerberg L,Gandhi M,Rivera M,Ting D,Deshpande V

    更新日期:2016-03-01 00:00:00

  • Should uncertainty concerning the risk of malignancy be included in diagnostic (nongynecologic) cytopathology reports?

    abstract::In diagnostic cytology, the known site-specific false positive rates at various anatomical sites for the risk malignancy (ROM) when a confirmed malignant diagnosis is made are comparatively well documented. ROM figures for diagnostic cytology specimens may vary according to the anatomical site of the specimen, the exa...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.22322

    authors: Poller DN,Schmitt F

    更新日期:2021-01-01 00:00:00

  • Preparation of DNA from cytological material: effects of fixation, staining, and mounting medium on DNA yield and quality.

    abstract:BACKGROUND:Personalized oncology requires molecular analysis of tumor cells. Several studies have demonstrated that cytological material is suitable for DNA analysis, but to the authors' knowledge there are no systematic studies comparing how the yield and quality of extracted DNA is affected by the various techniques ...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21276

    authors: Dejmek A,Zendehrokh N,Tomaszewska M,Edsjö A

    更新日期:2013-07-01 00:00:00

  • Preanalytic variables in quality and quantity of nucleic acids extracted from FNA specimens of thyroid gland nodules collected in CytoLyt: Cellularity and storage time.

    abstract:BACKGROUND:Morphologic and genetic analysis of thyroid nodules may be performed from a single vial. Preanalytic variables that affect nucleic acid extracted from a single vial are evaluated. METHODS:Thyroid fine-needle aspiration (FNA) specimens collected in CytoLyt were evaluated. A ThinPrep slide was prepared. Extra...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22270

    authors: Heymann JJ,Yoxtheimer LM,Park HJ,Fernandez EM,Facey KE,Alperstein SA,Tran HV,Baek I,Scognamiglio T,Rennert H,Siddiqui MT,Song W

    更新日期:2020-09-01 00:00:00

  • GATA3: a promising marker for metastatic breast carcinoma in serous effusion specimens.

    abstract:BACKGROUND:The usefulness of GATA3 (GATA-binding protein 3 to DNA sequence [A/T]GATA[A/G]) as a marker for metastatic breast carcinoma in serous effusion specimens was investigated. METHODS:Cell block sections from 74 serous effusion specimens (32 ascitic, 2 pericardial, and 40 pleural fluids) were stained with an ant...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21393

    authors: Shield PW,Papadimos DJ,Walsh MD

    更新日期:2014-04-01 00:00:00

  • Detection of carbonic anhydrase IX protein in the diagnosis of malignant pleural effusion by enzyme-linked immunosorbent assay and immunocytochemistry.

    abstract:BACKGROUND:Carbonic anhydrase IX (CAIX) is a hallmark of metabolic change in cancer cells. The aim was to evaluate the utility of CAIX expression for the detection of malignant pleural effusions by enzyme-linked immunosorbent assay (ELISA) and immunocytochemistry. METHODS:A total of 97 pleural effusions including 54 b...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21191

    authors: Liao ND,Lee WY

    更新日期:2012-08-25 00:00:00

  • Cytologic features and diagnostic value of PeriView FLEX transbronchial needle aspiration targeting pulmonary nodules.

    abstract:BACKGROUND:Transbronchial needle aspiration (TBNA) of peripheral lung nodules can be difficult with conventional devices due to their limited flexibility. A promising new technology for accessing these lesions is the PeriView FLEX TBNA device, which has a flexible spiral-grooved needle. The present study reports the un...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22240

    authors: Naso J,Bras J,Villamil C,Ionescu DN,Wang G,Shaipanich T,Beaudoin EL,Myers R,Lam S,Zhou C

    更新日期:2020-05-01 00:00:00

  • Cytopathology fellowship milestones.

    abstract::The American Society of Cytopathology has provided guidelines for goals and objectives for cytopathology fellows. There are 90 Accreditation Council for Graduate Medical Education-accredited cytopathology fellowship training programs in the United States, each with its own unique curriculum designed to achieve these g...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.21483

    authors: Naritoku WY,Black-Schaffer WS

    更新日期:2014-12-01 00:00:00

  • Subtyping salivary gland neoplasm of uncertain malignant potential based on cell type demonstrates differential risk of malignancy.

