PMID- 20362229 OWN - NLM STAT- MEDLINE DCOM- 20100426 LR - 20191210 IS - 1873-4456 (Electronic) IS - 0165-4608 (Linking) VI - 198 IP - 2 DP - 2010 Apr 15 TI - Clinical usefulness of fluorescence in situ hybridization for diagnosis and surveillance of bladder cancer. PG - 144-50 LID - 10.1016/j.cancergencyto.2010.01.007 [doi] AB - We evaluated the performance of the fluorescence in situ hybridization (FISH) assay in comparison with that of urinary cytology for the detection of bladder urothelial carcinoma in routine clinical practice. Voided urine samples from 602 patients with hematuria were analyzed. The bladder cancer group consisted of 95 patients who had biopsy-proven bladder cancer, and the control group consisted of 507 patients without bladder cancer. We found a significant difference between the overall sensitivities of FISH and cytology (60% vs. 28.4%, respectively; P < 0.0001). The overall specificity was 99% with cytology and 94.9% with FISH, although this difference was not statistically significant. The mean values for all four probes in the true-positive group were higher than those in the false-positive group. The difference in the mean values between the two groups was significant only for the CEP3 and CEP17 probes. Furthermore, the severity of the genetic alterations detected by FISH showed a positive correlation with both tumor invasiveness (stage Ta --> T1, T2) and histological grade (G1, G2 --> G3). Together, these findings suggest that FISH can be a useful diagnostic and surveillance tool for patients who are suspected of having new or recurrent bladder cancer. CI - Copyright 2010 Elsevier Inc. All rights reserved. FAU - Song, Min-Jung AU - Song MJ AD - Department of Laboratory Medicine & Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Gangnam-gu, 135-710 Seoul, Korea. FAU - Lee, Hyun-Moo AU - Lee HM FAU - Kim, Sun-Hee AU - Kim SH LA - eng PT - Evaluation Study PT - Journal Article PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 SB - IM MH - Aged MH - Biopsy MH - Carcinoma/*diagnosis/genetics/pathology MH - Chromosome Aberrations MH - Female MH - Follow-Up Studies MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Prognosis MH - Sensitivity and Specificity MH - Urinary Bladder Neoplasms/*diagnosis/genetics/pathology EDAT- 2010/04/07 06:00 MHDA- 2010/04/27 06:00 CRDT- 2010/04/06 06:00 PHST- 2009/09/14 00:00 [received] PHST- 2010/01/08 00:00 [revised] PHST- 2010/01/12 00:00 [accepted] PHST- 2010/04/06 06:00 [entrez] PHST- 2010/04/07 06:00 [pubmed] PHST- 2010/04/27 06:00 [medline] AID - S0165-4608(10)00034-8 [pii] AID - 10.1016/j.cancergencyto.2010.01.007 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2010 Apr 15;198(2):144-50. doi: 10.1016/j.cancergencyto.2010.01.007.