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No AccessJournal of UrologyClinical Urology: Original Articles1 Sep 1997Deoxyribonucleic Acid Ploidy Enhances the Cytological Prediction of Recurrent Transitional Cell Carcinoma of the Bladder Joel W. Slaton, Colin P.N. Dinney, Robert W. Veltri, M. Craig Miller, Monica Liebert, Gerard J. O'Dowd, and H. Barton Grossman Joel W. SlatonJoel W. Slaton , Colin P.N. DinneyColin P.N. Dinney , Robert W. VeltriRobert W. Veltri , M. Craig MillerM. Craig Miller , Monica LiebertMonica Liebert , Gerard J. O'DowdGerard J. O'Dowd , and H. Barton GrossmanH. Barton Grossman View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64322-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined whether deoxyribonucleic acid (DNA) ploidy analysis by image analysis cytometry enhances the cytological diagnosis of recurrent transitional cell carcinoma of the bladder. Materials and Methods: A retrospective study was performed during a 5-year period to evaluate the cytological diagnosis and DNA ploidy analysis of 469 patients with previously diagnosed superficial transitional cell carcinoma. Cytological and DNA ploidy analysis was performed on 1,034 urine and bladder wash specimens, and the patients were monitored with cystoscopy and biopsies as clinically indicated. Cytology results were classified as normal, atypical, dysplastic or cancerous, and DNA ploidy was defined as normal if the diploid index was 1.2 or less, the S phase - G2M fraction was less than 21% or if there were 3% or less hyperploid cells, or abnormal if there was an increased S phase - G2M fraction, an aneuploid peak on the histogram or tetraploidy or hyperploidy was present. Results: The majority of patients (85 of 88, 97%) with a cytological diagnosis of cancer had an abnormal DNA ploidy, and in 60 of 85 of these patients (71%) recurrence was diagnosed within 6 months. Only 5 of 284 specimens (2%) with normal cytology had abnormal DNA ploidy and 1 of these 5 (20%) heralded transitional cell carcinoma recurrence. However, in 145 patients with atypical cytological findings 29 (20%) with abnormal DNA ploidy had a recurrence, compared to 20 of 391 (5%) with normal DNA ploidy (p < 0.0001). Similarly, in 101 patients with dysplastic cytological findings 39 (39%) with abnormal DNA ploidy had transitional cell carcinoma recurrence compared to 4 of 25 with normal ploidy (p = 0.033). Conclusions: Abnormal DNA ploidy determined by image analysis significantly enhances the detection of bladder tumor recurrence in patients with atypical or dysplastic cytology but not in those with normal cytology or frank carcinoma on cytological findings. References 1 : Pathology and staging of bladder cancer.. Sem. Oncol.1996; 23: 546. Google Scholar 2 : Urine cytology in the detection of bladder cancer: a critical approach.. J. Occup. Med.1990; 32: 817. Google Scholar 3 : Consensus review of the clinical utility of DNA cytometry in bladder cancer. Report of the DNA Cytometry Consensus Conference.. Cytometry1993; 14: 478. Google Scholar 4 : The sensitivity of flow cytometry compared with conventional cytology in the detection of superficial bladder carcinoma.. Cancer1987; 59: 2078. Google Scholar 5 : Predictive value of DNA measurements in bladder washings. Comparison of flow cytometry, image cytophotometry, and cytology in patients with past history of urothelial tumors.. Cancer1989; 64: 916. Google Scholar 6 : Current status of urinary cytology in the evaluation of bladder neoplasms.. Hum. Path.1990; 21: 886. Google Scholar 7 : Flow cytometry of low stage bladder tumors: correlation with cytologic and cystoscopic diagnosis.. Cancer1982; 49: 109. Google Scholar 8 : The value of morphometry and DNA flow cytometry in addition to classic prognosticators is superficial urinary bladder carcinoma.. Amer. J. Clin. Path.1989; 91: 243. Google Scholar 9 : Flow cytometry versus urinary cytology in the evaluation of patients with bladder cancer.. J. Urol.1986; 136: 815. Link, Google Scholar 10 : DNA pattern, histological grade and multiplicity related to recurrence rate in superficial bladder tumours.. Scand. J. Urol. Nephrol.1982; 16: 135. Google Scholar 11 : DNA profile and tumour progression in patients with superficial bladder tumors.. Urol. Res.1992; 10: 13. Google Scholar 12 : The prognostic value of DNA analysis in primary carcinoma in situ of the urinary bladder.. Scand. J. Urol. Nephrol.1982; 16: 141. Google Scholar 13 : Flow cytometry as a predictor of response and progression in patients with superficial bladder cancer treated with bacillus Calmette-Guerin.. J. Urol.1989; 141: 1332. Abstract, Google Scholar 14 : Monitoring intravesical bacillus Calmette-Guerin treatment of superficial bladder carcinoma by serial flow