PMID- 23444210 OWN - NLM STAT- MEDLINE DCOM- 20140425 LR - 20220331 IS - 1097-0339 (Electronic) IS - 1097-0339 (Linking) VI - 41 IP - 10 DP - 2013 Oct TI - Comparison of fluorescence in situ hybridization, NMP22 bladderchek, and urinary liquid-based cytology in the detection of bladder urothelial carcinoma. PG - 852-7 LID - 10.1002/dc.22969 [doi] AB - The aim of this study is to evaluate the diagnostic values of the fluorescence in situ hybridization (FISH), NMP22 BladderChek, and liquid-based cytology (LBC) in the detection of bladder urothelial carcinoma (UC). Consecutive voided urine samples were collected from 138 in-house patients with a variety of urologic conditions and 37 healthy individuals as negative controls. FISH, NMP22 BladderChek, and LBC were performed on the specimens. All three tests were evaluated independently in a blinded fashion. In all, 104 out of the 175 patients enrolled in this study had histologically proven UC. LBC, FISH, and NMP22 BladderChek were successfully performed on 175, 149, and 119 cases, respectively. The three tests revealed overall sensitivities of 73.1%, 86.5%, and 67.6%, respectively. FISH was more sensitive than LBC (P=0.022) and NMP22 BladderChek (P=0.004). Combination of all the tests yielded a superior sensitivity of 96.7% compared with LBC (P<0.001), NMP22 BladderChek (P<0.001), and FISH (P=0.016), with the specificity only decreased slightly. Sensitivities of the three tests enhanced significantly with increasing UC grade (P<0.05). The positive rates of FISH and NMP22 BladderChek in equivocal cytologic diagnoses were 85.7% and 61.9% in UC, and 37.5% and 50.0% in non-UC (FISH: P=0.021; NMP22 BladderChek: P=0.683). FISH was more sensitive than LBC and NMP22 BladderChek. FISH had the ability to clarify equivocal cytologic diagnoses. Combination of all three tests showed an improvement in the sensitivity compared to any single test alone in detecting UC with the specificity slightly decreased. CI - Copyright (c) 2013 Wiley Periodicals, Inc. FAU - Li, Hong-xia AU - Li HX AD - Department of Pathology, General Hospital of Chinese PLA Beijing Military Command Area, Beijing, People's Republic of China. FAU - Wang, Ming-rong AU - Wang MR FAU - Zhao, Huan AU - Zhao H FAU - Cao, Jian AU - Cao J FAU - Li, Chang-ling AU - Li CL FAU - Pan, Qin-Jing AU - Pan QJ LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article DEP - 20130227 PL - United States TA - Diagn Cytopathol JT - Diagnostic cytopathology JID - 8506895 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma/*diagnosis/pathology MH - Case-Control Studies MH - Cytodiagnosis/*methods MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Male MH - Middle Aged MH - Sensitivity and Specificity MH - Urinary Bladder Neoplasms/*diagnosis/pathology OTO - NOTNLM OT - FISH OT - NMP22 BladderChek OT - liquid-based Cytology OT - urothelial carcinoma EDAT- 2013/02/28 06:00 MHDA- 2014/04/26 06:00 CRDT- 2013/02/28 06:00 PHST- 2012/05/04 00:00 [received] PHST- 2013/01/01 00:00 [accepted] PHST- 2013/02/28 06:00 [entrez] PHST- 2013/02/28 06:00 [pubmed] PHST- 2014/04/26 06:00 [medline] AID - 10.1002/dc.22969 [doi] PST - ppublish SO - Diagn Cytopathol. 2013 Oct;41(10):852-7. doi: 10.1002/dc.22969. Epub 2013 Feb 27.