Urinary cytology and nuclear matrix protein 22 in the detection of bladder cancer recurrence other than transitional cell carcinoma.
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Urinary cytology and nuclear matrix protein 22 in the detection of bladder cancer recurrence other than transitional cell carcinoma. / Hutterer, Georg C; Karakiewicz, Pierre I; Zippe, Craig; Lüdecke, Gerson; Boman, Hans; Sanchez-Carbayo, Marta; Casella, Roberto; Mian, Christine; Friedrich, Martin; Eissa, Sanaa; Akaza, Hideyuki; Serretta, Vincenzo; Hedelin, Hans; Rupesh, Raina; Miyanaga, Naoto; Sagalowsky, Arthur I; Perrotte, Paul; Lotan, Yair; Marberger, Michael J; Shariat, Shahrokh F.
in: BJU INT, Jahrgang 101, Nr. 5, 5, 2008, S. 561-565.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Urinary cytology and nuclear matrix protein 22 in the detection of bladder cancer recurrence other than transitional cell carcinoma.
AU - Hutterer, Georg C
AU - Karakiewicz, Pierre I
AU - Zippe, Craig
AU - Lüdecke, Gerson
AU - Boman, Hans
AU - Sanchez-Carbayo, Marta
AU - Casella, Roberto
AU - Mian, Christine
AU - Friedrich, Martin
AU - Eissa, Sanaa
AU - Akaza, Hideyuki
AU - Serretta, Vincenzo
AU - Hedelin, Hans
AU - Rupesh, Raina
AU - Miyanaga, Naoto
AU - Sagalowsky, Arthur I
AU - Perrotte, Paul
AU - Lotan, Yair
AU - Marberger, Michael J
AU - Shariat, Shahrokh F
PY - 2008
Y1 - 2008
N2 - OBJECTIVE: To assess the value of nuclear matrix protein-22 (NMP22), compared with urinary cytology, in predicting the recurrence of bladder cancer that is not transitional cell carcinoma (non-TCC). PATIENTS AND METHODS: We tested the sensitivity, specificity and the predictive accuracy of NMP22 in the context of non-TCC bladder cancer recurrence, and compared it to the performance of urinary cytology. The study group comprised 2687 patients with history of non-muscle-invasive bladder cancer from 10 centres across four continents. RESULTS: The mean patient age was 64.8 years and 75.4% were men; of all patients, 513 (19.1%) had positive urinary cytology, 906 (33.7%) had a positive NMP22 test (>or=10 units/mL) and 80 (3.0%) had non-TCC recurrence. Most of these, i.e. 60 (75%), were stage >or=T2. The sensitivity and specificity of urinary cytology were, respectively, 20.0% and 94.8%, vs 77.5% and 81.8% for NMP22 of >or=10 units/mL. The predictive accuracy of urinary cytology was 57.5%, vs 87.1% for NMP22 >or= 10 units/mL. A combined model that included dichotomized NMP22 and urinary cytology was 85.3% accurate. CONCLUSION: The ability of a NMP22 level of >or=10 units/mL to predict non-TCC recurrence was better than that of urinary cytology, suggesting that NMP22 might have a role in the surveillance of patients at risk of non-TCC recurrence.
AB - OBJECTIVE: To assess the value of nuclear matrix protein-22 (NMP22), compared with urinary cytology, in predicting the recurrence of bladder cancer that is not transitional cell carcinoma (non-TCC). PATIENTS AND METHODS: We tested the sensitivity, specificity and the predictive accuracy of NMP22 in the context of non-TCC bladder cancer recurrence, and compared it to the performance of urinary cytology. The study group comprised 2687 patients with history of non-muscle-invasive bladder cancer from 10 centres across four continents. RESULTS: The mean patient age was 64.8 years and 75.4% were men; of all patients, 513 (19.1%) had positive urinary cytology, 906 (33.7%) had a positive NMP22 test (>or=10 units/mL) and 80 (3.0%) had non-TCC recurrence. Most of these, i.e. 60 (75%), were stage >or=T2. The sensitivity and specificity of urinary cytology were, respectively, 20.0% and 94.8%, vs 77.5% and 81.8% for NMP22 of >or=10 units/mL. The predictive accuracy of urinary cytology was 57.5%, vs 87.1% for NMP22 >or= 10 units/mL. A combined model that included dichotomized NMP22 and urinary cytology was 85.3% accurate. CONCLUSION: The ability of a NMP22 level of >or=10 units/mL to predict non-TCC recurrence was better than that of urinary cytology, suggesting that NMP22 might have a role in the surveillance of patients at risk of non-TCC recurrence.
M3 - SCORING: Zeitschriftenaufsatz
VL - 101
SP - 561
EP - 565
JO - BJU INT
JF - BJU INT
SN - 1464-4096
IS - 5
M1 - 5
ER -