Home LiteratureArticle Details
PMID: 1517282 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

Prognostic factors in WHO grade 2 transitional-cell bladder cancer (TCC); a novel two-grade classification system for TCC based on mitotic index.

Journal of cancer research and clinical oncology ·Vol. 118 ·No. 8 ·1992-00-00 ·Pages 615-20

Lipponen PK, Eskelinen MJ, Jauhiainen K, Harju E, Terho P, Haapasalo H

Abstract

A retrospective histological analysis has been carried out on 537 cases of transitional-cell bladder carcinoma, followed-up over a period of 9 years. In the first part of the study WHO grade 2 tumours were analysed and a number of independent factors predictive for survival identified. In a multivariate analysis the T category and M/V index (number of mitotic figures/mm2 neoplastic epithelium) were the most important prognostic factors. In a subsequent analysis of the whole series of 537 cases, overall the M/V index was not as important in predicting survival as the stage of the tumour. However, in superficial tumours (Ta-T1) subsequent analysis showed that the M/V index alone could be used to predict survival.

MeSH Terms
Aged Carcinoma, Transitional Cell/classification,genetics,pathology Chi-Square Distribution Cohort Studies Female Follow-Up Studies Humans Karyometry Male Mitotic Index Multivariate Analysis Prognosis Retrospective Studies Survival Analysis Survival Rate Urinary Bladder Neoplasms/classification,genetics,pathology
Authors & Affiliations
6 authors, click to expand affiliations / ORCID
Lipponen P K
Department of Pathology, University of Kuopio, Finland.
Eskelinen M J
Jauhiainen K
Harju E
Terho P
Haapasalo H
References (32)
32 references, click to expand
  1. The value of morphometry and DNA flow cytometry in addition to classic prognosticators in superficial urinary bladder carcinoma.
    Am J Clin Pathol. 1989 Mar;91(3):243-8 PMID: 2923091
  2. Volume corrected mitotic index (M/V-INDEX). The standard of mitotic activity in neoplasms.
    Pathol Res Pract. 1989 Nov;185(5):551-4 PMID: 2626364
  3. Prediction of superficial bladder cancer by histoquantitative methods.
    Eur J Cancer. 1990;26(10):1060-3 PMID: 2148881
  4. Classification of bladder tumours based on the cellular pattern. Preliminary report of a clinical-pathological study of 300 cases with a minimum follow-up of eight years.
    Acta Chir Scand. 1965 Oct;130(4):371-8 PMID: 5842510
  5. Prognostic factors in human pancreatic cancer, with special reference to quantitative histology.
    Scand J Gastroenterol. 1991 May;26(5):483-90 PMID: 1651557
  6. DNA ploidy and the prognosis of stage pT1 bladder cancer.
    Br J Urol. 1989 Oct;64(4):403-8 PMID: 2819393
  7. An overview of intravesical therapy for superficial bladder tumors.
    J Urol. 1987 Dec;138(6):1363-8 PMID: 3316712
  8. Prediction of lymph node metastases in bladder carcinoma with deoxyribonucleic acid flow cytometry.
    J Urol. 1990 Oct;144(4):884-7 PMID: 2398563
  9. Relationship between DNA flow cytometric data, nuclear morphometric variables and volume-corrected mitotic index in transitional cell bladder tumors.
    Eur Urol. 1991;19(4):327-31 PMID: 1915541
  10. Potential of nuclear morphometry and volume-corrected mitotic index in grading transitional cell carcinoma of the urinary bladder.
    Eur Urol. 1990;17(4):333-7 PMID: 2364975
  11. Grading of human urothelial carcinoma based on nuclear atypia and mitotic frequency. I. Histological description.
    J Urol. 1991 May;145(5):968-71 PMID: 2016811
  12. Analysis of the performance of pathologists in the grading of bladder tumors.