    abstract:BACKGROUND:The newly unveiled Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) has proposed salivary gland neoplasm of uncertain malignant potential (SUMP) as an indeterminate category. The category is reserved for fine-needle aspiration (FNA) cases that are diagnostic of a salivary gland neoplasm but c...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/cncy.22066

    authors: Hang JF,Alruwaii F,Zeng BR,Lai CR,Wu HH

    更新日期:2018-11-01 00:00:00

  • The impact of atypia/follicular lesion of undetermined significance and repeat fine-needle aspiration: 5 years before and after implementation of the Bethesda System.

    abstract:BACKGROUND:Limited studies have examined the impact of the Bethesda System for Reporting Thyroid Cytopathology (BSRTC) and specifically the category of atypia or follicular lesion of undetermined significance (AUS/FLUS). We studied their effects on reporting rates, subsequent management, and surgical outcome over a 10-...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21468

    authors: Sullivan PS,Hirschowitz SL,Fung PC,Apple SK

    更新日期:2014-12-01 00:00:00

  • Biomarkers for immune checkpoint inhibitors: The importance of tumor topography and the challenges to cytopathology.

    abstract::The recent emergence of immune checkpoint inhibitors for cancer therapy has created much excitement among cancer patients, drug and diagnostic developers, and health care professionals. This is due largely to the dramatic and sustained responses among some advanced cancers that were previously refractory to therapy. U...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.21951

    authors: Clark DP

    更新日期:2018-01-01 00:00:00

  • Analysis of histologic follow-up and risk of malignancy for salivary gland neoplasm of uncertain malignant potential proposed by the Milan System for Reporting Salivary Gland Cytopathology.

    abstract:BACKGROUND:The Milan System for Reporting Salivary Gland Cytopathology is a tiered classification scheme that includes 6 diagnostic categories. Neoplasm, which is 1 of the 6 proposed categories, consists of benign neoplasm and neoplasm of uncertain malignant potential (NUMP). NUMP is reserved for a salivary gland neopl...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22002

    authors: Liu H,Ljungren C,Lin F,Zarka MA,Chen L

    更新日期:2018-07-01 00:00:00

  • Urine cytology suspicious for urothelial carcinoma: Prospective follow-up of cases using cytology and urine biomarker-based ancillary techniques.

    abstract:BACKGROUND:Urine cytology results that are suspicious for urothelial carcinoma (UC) are challenging. The objective of this study was to elucidate the clinical significance of such results in patients who have a negative cystoscopy. METHODS:In this prospective study, 83 patients who had urine cytology that was suspicio...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22252

    authors: Montalbo R,Izquierdo L,Ingelmo-Torres M,Galve P,Solé M,Franco A,Ribal MJ,Alcaraz A,Mengual L

    更新日期:2020-07-01 00:00:00

  • Human pancreatic cancer fusion 2 (HPC2) 1-B3: a novel monoclonal antibody to screen for pancreatic ductal dysplasia.

    abstract::BACKGROUND.: Pancreatic ductal adenocarcinoma is rarely detected early enough for patients to be cured. The objective of the authors was to develop a monoclonal antibody to distinguish adenocarcinoma and precancerous intraductal papillary mucinous neoplasia (IPMN) from benign epithelium. METHODS.: Mice were immunized ...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21223

    authors: Morgan TK,Hardiman K,Corless CL,White SL,Bonnah R,Van de Vrugt H,Sheppard BC,Grompe M,Cosar EF,Streeter PR

    更新日期:2013-01-01 00:00:00

  • Ancillary studies in fine needle aspiration of the kidney.

    abstract::An increasing number of renal cell carcinomas (RCCs) require ancillary studies for diagnosis. The majority of renal fine needle aspirates do not require ancillary studies. Among the most common useful stains are cytokeratin 7 (separating clear cell RCC [negative] from papillary RCC, clear cell papillary RCC, and multi...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.22029

    authors: Renshaw AA,Gould EW

    更新日期:2018-08-01 00:00:00

  • Performance of Aptima and Cobas HPV testing platforms in detecting high-grade cervical dysplasia and cancer.

    abstract:BACKGROUND:Human papillomavirus (HPV) tests and genotyping have been used in clinical risk assessment. The purpose of this study was to analyze the performance of 2 common HPV testing platforms in detecting high-grade cervical lesions (high-grade squamous intraepithelial lesion [HSIL] or worse [≥HSIL]). METHODS:Betwee...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21875

    authors: Ge Y,Christensen P,Luna E,Armylagos D,Schwartz MR,Mody DR

    更新日期:2017-08-01 00:00:00