PMID: 2508302Jan 1, 1989Paper

Comparison of quantitative and classic prognosticators in urinary bladder carcinoma. A multivariate analysis of DNA flow cytometric, nuclear morphometric and clinicopathological features

Virchows Archiv. A, Pathological Anatomy and Histopathology
C E BlomjousC J Meijer

Abstract

The prognostic value of nuclear morphometry and DNA flow cytometry of paraffin embedded material of 58 patients with primary and untreated transitional cell carcinoma of the bladder was compared with that of histological grade (WHO-system), tumour stage (TNM-classification), tumour size, multiplicity and ulceration. Small nuclear size (mean nuclear area less than or equal to 95 microns2) (n = 25) and DNA diploidy (n = 28) indicated a favourable outcome (5-year survival 95.8% and 92.2%); large nuclei (mean nuclear area greater than 95 microns2) (n = 33) and DNA aneuploidy (n = 30) indicated a worse prognosis (5-year survival 61.4% and 62.5%) (Mantel-Cox; p = 0.002 and p = 0.007). The quantitative techniques had the advantage over subjective histological grading that distinguishment of an intermediate patient group (WHO-system: grade 2; n = 32) with heterogeneous outcome (5-year survival 78%) was avoided. Multivariate analysis showed tumour stage as the most important prognosticator of survival. Neither the quantitative techniques, nor the other classic features added significantly to the prediction. The additional value of the quantitative techniques was however shown in superficial carcinoma (TNM-classification: stage Ta and T1...Continue Reading

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Citations

May 28, 1992·International Journal of Cancer. Journal International Du Cancer·P K LipponenH Haapasalo
Jan 1, 1991·Scandinavian Journal of Urology and Nephrology·P K LipponenM Sotarauta
Jan 1, 1994·International Urology and Nephrology·N H ChowH L Cheng
Jan 2, 1993·International Journal of Cancer. Journal International Du Cancer·P K LipponenE Harju
Feb 1, 1993·British Journal of Urology·P K Lipponen, M J Eskelinen
Jan 1, 1993·Virchows Archiv. A, Pathological Anatomy and Histopathology·K Nishihara, M Tsuneyoshi
Jan 1, 1993·The Journal of Urology·P K LipponenH Haapasalo
Jan 1, 1993·Scandinavian Journal of Urology and Nephrology·P K LipponenH Haapasalo
May 26, 2004·International Journal of Urology : Official Journal of the Japanese Urological Association·Anwar YusupOsamu Yokoyama

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