PMID- 16892552 OWN - NLM STAT- MEDLINE DCOM- 20060912 LR - 20061115 IS - 0070-4113 (Print) IS - 0070-4113 (Linking) VI - 88 DP - 2004 TI - [Multiprobe FISH for enhanced prediction of recurrent bladder cancer]. PG - 194-8 AB - The early detection of recurrent urothelial cancer is a great challenge for both urologists and pathologists. Cytology is a sensitive and highly specific tool for the diagnosis of high-grade bladder cancer and carcinoma in situ, but is not reliable in low-grade tumors. Therefore, cystoscopy has remained the gold standard for surveillance after resection of bladder cancer. Recent data suggest that multi-target fluorescence in situ hybridization (FISH) can markedly improve the sensitivity of urinary cytology. The goal of this study was to investigate the utility of the recently developed FISH assay Uro-Vysion for the prediction of recurrence during surveillance. 134 bladder washes obtained during a negative follow-up cystoscopy from 127 patients were analyzed. Positive cytology was strongly associated with subsequent recurrence, emphasizing the importance of conventional cytology for bladder cancer surveillance. A positive UroVysion FISH test significantly predicted recurrence when cases with rare tetraploic cells were considered as negative. Taken together, both cytology and FISH help to better determine the risk of bladder cancer recurrence in order to establish more individualized follow-up schemes. FAU - Zellweger, T AU - Zellweger T AD - Urologische Universitatsklinik BS/BL, Liestal, Schweiz. FAU - Benz, G AU - Benz G FAU - Herzog, M AU - Herzog M FAU - Grilli, B AU - Grilli B FAU - Mihatsch, M J AU - Mihatsch MJ FAU - Gasser, T C AU - Gasser TC FAU - Bubendorf, L AU - Bubendorf L LA - ger PT - English Abstract PT - Journal Article TT - FISH fur eine verbesserte Abschatzung des rezidivrisikos nach transurethraler Resektion von Urothelkarzinomen. PL - Germany TA - Verh Dtsch Ges Pathol JT - Verhandlungen der Deutschen Gesellschaft fur Pathologie JID - 7503704 SB - IM MH - Cystoscopy MH - Follow-Up Studies MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Recurrence MH - Survival Analysis MH - Urinary Bladder Neoplasms/mortality/*pathology/surgery MH - Urothelium/pathology EDAT- 2006/08/09 09:00 MHDA- 2006/09/13 09:00 CRDT- 2006/08/09 09:00 PHST- 2006/08/09 09:00 [pubmed] PHST- 2006/09/13 09:00 [medline] PHST- 2006/08/09 09:00 [entrez] PST - ppublish SO - Verh Dtsch Ges Pathol. 2004;88:194-8.