PMID- 23890221 OWN - NLM STAT- MEDLINE DCOM- 20140507 LR - 20220331 IS - 1464-410X (Electronic) IS - 1464-4096 (Linking) VI - 113 IP - 4 DP - 2014 Apr TI - Copy number aberrations using multicolour fluorescence in situ hybridization (FISH) for prognostication in non-muscle-invasive bladder cancer (NIMBC). PG - 662-7 LID - 10.1111/bju.12232 [doi] AB - OBJECTIVE: To investigate if detection of copy number aberrations of chromosomes 3, 7, 9p21, and 17 using multicolour fluorescence in situ hybridization (FISH) predicts patient outcome in non-muscle-invasive bladder cancer (NMIBC). PATIENTS AND METHODS: In all, 118 bladder wash samples were prospectively collected from patients who underwent transurethral resection of bladder tumour (median age 50.5 years, male/female: 91/27, tumour grade 1/2/3: 18/52/42, stage pTis/Ta/T1: 8/62/42) from 2007 to 2010. The 118 samples were analysed using the UroVysion(R) kit to detect the copy numbers of chromosomes 3, 7, 9p21, and 17. The variant fraction (VF; the sum of the non-modal copy number fraction of each chromosome) was defined as abnormal when the percentage was >/=16%. The percentage deletion of 9p21 (fraction of null or one copy number of the 9p21 locus) was defined as abnormal when the percentage was >/=12%. Maffezzini risk criteria were also analysed in our cohorts. RESULTS: There was recurrence in 57 (48.3%) patients and disease progression in 12 (10.1%), with a median follow-up of 35.7 months. Multivariate analysis showed that the percentage 9p21 loss (>12%) was an independent prognostic factor for recurrence (P < 0.001, odds ratio [OR] 3.24, 95% confidence interval [CI] 1.85-5.62). For disease progression, tumour grade, positive urine cytology, concurrent carcinoma in situ, and a mean VF of >16% were significant prognostic factors in univariate analysis. In multivariate analysis, a mean VF of >16% was a prognostic factor for disease progression (P = 0.048, OR 6.07, 95% CI 1.02-57.45). CONCLUSIONS: Multicolour-FISH analysis using a commercially available kit could be a powerful tool not only for diagnosis, but also for prognostication in patients with NMIBC. CI - (c) 2013 The Authors. BJU International (c) 2013 BJU International. FAU - Matsuyama, Hideyasu AU - Matsuyama H AD - Department of Urology, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi-ken, Japan. FAU - Ikemoto, Kenzo AU - Ikemoto K FAU - Eguchi, Satoshi AU - Eguchi S FAU - Oga, Atsunori AU - Oga A FAU - Kawauchi, Shigeto AU - Kawauchi S FAU - Yamamoto, Yoshiaki AU - Yamamoto Y FAU - Kawai, Yoshihisa AU - Kawai Y FAU - Matsumoto, Hiroaki AU - Matsumoto H FAU - Hara, Takahiko AU - Hara T FAU - Nagao, Kazuhiro AU - Nagao K FAU - Sakano, Shigeru AU - Sakano S FAU - Sasaki, Kohsuke AU - Sasaki K LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130726 PL - England TA - BJU Int JT - BJU international JID - 100886721 RN - 0 (Genetic Markers) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma in Situ/diagnosis/*genetics MH - *Chromosome Aberrations MH - DNA Copy Number Variations/*genetics MH - Disease Progression MH - Early Detection of Cancer MH - Female MH - Genetic Markers/genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/*genetics MH - Prognosis MH - Prospective Studies MH - Risk Assessment MH - Urinary Bladder Neoplasms/diagnosis/*genetics OTO - NOTNLM OT - 9p21 OT - FISH OT - UroVysion OT - non-muscle-invasive bladder cancer OT - prognosis OT - variant fraction EDAT- 2013/07/31 06:00 MHDA- 2014/05/08 06:00 CRDT- 2013/07/30 06:00 PHST- 2013/07/30 06:00 [entrez] PHST- 2013/07/31 06:00 [pubmed] PHST- 2014/05/08 06:00 [medline] AID - 10.1111/bju.12232 [doi] PST - ppublish SO - BJU Int. 2014 Apr;113(4):662-7. doi: 10.1111/bju.12232. Epub 2013 Jul 26.