New diagnostic strategies in the detection and staging of bladder cancer.

Détails

ID Serval
serval:BIB_C54FD06A641A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
New diagnostic strategies in the detection and staging of bladder cancer.
Périodique
Current Opinion in Urology
Auteur(s)
Jichlinski P.
ISSN
0963-0643
Statut éditorial
Publié
Date de publication
09/2003
Peer-reviewed
Oui
Volume
13
Numéro
5
Pages
351-355
Langue
anglais
Notes
Publication types: Journal Article ; Review
Résumé
PURPOSE OF REVIEW: Bladder cancer is a very frequent disease and represents the second most common genitourinary neoplasm. The most prevalent form of the disease, superficial bladder cancer, can recur in more than 70% of cases, despite correct management. Any way to improve our disease diagnostic and treatment policy is therefore welcome.RECENT FINDINGS: This review covers the following topics: (1). endoscopic tools: standard cystoscopy versus fluorescence cystoscopy and virtual endoscopy; (2). bladder cancer staging: histopathological analysis developments and imaging techniques (positron emission tomography, magnetic resonance imaging, computed tomography); (3). cytology and ancillary procedures (ImmunoCyt and fluorescence in-situ hybridization test, and others); (4). first-generation (bladder tumour antigen, nuclear matrix protein 22, telomerase repeat amplification protocol) and second-generation (loss of heterozygosity, minichromosome maintenance 5, DNA methylation, microsatellite) urine and serum markers. SUMMARY: New diagnostic and therapeutic (endoscopic) tools in superficial bladder cancer should eventually modify our disease management policy. Fluorescence cystoscopy detects carcinoma in situ with a high accuracy, and seems to have a positive impact on reducing residual tumour and recurrence rate. A more specific staining of tissue specimens facilitates histological analysis and helps achieve better staging, especially in T1 diseases. Improving the sensitivity of cytology for low-grade diseases, ancillary procedures to classic cytology such as fluorescence in-situ hybridization and ImmunoCyt tests, may reduce the number of unpleasant cystoscopies in surveillance protocols of selected groups of patients. Second-generation urine markers such as loss of heterozygosity, microsatellite, minichromosome maintenance 5, with a high level of accuracy, show great potential for influencing bladder cancer detection and screening policy.
Mots-clé
Diagnostic Techniques, Urological, Humans, Neoplasm Staging/methods, Urinary Bladder Neoplasms/diagnosis
Pubmed
Web of science
Création de la notice
24/01/2008 17:09
Dernière modification de la notice
03/03/2018 21:15
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