cytometry.. Cancer1986; 58: 2751. Google Scholar 15 : Flow cytometry and cytology as response indicators to M-VAC (Methotrexate, Vinblastine, Doxorubicin, and Cisplatin).. J. Urol.1988; 140: 1394. Abstract, Google Scholar 16 : Flow cytometric analysis of primary and metastatic bladder cancer.. J. Urol.1990; 143: 912. Abstract, Google Scholar 17 : The predictive value of flow cytometric information in the clinical management of stage O (Ta) bladder cancer.. J. Urol.1988; 139: 279. Google Scholar 18 : Deoxyribonucleic acid profile and tumor progression in primary carcinoma in situ of the bladder: a study of 63 patients with grade 3 lesions.. J. Urol.1992; 147: 11. Abstract, Google Scholar 19 : Role of DNA image cytometry in the follow-up of patients with urinary tract transitional cell carcinoma.. Anal. Quant. Cytol. Histol.1993; 15: 115. Google Scholar 20 : Flow and image cytometry for DNA analysis in bladder washings: improve concordance by using internal reference for flow.. Cytometry1993; 14: 943. Google Scholar 21 : A prospective comparison of DNA quantitation by image and flow cytometry.. Am. J. Clin. Path.1990; 93: 322. Google Scholar 22 : A comparative study of DNA content as measured by flow cytometry and image and analysis in 1864 specimens.. Anal. Cell. Path.1994; 6: 377. Google Scholar 23 : Computer assisted image analysis of bladder tumour nuclei for morphonuclear and ploidy assessment.. Anal. Cell. Path.1994; 6: 137. Google Scholar 24 : Comparison of image analysis and flow cytometric measurements of DNA content of canine transitional cell carcinomas.. Anal. Quant. Cytol. Histol.1993; 15: 418. Google Scholar 25 : DNA tetraploidy in feulgen-stained bladder washings assessed by image analysis cytometry.. Anal. Quant. Cytol. Histol.1995; 17: 129. Google Scholar 26 : Image cytometric deoxyribonucleic analysis of urine specimens as an adjunct to visual cytology in the detection of urothelial cell carcinoma.. J. Urol.1993; 149: 42. Abstract, Google Scholar 27 : Identification of a high risk subgroup of grade 1 transitional cell carcinoma using image analysis based deoxyribonucleic acid ploidy analysis of tumor tissue.. J. Urol.1991; 146: 1525. Abstract, Google Scholar 28 : DNA image analysis of urinary cytology: prediction of recurrent transitional cell carcinoma.. Mod. Path.1996; 9: 571. Google Scholar 29 : Bladder cancer risk assessment with quantitive fluorescence image analysis of tumor markers in exfoliated and biopsy cells.. Cancer1993; 72: 246. Google Scholar 30 : Optical microscope system for standardized cell measurements and analyses.. Appl. Optics1987; 26: 3280. Google Scholar 31 : Cancer of the kidney and urinary tract.. In: Manual of Clinical Oncology. Edited by . New York: Springer-Verlag1991: 31. Google Scholar 32 : International histological classification of tumors.. In: Histological Typing of Urinary Bladder Tumors. Geneva: World Health Organization1973. Google Scholar 33 : Cancer detection by quantitative fluorescence image analysis.. J. Urol.1988; 139: 270. Abstract, Google Scholar 34 : Ancillary techniques in the followup of transitional cell carcinoma: a comparison of cytology, histology and deoxyribonucleic acid image analysis cytometry in 91 patients.. J. Urol.1996; 156: 49. Abstract, Google Scholar From the Department of Urology, University of Texas M. D. Anderson Cancer Center, Houston, Texas, and UroCor, Inc., Oklahoma City, Oklahoma.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byHALLING K, KING W, SOKOLOVA I, KARNES R, MEYER R, POWELL E, SEBO T, CHEVILLE J, CLAYTON A, KRAJNIK K, EBERT T, NELSON R, BURKHARDT H, RAMAKUMAR S, STEWART C, PANKRATZ V, LIEBER M, BLUTE M, ZINCKE H, SEELIG S, JENKINS R and O’KANE D (2018) A Comparison of BTA Stat, Hemoglobin Dipstick, Telomerase and Vysis Urovysion Assays for the Detection of Urothelial Carcinoma in UrineJournal of Urology, VOL. 167, NO. 5, (2001-2006), Online publication date: 1-May-2002.JUNG I, REEDER J, COX C, SIDDIQUI J, O’CONNELL M, COLLINS L, YANG Z, MESSING E and WHEELESS L (2018) CHROMOSOME 9 MONOSOMY BY FLUORESCENCE IN SITU HYBRIDIZATION OF BLADDER IRRIGATION SPECIMENS IS PREDICTIVE OF TUMOR RECURRENCEJournal of Urology, VOL. 162, NO. 6, (1900-1903), Online publication date: 1-Dec-1999. Volume 158Issue 3September 1997Page: 806-811 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Joel W. Slaton More articles by this author Colin P.N. Dinney More articles by this author Robert W. Veltri More articles by this author M. Craig Miller More articles by this author Monica Liebert More articles by this author Gerard J. O'Dowd More articles by this author H. Barton Grossman More articles by this author Expand All Advertisement PDF downloadLoading ...
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