PMID- 15351620 OWN - NLM STAT- MEDLINE DCOM- 20050418 LR - 20061115 IS - 1527-9995 (Electronic) IS - 0090-4295 (Linking) VI - 64 IP - 3 DP - 2004 Sep TI - Numeric aberrations of HER-2 and chromosome 17 detected by fluorescence in situ hybridization in urine-exfoliated cells from patients with urothelial carcinoma. PG - 617-21 AB - OBJECTIVES: To elucidate the clinical significance of the HER-2 gene alterations in urine-exfoliated cells detected by fluorescence in situ hybridization (FISH) in patients with urothelial transitional cell carcinoma. METHODS: The relative increase of HER-2 (RI-HER2) and gain of chromosome 17 (G-17) in urine-exfoliated cells were examined using DNA probes for HER-2 and the chromosome 17 centromere in 103 patients. In addition, FISH analysis was performed using corresponding paraffin-embedded tissue sections from 45 cases to compare the results obtained using urine-exfoliated cells and those obtained using paraffin-embedded tissue. RESULTS: RI-HER2 and G-17 was found in 23 (22.3%) and 46 (44.6%) of 103 patients, respectively. RI-HER2 was significantly more frequent in tumors with two or more recurrences (40.7% versus 15.8%, P = 0.010) and in those with carcinoma in situ (CIS) (35.4% versus 15.9%, P = 0.029). G-17 was more frequent in high-grade tumors (69.1% versus 16.7%, P = 0.032), invasive tumors (63.6% versus 14.3%, P < 0.001), and in patients with CIS (77.1% versus 29.0%, P < 0.001). The positive rate for FISH (presence of RI-HER2 and/or presence of G-17) tended to be more frequent in FISH than in cytology. A comparison of the analyses using urine-exfoliated cells and paraffin-embedded tissue showed identical results in 36 (80.0%) of 45 cases. CONCLUSIONS: Numeric alterations of the chromosome 17 centromere in urine-exfoliated cells detected by FISH may reflect the malignant potential of urothelial carcinoma. In addition, a relative increase in HER-2 was associated with the number of recurrences and the presence of CIS. FAU - Inoue, Takamitsu AU - Inoue T AD - Department of Urology, Akita University School of Medicine, Akita City, Japan. FAU - Sato, Kazunari AU - Sato K FAU - Tsuchiya, Norihiko AU - Tsuchiya N FAU - Matsuura, Shinobu AU - Matsuura S FAU - Iinuma, Masahiro AU - Iinuma M FAU - Habuchi, Tomonori AU - Habuchi T FAU - Kato, Tetsuro AU - Kato T LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Urology JT - Urology JID - 0366151 SB - IM MH - Aged MH - Aneuploidy MH - Carcinoma in Situ/genetics/pathology/urine MH - Carcinoma, Transitional Cell/*genetics/pathology/urine MH - Centromere/ultrastructure MH - *Chromosomes, Human, Pair 17 MH - Female MH - *Gene Amplification MH - *Gene Dosage MH - *Genes, erbB-2 MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local MH - Paraffin Embedding MH - Urine/*cytology MH - Urologic Neoplasms/*genetics/pathology/urine EDAT- 2004/09/08 05:00 MHDA- 2005/04/19 09:00 CRDT- 2004/09/08 05:00 PHST- 2004/02/09 00:00 [received] PHST- 2004/05/04 00:00 [accepted] PHST- 2004/09/08 05:00 [pubmed] PHST- 2005/04/19 09:00 [medline] PHST- 2004/09/08 05:00 [entrez] AID - S0090429504005771 [pii] AID - 10.1016/j.urology.2004.05.004 [doi] PST - ppublish SO - Urology. 2004 Sep;64(3):617-21. doi: 10.1016/j.urology.2004.05.004.