Skip to main content

Molecular Diagnosis of Bladder and Kidney Cancer

  • Chapter
  • First Online:
  • 2732 Accesses

Part of the book series: Cancer Growth and Progression ((CAGP,volume 16))

Abstract

This chapter will review the molecular diagnosis of bladder and kidney cancer. In current clinical practice, early detection and diagnosis of urothelial carcinoma is based on urinary cytology. UroVysion™ bladder cancer fluorescence in situ hybridization (FISH) has become a useful ancillary test in the detection of urothelial carcinoma for initial diagnosis and recurrence; this test is applicable to routine cytologic urine specimens. Multiple studies have shown that UroVysion™ FISH in voided urine and washing specimens can help in patient management due to its superior sensitivity over cytology in certain situations. Within the renal cortex, molecular studies have not achieved routine use; the most widely available tests are used to identify Xp11.2 translocations/TFE fusions for the subclassification of renal cell carcinoma.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Abbreviations

BCG:

Bacillus Calmette-Guerin

BTA:

Bladder Tumor Antigen

CEP:

Chromosome Enumeration Probes

FDP:

Fibrinogen Degradation Products

FDP:

Fibrinogen Degradation

FGFR3:

Fibroblast Growth Factor Receptor 3

FISH:

Fluorescent in Situ Hybridization

hCFHrp:

Human Complement Factor H Related Protein

LSI:

Locus Specific Identifier

TPS:

Tissue Polypeptide Specific

References

  1. Johansson SL, Cohen SM (1997) Epidemiology and etiology of bladder cancer. Semin Surg Oncol 13(5):291–298

    Article  PubMed  CAS  Google Scholar 

  2. Cohen SM, Johansson SL (1992) Epidemiology and etiology of bladder cancer. Urol Clin North Am 19(3):421–428

    PubMed  CAS  Google Scholar 

  3. Cohen SM, Shirai T et al (2000) Epidemiology and etiology of premalignant and malignant urothelial changes. Scand J Urol Nephrol Suppl 205:105–115

    Article  PubMed  Google Scholar 

  4. Czerniak B, Chaturvedi V et al (1999) Superimposed histologic and genetic mapping of chromosome 9 in progression of human urinary bladder neoplasia: implications for a genetic model of multistep urothelial carcinogenesis and early detection of urinary bladder cancer. Oncogene 18(5):1185–1196

    Article  PubMed  CAS  Google Scholar 

  5. Heney NM (1992) Natural history of superficial bladder cancer. Prognostic features and long-term disease course. Urol Clin North Am 19(3):429–433

    PubMed  CAS  Google Scholar 

  6. Kaufman DS, Shipley WU et al (2009) Bladder cancer. Lancet 374(9685):239–249

    Article  PubMed  CAS  Google Scholar 

  7. Koch M, McPhee MS et al (1988) Five year follow-up of patients with cancer of the bladder – the Northern Alberta experience. Clin Invest Med 11(4):253–258

    PubMed  CAS  Google Scholar 

  8. Holmang S, Hedelin H et al (1999) Recurrence and progression in low grade papillary urothelial tumors. J Urol 162(3 Pt 1):702–707

    Article  PubMed  CAS  Google Scholar 

  9. Millan-Rodriguez F, Chechile-Toniolo G et al (2000) Primary superficial bladder cancer risk groups according to progression, mortality and recurrence. J Urol 164(3 Pt 1):680–684

    Article  PubMed  CAS  Google Scholar 

  10. Holmang S, Andius P et al (2001) Stage progression in Ta papillary urothelial tumors: relationship to grade, immunohistochemical expression of tumor markers, mitotic frequency and DNA ploidy. J Urol 165(4):1124–1128, discussion 1128–1130

