PMID- 28212539 OWN - NLM STAT- MEDLINE DCOM- 20180305 LR - 20220330 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 8 IP - 16 DP - 2017 Apr 18 TI - Fluorescence in situ hybridization status of voided urine predicts invasive and high-grade upper tract urothelial carcinoma. PG - 26106-26111 LID - 10.18632/oncotarget.15344 [doi] AB - Here, we assessed the diagnostic accuracy of fluorescence in situ hybridization (FISH) for detecting aggressive upper tract urothelial carcinoma (UTUC). A total of 210 UTUC patients from a single hospital in China were enrolled in this retrospective study between 2012 and 2016. Patients were classified as FISH-positive or -negative based on FISH analysis of voided urine, and the clinicpathological characteristics of these two patient groups were compared. Patients with positive FISH results had more advanced tumor stages and higher tumor grades than those with negative results. The overall sensitivity of FISH for detecting advanced UTUC was 62.4% (131/210). The sensitivity and positive predictive values of positive FISH results were 76.5% and 59.5% for high-grade UTUC and 71.7% and 58.0% for muscle-invasive UTUC. These data suggest that voided urine FISH results accurately predict advanced UTUC and might help distinguish patients with aggressive disease from those who might benefit from conservative management. FAU - Su, Xiaohong AU - Su X AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - Hao, Han AU - Hao H AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - Li, Xuesong AU - Li X AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - He, Zhisong AU - He Z AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - Gong, Kan AU - Gong K AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - Zhang, Cuijian AU - Zhang C AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - Cai, Lin AU - Cai L AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - Zhang, Qian AU - Zhang Q AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - Yao, Lin AU - Yao L AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - Ding, Yi AU - Ding Y AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - Gong, Yanqing AU - Gong Y AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - Fang, Dong AU - Fang D AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - Zhang, Zheng AU - Zhang Z AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. FAU - Zhou, Liqun AU - Zhou L AD - Department of Urology, Peking University First Hospital, Xicheng, Beijing, China. AD - Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. LA - eng PT - Journal Article PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Cell-Free Nucleic Acids) RN - 0 (DNA, Neoplasm) SB - IM MH - Aged MH - *Cell-Free Nucleic Acids/urine MH - *DNA, Neoplasm/urine MH - Female MH - Humans MH - *In Situ Hybridization, Fluorescence/methods MH - Liquid Biopsy MH - Male MH - Middle Aged MH - Neoplasm Grading MH - Neoplasm Metastasis MH - Neoplasm Staging MH - Predictive Value of Tests MH - Prognosis MH - Tumor Burden MH - Urologic Neoplasms/*diagnosis/*genetics/urine PMC - PMC5432242 OTO - NOTNLM OT - conservative management OT - fluorescence in situ hybridization (FISH) OT - high grade OT - radical nephroureterectomy (RNU) OT - upper tract urothelial carcinoma (UTUC) COIS- CONFLICTS OF INTEREST The authors of this article declare no conflicts of interest. EDAT- 2017/02/18 06:00 MHDA- 2018/03/06 06:00 PMCR- 2017/04/18 CRDT- 2017/02/18 06:00 PHST- 2016/09/23 00:00 [received] PHST- 2017/01/24 00:00 [accepted] PHST- 2017/02/18 06:00 [pubmed] PHST- 2018/03/06 06:00 [medline] PHST- 2017/02/18 06:00 [entrez] PHST- 2017/04/18 00:00 [pmc-release] AID - 15344 [pii] AID - 10.18632/oncotarget.15344 [doi] PST - ppublish SO - Oncotarget. 2017 Apr 18;8(16):26106-26111. doi: 10.18632/oncotarget.15344.