PMID- 17922047 OWN - NLM STAT- MEDLINE DCOM- 20080219 LR - 20211020 IS - 1219-4956 (Print) IS - 1219-4956 (Linking) VI - 13 IP - 3 DP - 2007 TI - Detection of bladder cancer from the urine using fluorescence in situ hybridization technique. PG - 187-94 AB - The authors report on their first experiences with the UroVysion fluorescence in situ hybridization (FISH) kit developed for the detection of bladder cancer. This new non-invasive diagnostic application of the FISH technique in the field of urology was elaborated to replace cystoscopy. The special urine examination method detects genetic alterations of the urothelial cells found in the urine, using fluorescent directlabeled DNA probes binding to the peri-centromeric regions of chromosomes 3, 7 and 17 as well as on the 9p21 locus. We aimed to evaluate the utility of UroVysion test in the light of the histological diagnosis. Urine samples from 43 bladder cancer patients and 12 patients with no or benign alterations were studied using a new application of FISH technique: the UroVysion reagent kit. The obtained FISH results were compared with the histological findings of the transurethral surgical resection specimens. The study rated the specificity and sensitivity of the technique 100% and 87%, respectively. Therefore, the technique could well fit into the diagnostic process of bladder carcinomas. Statistical analyses showed significant correlation between tumor progression and the severity of the genetic alterations detected by this FISH technique. Furthermore, positive correlation was found between tumor grade and the proportion of tumor cells showing genetic abnormality. The noninvasiveness, the robustness of evaluation and the high specificity/sensitivity are all in favor of this technique. The disadvantages are the higher costs of the technical background and the required future clinical studies to determine whether this technique can replace cystoscopy. FAU - Riesz, Peter AU - Riesz P AD - Department of Urology, Semmelweis University, Budapest, Hungary. FAU - Lotz, Gabor AU - Lotz G FAU - Paska, Csilla AU - Paska C FAU - Szendroi, Attila AU - Szendroi A FAU - Majoros, Attila AU - Majoros A FAU - Nemeth, Zsuzsanna AU - Nemeth Z FAU - Torzsok, Peter AU - Torzsok P FAU - Szarvas, Tibor AU - Szarvas T FAU - Kovalszky, Ilona AU - Kovalszky I FAU - Schaff, Zsuzsa AU - Schaff Z FAU - Romics, Imre AU - Romics I FAU - Kiss, Andras AU - Kiss A LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20071007 PL - Switzerland TA - Pathol Oncol Res JT - Pathology oncology research : POR JID - 9706087 SB - IM MH - Case-Control Studies MH - Chromosome Aberrations MH - Chromosomes, Human, Pair 17 MH - Chromosomes, Human, Pair 3 MH - Chromosomes, Human, Pair 7 MH - Cystoscopy/methods MH - Diagnosis, Differential MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Sensitivity and Specificity MH - Urinary Bladder Diseases/diagnosis/pathology MH - Urinary Bladder Neoplasms/*diagnosis/*pathology MH - Urine/*cytology MH - Urothelium/pathology EDAT- 2007/10/09 09:00 MHDA- 2008/02/20 09:00 CRDT- 2007/10/09 09:00 PHST- 2007/02/05 00:00 [received] PHST- 2007/09/05 00:00 [accepted] PHST- 2007/10/09 09:00 [pubmed] PHST- 2008/02/20 09:00 [medline] PHST- 2007/10/09 09:00 [entrez] AID - 10.1007/BF02893498 [doi] PST - ppublish SO - Pathol Oncol Res. 2007;13(3):187-94. doi: 10.1007/BF02893498. Epub 2007 Oct 7.