    Article  PubMed  CAS  Google Scholar 

  11. Cheng L, Davidson DD et al (2010) The origins of urothelial carcinoma. Expert Rev Anticancer Ther 10(6):865–880

    Article  PubMed  CAS  Google Scholar 

  12. Chuang S-T, Tracy RA et al (2010) Carcinogenetic pathway of superficial low-grade urothelial carcinoma. In: Coppola D (ed) Mechanisms of oncogenesis, vol 12. Springer, New York, pp 279–284

    Chapter  Google Scholar 

  13. Cheng L, Zhang S et al (2010) Bladder cancer: translating molecular genetic insights into clinical practice. Hum Pathol 42(4):455–481

    Article  PubMed  Google Scholar 

  14. van der Kwast TH, Bapat B (2009) Predicting favourable prognosis of urothelial carcinoma: gene expression and genome profiling. Curr Opin Urol 19(5):516–521

    Article  PubMed  Google Scholar 

  15. Cordon-Cardo C, Cote RJ et al (2000) Genetic and molecular markers of urothelial premalignancy and malignancy. Scand J Urol Nephrol Suppl 205:82–93

    Article  PubMed  Google Scholar 

  16. Hartmann A, Rosner U et al (2000) Clonality and genetic divergence in multifocal low-grade superficial urothelial carcinoma as determined by chromosome 9 and p53 deletion analysis. Lab Invest 80(5):709–718

    Article  PubMed  CAS  Google Scholar 

  17. Marano A, Pan Y et al (2000) Chromosomal numerical aberrations detected by fluorescence in situ hybridization on bladder washings from patients with bladder cancer. Eur Urol 37(3):358–365

    Article  PubMed  CAS  Google Scholar 

  18. Obermann EC, Junker K et al (2003) Frequent genetic alterations in flat urothelial hyperplasias and concomitant papillary bladder cancer as detected by CGH, LOH, and FISH analyses. J Pathol 199(1):50–57

    Article  PubMed  CAS  Google Scholar 

  19. Tsukamoto M, Matsuyama H et al (2002) Numerical aberrations of chromosome 9 in bladder cancer. A possible prognostic marker for early tumor recurrence. Cancer Genet Cytogenet 134(1):41–45

    Article  PubMed  CAS  Google Scholar 

  20. Bubendorf L, Grilli B et al (2001) Multiprobe FISH for enhanced detection of bladder cancer in voided urine specimens and bladder washings. Am J Clin Pathol 116(1):79–86

    Article  PubMed  CAS  Google Scholar 

  21. Veltman JA, Fridlyand J et al (2003) Array-based comparative genomic hybridization for genome-wide screening of DNA copy number in bladder tumors. Cancer Res 63(11):2872–2880

    PubMed  CAS  Google Scholar 

  22. Sokolova IA, Halling KC et al (2000) The development of a multitarget, multicolor fluorescence in situ hybridization assay for the detection of urothelial carcinoma in urine. J Mol Diagn 2(3):116–123

    Article  PubMed  CAS  Google Scholar 

  23. Dickinson SI (2010) Carcinogenetic pathway of urothelial carcinoma. In: Coppola D (ed) Mechanisms of oncogenesis, vol 12. Springer, New York, pp 285–293

    Chapter  Google Scholar 

  24. Amling CL (2001) Diagnosis and management of superficial bladder cancer. Curr Probl Cancer 25(4):219–278

    Article  PubMed  CAS  Google Scholar 

  25. Nese N, Gupta R et al (2009) Carcinoma in situ of the urinary bladder: review of clinicopathologic characteristics with an emphasis on aspects related to molecular diagnostic techniques and prognosis. J Natl Compr Canc Netw 7(1):48–57

    PubMed  Google Scholar 

  26. Caraway NP, Katz RL (2010) A review on the current state of urine cytology emphasizing the role of fluorescence in situ hybridization as an adjunct to diagnosis. Cancer Cytopathol 118(4):175–183

