PMID- 28799728 OWN - NLM STAT- MEDLINE DCOM- 20180503 LR - 20210208 IS - 1097-0339 (Electronic) IS - 1097-0339 (Linking) VI - 45 IP - 10 DP - 2017 Oct TI - The combined application of urinary liquid-based cytology with fluorescence in situ hybridization and p16/Ki-67 dual immunostaining is valuable for improving the early diagnosis of upper tract urothelial carcinomas. PG - 895-902 LID - 10.1002/dc.23796 [doi] AB - OBJECTIVES: To evaluate the diagnostic values of urine liquid-based cytology (LBC), fluorescence in situ hybridization (FISH), and p16/Ki-67 dual immunostaining in the detection of upper tract urothelial carcinomas (UTUCs). METHODS: Sixty-one patients with UTUCs were retrospectively analyzed. All patients were diagnosed both by urine cytology and by FISH, and histologically confirmed as UTUCs. Thirty-two patients had been stained with p16/Ki-67 dual labeling. RESULTS: The sensitivities for low-grade UTUCs (LGUTUCs) and high-grade UTUCs (HGUTUCs) were 33.3% and 67.4% by LBC, 60% and 69.6% by FISH, and 12.5% and 66.7% by p16/Ki-67 dual labeling, respectively. CONCLUSIONS: Our results indicated that LBC was more suitable to identify HGUTUCs, FISH was highly valuable for predicting LGUTUCs, and p16/Ki-67 dual labeling was useful for distinguishing HGUTUCs from LGUTUCs. The combined application of these methods may improve the sensitivity or accuracy in the detection or diagnosis of UTUCs. CI - (c) 2017 Wiley Periodicals, Inc. FAU - Sun, Xueqi AU - Sun X AD - Department of Pathology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, People's Republic of China. FAU - Liu, Xubin AU - Liu X AD - Department of Pathology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, People's Republic of China. FAU - Xia, Meng AU - Xia M AD - Department of Gynecology and Obstetrics, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Yang, Shicong AU - Yang S AD - Department of Pathology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, People's Republic of China. FAU - Fei, Lingyan AU - Fei L AD - Department of Pathology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, People's Republic of China. FAU - Zhang, Mengqi AU - Zhang M AD - Department of Pathology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, People's Republic of China. FAU - Ma, Hanyu AU - Ma H AD - Department of Pathology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, People's Republic of China. FAU - Wang, Liantang AU - Wang L AD - Department of Pathology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, People's Republic of China. FAU - Chen, Shangwu AU - Chen S AD - State Key Laboratory for Biocontrol, Guangdong Key Laboratory of Pharmaceutical Functional Genes, Key Laboratory of Gene Engineering of the Ministry of Education, Department of Biochemistry, School of Life Sciences, Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Yu, Li AU - Yu L AUID- ORCID: 0000-0001-8513-1883 AD - Department of Pathology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, People's Republic of China. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20170811 PL - United States TA - Diagn Cytopathol JT - Diagnostic cytopathology JID - 8506895 RN - 0 (CDKN2A protein, human) RN - 0 (Cyclin-Dependent Kinase Inhibitor p16) RN - 0 (Ki-67 Antigen) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma/*pathology MH - Case-Control Studies MH - Cyclin-Dependent Kinase Inhibitor p16/*metabolism MH - Early Detection of Cancer/*methods/standards MH - Female MH - Humans MH - Immunoassay/methods/standards MH - In Situ Hybridization, Fluorescence/methods/standards MH - Ki-67 Antigen/*metabolism MH - Male MH - Middle Aged MH - Molecular Diagnostic Techniques/*methods/standards MH - Urinary Bladder Neoplasms/*pathology MH - Urothelium/*pathology OTO - NOTNLM OT - diagnosis OT - fluorescence in situ hybridization (FISH) OT - liquid-based cytology (LBC) OT - p16/Ki-67 dual labeling OT - upper tract urothelial carcinomas (UTUCs) EDAT- 2017/08/12 06:00 MHDA- 2018/05/04 06:00 CRDT- 2017/08/12 06:00 PHST- 2017/06/14 00:00 [received] PHST- 2017/07/10 00:00 [revised] PHST- 2017/08/03 00:00 [accepted] PHST- 2017/08/12 06:00 [pubmed] PHST- 2018/05/04 06:00 [medline] PHST- 2017/08/12 06:00 [entrez] AID - 10.1002/dc.23796 [doi] PST - ppublish SO - Diagn Cytopathol. 2017 Oct;45(10):895-902. doi: 10.1002/dc.23796. Epub 2017 Aug 11.