PMID- 19818076 OWN - NLM STAT- MEDLINE DCOM- 20100701 LR - 20191210 IS - 1464-410X (Electronic) IS - 1464-4096 (Linking) VI - 105 IP - 10 DP - 2010 May TI - Urinary fluorescence in situ hybridization assay for detecting urothelial carcinoma in Taiwanese patients. PG - 1413-6 LID - 10.1111/j.1464-410X.2009.08917.x [doi] AB - OBJECTIVES: To investigate the cytogenetic marker detected by fluorescence in situ hybridization (FISH; UroVysion, Vysis, Inc., Abbott Laboratories, Des Plaines, IL, USA) in the diagnosis of bladder cancer and upper tract urothelial carcinoma (UC) in Taiwanese patients, as FISH has been used in Western countries for detecting UC, but there are limited results in Asian populations. PATIENTS AND METHODS: We analysed polyploidy of chromosome 3, 7, 17 and aneuploidy of chromosome 21, using uroepithelial cells collected at the first void or by instrumental extraction of urine, for bladder cancer, and shedding cells from the upper tract flushed by normal saline via ureteric catheterization or ureterorenoscopy. The criteria for positive tumour cells included three or more positive staining in two or more chromosomes showing polyploidy or <50% staining of the chromosome 9p21. RESULTS: In all, 32 patients with bladder UC and 12 with upper tract UC were assessed. The overall sensitivity for bladder cancer by UroVysion was 96.8%. The sensitivity of the cytology test was 36% for UC of the bladder. The sensitivity for UroVysion in upper tract UC was 12/12 but the specificity was three of nine. CONCLUSIONS: This preliminary report shows that UroVysion was a sensitive screening method for UC of the bladder and upper urinary tract. FAU - Chuang, Kun-Lung AU - Chuang KL AD - Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan. FAU - Chuang, Hun-Chang AU - Chuang HC FAU - Ng, Kwai-Fong AU - Ng KF FAU - Chang, Ying-Hsun AU - Chang YH FAU - Wu, Chun-Te AU - Wu CT FAU - Chuang, Cheng-Keng AU - Chuang CK FAU - Liao, Shuen-Kuei AU - Liao SK FAU - Pang, See-Tong AU - Pang ST LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20091010 PL - England TA - BJU Int JT - BJU international JID - 100886721 RN - 0 (Genetic Markers) SB - IM MH - *Aneuploidy MH - Carcinoma, Transitional Cell/*diagnosis/genetics MH - Genetic Markers MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - *Polyploidy MH - Sensitivity and Specificity MH - Taiwan MH - Urinary Bladder Neoplasms/*diagnosis/genetics MH - Urothelium EDAT- 2009/10/13 06:00 MHDA- 2010/07/02 06:00 CRDT- 2009/10/13 06:00 PHST- 2009/10/13 06:00 [entrez] PHST- 2009/10/13 06:00 [pubmed] PHST- 2010/07/02 06:00 [medline] AID - BJU8917 [pii] AID - 10.1111/j.1464-410X.2009.08917.x [doi] PST - ppublish SO - BJU Int. 2010 May;105(10):1413-6. doi: 10.1111/j.1464-410X.2009.08917.x. Epub 2009 Oct 10.