    Article  PubMed  Google Scholar 

  27. Koss LG, Deitch D et al (1985) Diagnostic value of cytology of voided urine. Acta Cytol 29(5):810–816

    PubMed  CAS  Google Scholar 

  28. Bischoff CJ, Clark PE (2009) Bladder cancer. Curr Opin Oncol 21(3):272–277

    Article  PubMed  CAS  Google Scholar 

  29. Koss LG, Esposti L et al (1986) The role of cytology in the diagnosis, detection and follow-up of bladder cancer. Prog Clin Biol Res 221:97–108

    PubMed  CAS  Google Scholar 

  30. Lokeshwar VB, Habuchi T et al (2005) Bladder tumor markers beyond cytology: international consensus panel on bladder tumor markers. Urology 66(6 Suppl 1):35–63

    Article  PubMed  Google Scholar 

  31. Murphy WM (1990) Current status of urinary cytology in the evaluation of bladder neoplasms. Hum Pathol 21(9):886–896

    Article  PubMed  CAS  Google Scholar 

  32. Shirodkar SP, Lokeshwar VB (2008) Bladder tumor markers: from hematuria to molecular diagnostics – where do we stand? Expert Rev Anticancer Ther 8(7):1111–1123

    Article  PubMed  CAS  Google Scholar 

  33. Bubendorf L (2011) Multiprobe fluorescence in situ hybridization (UroVysion) for the detection of urothelial carcinoma – FISHing for the right catch. Acta Cytol 55(2):113–119

    Article  PubMed  CAS  Google Scholar 

  34. Halling KC (2003) Vysis UroVysion for the detection of urothelial carcinoma. Expert Rev Mol Diagn 3(4):507–519

    Article  PubMed  Google Scholar 

  35. Tapia C, Glatz K et al (2011) Evaluation of chromosomal aberrations in patients with benign conditions and reactive changes in urinary cytology. Cancer Cytopathol 119(6):404–410

    Article  PubMed  Google Scholar 

  36. Murata S, Iseki M et al (2010) Molecular and immunohistologic analyses cannot reliably solve diagnostic variation of flat intraepithelial lesions of the urinary bladder. Am J Clin Pathol 134(6):862–872

    Article  PubMed  Google Scholar 

  37. Vrooman OP, Witjes JA (2009) Molecular markers for detection, surveillance and prognostication of bladder cancer. Int J Urol 16(3):234–243

    Article  PubMed  CAS  Google Scholar 

  38. Bergman J, Reznichek RC et al (2008) Surveillance of patients with bladder carcinoma using fluorescent in-situ hybridization on bladder washings. BJU Int 101(1):26–29

    PubMed  Google Scholar 

  39. Halling KC, Kipp BR (2008) Bladder cancer detection using FISH (UroVysion assay). Adv Anat Pathol 15(5):279–286

    Article  PubMed  CAS  Google Scholar 

  40. Ferra S, Denley R et al (2009) Reflex UroVysion testing in suspicious urine cytology cases. Cancer 117(1):7–14

    PubMed  Google Scholar 

  41. Savic S, Zlobec I et al (2009) The prognostic value of cytology and fluorescence in situ hybridization in the follow-up of nonmuscle-invasive bladder cancer after intravesical Bacillus Calmette-Guerin therapy. Int J Cancer 124(12):2899–2904

    Article  PubMed  CAS  Google Scholar 

  42. Galvan AB, Salido M et al (2011) A multicolor fluorescence in situ hybridization assay: a monitoring tool in the surveillance of patients with a history of non-muscle-invasive urothelial cell carcinoma: a prospective study. Cancer Cytopathol 119(6):395–403

    Article  PubMed  Google Scholar 

  43. Halling KC, King W et al (2002) A comparison of BTA stat, hemoglobin dipstick, telomerase and Vysis UroVysion assays for the detection of urothelial carcinoma in urine. J Urol 167(5):2001–2006

    Article  PubMed  CAS  Google Scholar 

  44. (2010) UroVysion Bladder Cancer Kit. Retrieved 31 July 2011, from http://www.abbottmolecular.com/us/products/oncology/fish/bladder-cancer-urovysion.html