    Hum Pathol. 1983 Feb;14(2):140-3 PMID: 6832758
  13. General principles of grading lesions in diagnostic histopathology.
    Pathol Res Pract. 1989 Nov;185(5):539-43 PMID: 2696940
  14. Tumor morphometry as prognostic factor in T1 and T2 bladder cancer.
    Urology. 1984 Feb;23(2):205-7 PMID: 6695493
  15. Urothelial atypia and survival rate of 500 unselected patients with primary transitional-cell tumour of the urinary bladder.
    Scand J Urol Nephrol. 1988;22(4):257-63 PMID: 3238330
  16. Histological grading of transitional cell tumours of the bladder. Value of histological grading (WHO) in prognosis.
    Eur Urol. 1979;5(5):311-8 PMID: 446506
  17. Prognostic scores combining clinical, histological and morphometric variables in assessment of the disease outcome in female breast cancer.
    Int J Cancer. 1991 Dec 2;49(6):886-92 PMID: 1959993
  18. A comparative study in morphometric grading of transitional cell carcinoma of the urinary bladder.
    Anal Quant Cytol Histol. 1989 Dec;11(6):426-32 PMID: 2604823
  19. Grading of human urothelial carcinoma based on nuclear atypia and mitotic frequency. II. Prognostic importance.
    J Urol. 1991 May;145(5):972-5; discussion 975-6 PMID: 2016812
  20. Characterization of bladder tumours by multiparameter flow cytometry with special reference to grade II tumours.
    APMIS. 1988 Sep;96(9):783-92 PMID: 3166807
  21. Nucleolar organizer regions in transitional cell tumors of the bladder.
    Arch Pathol Lab Med. 1989 Nov;113(11):1250-2 PMID: 2479357
  22. T1 bladder tumours.
    Br J Urol. 1977;49(7):663-8 PMID: 597705
  23. Combination of blood group ABH antigen status and DNA ploidy as independent prognostic factor in transitional cell carcinoma of the urinary bladder.
    Br J Urol. 1989 Jul;64(1):49-55 PMID: 2765768
  24. Nucleolar organiser regions (AgNORs) as predictors in transitional cell bladder cancer.
    Br J Cancer. 1991 Dec;64(6):1139-44 PMID: 1764378
  25. Comparison of quantitative and classic prognosticators in urinary bladder carcinoma. A multivariate analysis of DNA flow cytometric, nuclear morphometric and clinicopathological features.
    Virchows Arch A Pathol Anat Histopathol. 1989;415(5):421-8 PMID: 2508302
  26. Prognosis of transitional cell bladder cancer: a multivariate prognostic score for improved prediction.
    J Urol. 1991 Dec;146(6):1535-40 PMID: 1942335
  27. Morphometry in human transitional cell bladder cancer. Nuclear area and standard deviation of nuclear area--relation to tumor grade (WHO) and prognosis.
    Eur Urol. 1990;17(2):155-60 PMID: 2311640
  28. Prognosis of ovarian carcinomas: prediction by histoquantitative methods.
    Histopathology. 1989 Aug;15(2):167-78 PMID: 2777218
  29. Volume-corrected mitotic index and mitotic activity index in transitional cell bladder cancer.
    Eur Urol. 1990;18(4):258-62 PMID: 2289518
  30. Cell proliferation of human bladder tumors determined by BrdUrd and Ki-67 immunostaining.
    J Urol. 1991 Apr;145(4):846-9 PMID: 2005717
  31. Tumors of the urinary bladder; a pathological and clinical study of 434 cases.
    Acta Chir Scand Suppl. 1950 Apr;151:1-203 PMID: 15413425
  32. A computer program for comparing K samples with right-censored data.
    Comput Programs Biomed. 1972 Nov;2(4):315-21 PMID: 4669760
Article Info
Journal
Journal of cancer research and clinical oncology
Abbr.
J Cancer Res Clin Oncol
ISSN
0171-5216
Published
1992-00-00
Pages
615-20
Language
English
Region
Germany
NLM ID
7902060
Subset
IM
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: product@genelibs.com