PTU - Polskie Towarzystwo Urologiczne
list of articles:

DNA PLOIDY AS PROGNOSTIC FACTOR IN BLADDER CANCER
Article published in Urologia Polska 1997/50/4.

authors

Anna Kołodziej, Danuta Duś, Janusz Dembowski, Tadeusz Niezgoda, Bogdana Dąbrowska, Jerzy Lorenz
Katedra i Klinika Urologii AM we Wrocławiu
Kierownik Kliniki: prof. dr hab. med. Jerzy Lorenz
Oddział Urologii Wojewódzkiego Szpitala Specjalistycznego we Wrocławiu
Ordynator: prof. dr hab. med. Jerzy Lorenz
Zakład Immunologii Nowotworów
Instytutu Immunologii i Terapii Doświadczalnej PANwe Wrocławiu
Kierownik: prof. dr hab. Cz. Radzikowski

keywords

bladder neoplasms DNA ploidy

summary

Objective. The aim of the study was to find the correlation between DNA
ploidy as a tumor marker and the stage, the histopatologie grade and clinical
course of the disease in bladder cancer patients.
Material and method. A prospective study of cellular DNA content by flow
cytometry was performed on bladder irrigation and tissue obtained from 105
patient with urothelial bladder carcinoma.
Results. The DNA histogram were classified as diploid (52/105) and
aneuploid (53/105) with one or more aneuploid cell population. While grade
1 transitional cell carcinoma were with few exceptions diploid and grade 3
aneuploid, about half of grade 2 tumors were diploid or aneuploid. A significant
correlations were found: beetwen T category and DNA ploidy - invasive tumors
were aneuploid, beetwen type of growth and multiplicity of tumors. The results
of DNA measurement were also related to the clinical course of the disease:
patients with diploid tumors had very low receurence rate and developed
almost no progression (mean follow - up 22 months).
Conclusions. The results of prospective studies of flow cytometry DNA
analysis indicate DNA ploidy status as a useful complement to the clinical
and histological classifications of urothelial bladder carcinoma.

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