PMID- 25433477 OWN - NLM STAT- MEDLINE DCOM- 20150729 LR - 20201005 IS - 1735-546X (Electronic) IS - 1735-1308 (Linking) VI - 11 IP - 6 DP - 2014 Nov 30 TI - The utility of fluorescence in situ hybridization for diagnosis and surveillance of bladder urothelial carcinoma. PG - 1974-9 AB - PURPOSE: To evaluate the clinical value of fluorescence in situ hybridization (FISH) for diagnosis and surveillance of bladder urothelial carcinoma (BUC). MATERIALS AND METHODS: Between November 2010 and December 2013, patients suspected of having BUC were examined using urine cytology and FISH assay. Based on histopathological examination results, FISH results were com-pared with urine cytology. In addition, patients with a history of non-muscle invasive BUC were also examined using urine cytology and FISH assay at the first time of visit and then monitored with cystoscopy during follow-up period. RESULTS: A total of 162 patients included in this study and 12 patients were excluded due to uninformative FISH assays. The remaining 150 patients consisted of 108 patients suspected for BUC and 42 patients with a history of non-muscle invasive BUC. The sensitivities of FISH analysis and urine cytology were 72.8% and 27.2%, respectively, and the difference was statistically significant (P <.05). Difference between specificity of urine cytology (100%) and FISH assay (85%) was not statistically significant (P >.05). At the first visit, of 42 patients, one patient had positive cystoscopy, and FISH assay was positive in 26 of 41 patients with negative cystoscopy. During the follow-up period (mean, 29.5 months), 18 of 26 patients developed recurrence, and recurrence occurred in only one of 15 patients with negative FISH analysis. CONCLUSION: Our results suggest that FISH analysis can be used as a non-invasive diagnostic tool for patients suspect-ed of having new BUC. In addition, FISH analysis may provide important prognostic information to better define the individual risk for BUC recurrence.& nbsp; FAU - Huang, Jian Wen AU - Huang JW AD - Department of Urology, Shanghai Jiao Tong University, Affiliated Sixth People's Hospital, Shanghai, China. FAU - Mu, Jia Gui AU - Mu JG AD - Department of Urology, Harbin Medical University, Affiliated First Hospital, Harbin, China. FAU - Li, Yun Wei AU - Li YW AD - Department of Urology, Harbin Medical University, Affiliated First Hospital, Harbin, China. FAU - Gan, Xiu Guo AU - Gan XG AD - Department of Urology, Harbin Medical University, Affiliated First Hospital, Harbin, China. FAU - Song, Lu Jie AU - Song LJ AD - Department of Urology, Shanghai Jiao Tong University, Affiliated Sixth People's Hospital, Shanghai, China. FAU - Gu, Bao Jun AU - Gu BJ AD - Department of Urology, Shanghai Jiao Tong University, Affiliated Sixth People's Hospital, Shanghai, China. FAU - Fu, Qiang AU - Fu Q AD - Department of Urology, Shanghai Jiao Tong University, Affiliated Sixth People's Hospital, Shanghai, China. FAU - Xu, Yue Min AU - Xu YM AD - Department of Urology, Shanghai Jiao Tong University, Affiliated Sixth People's Hospital, Shanghai, China. FAU - An, Rui Hua AU - An RH AD - Department of Urology, Harbin Medical University, Affiliated First Hospital, Harbin, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141130 PL - Iran TA - Urol J JT - Urology journal JID - 101286676 SB - IM MH - Adult MH - Aged MH - *Carcinoma in Situ/diagnosis/pathology MH - *Carcinoma, Transitional Cell/diagnosis/pathology MH - China MH - Cystoscopy MH - Epithelial Cells/pathology MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Male MH - Middle Aged MH - Neoplasm Invasiveness MH - Neoplasm Recurrence, Local/*diagnosis MH - Predictive Value of Tests MH - Prognosis MH - Reproducibility of Results MH - Risk Assessment/methods MH - Sensitivity and Specificity MH - Urinary Bladder/pathology MH - *Urinary Bladder Neoplasms/diagnosis/pathology EDAT- 2014/12/01 06:00 MHDA- 2015/07/30 06:00 CRDT- 2014/12/01 06:00 PHST- 2014/05/31 00:00 [received] PHST- 2014/10/21 00:00 [accepted] PHST- 2014/09/21 00:00 [revised] PHST- 2014/12/01 06:00 [entrez] PHST- 2014/12/01 06:00 [pubmed] PHST- 2015/07/30 06:00 [medline] AID - 2607 [pii] PST - epublish SO - Urol J. 2014 Nov 30;11(6):1974-9.