  45. (2005) FDA 510(k) #K050840: DuetTM System. BioView, Ltd., Retrieved 31 July 2011, from http://www.accessdata.fda.gov/cdrh_docs/pdf5/K050840.pdf

  46. (2007) FDA 510(k) #K062577: Ikoniscope® oncoFISHTM Bladder Test System. Ikonisys, Inc., Retrieved 31 July 2011, from http://www.accessdata.fda.gov/cdrh_docs/pdf6/K062755.pdf

  47. Marganski WA, El-Sirgany Costa V et al (2011) Digitized microscopy in the diagnosis of bladder cancer: analysis of >3000 cases during a 7-month period. Cancer Cytopathol 119(4):279–289

    Article  PubMed  Google Scholar 

  48. Smith GD, Bentz JS (2010) “FISHing” to detect urinary and other cancers: validation of an imaging system to aid in interpretation. Cancer Cytopathol 118(1):56–64

    Article  PubMed  Google Scholar 

  49. Smith GD, Riding M et al (2010) Integrating a FISH imaging system into the cytology laboratory. CytoJournal 7:3

    Article  PubMed  Google Scholar 

  50. Halling KC, King W et al (2000) A comparison of cytology and fluorescence in situ hybridization for the detection of urothelial carcinoma. J Urol 164(5):1768–1775

    Article  PubMed  CAS  Google Scholar 

  51. Karnwal A, Venegas R et al (2010) The role of fluorescence in situ hybridization assay for surveillance of non-muscle invasive bladder cancer. Can J Urol 17(2):5077–5081

    PubMed  Google Scholar 

  52. Dalquen P, Kleiber B et al (2002) DNA image cytometry and fluorescence in situ hybridization for noninvasive detection of urothelial tumors in voided urine. Cancer 96(6):374–379

    Article  PubMed  Google Scholar 

  53. Yoder BJ, Skacel M et al (2007) Reflex UroVysion testing of bladder cancer surveillance patients with equivocal or negative urine cytology: a prospective study with focus on the natural history of anticipatory positive findings. Am J Clin Pathol 127(2):295–301

    Article  PubMed  Google Scholar 

  54. Wild PJ, Fuchs T et al (2009) Detection of urothelial bladder cancer cells in voided urine can be improved by a combination of cytology and standardized microsatellite analysis. Cancer Epidemiol Biomarkers Prev 18(6):1798–1806

    Article  PubMed  CAS  Google Scholar 

  55. Caraway NP, Khanna A et al (2007) Combination of cytologic evaluation and quantitative digital cytometry is reliable in detecting recurrent disease in patients with urinary diversions. Cancer 111(5):323–329

    Article  PubMed  Google Scholar 

  56. Giella JG, Ring K et al (1992) The predictive value of flow cytometry and urinary cytology in the follow up of patients with transitional cell carcinoma of the bladder. J Urol 148(2 Pt 1):293–296

    PubMed  CAS  Google Scholar 

  57. Koss LG, Wersto RP et al (1989) Predictive value of DNA measurements in bladder washings. Comparison of flow cytometry, image cytophotometry, and cytology in patients with a past history of urothelial tumors. Cancer 64(4):916–924

    Article  PubMed  CAS  Google Scholar 

  58. Mora LB, Nicosia SV et al (1996) Ancillary techniques in the follow up of transitional cell carcinoma: a comparison of cytology, histology and deoxyribonucleic acid image analysis cytometry in 91 patients. J Urol 156(1):49–54, discussion 54–55

    Article  PubMed  CAS  Google Scholar 

  59. Tribukait B, Gustafson H (1980) Impulse cytophotometric studies on DNA in bladder carcinoma. Onkologie 3(6):278–288

    Article  PubMed  CAS  Google Scholar 

  60. Bakhos R, Shankey TV et al (2000) Comparative analysis of DNA flow cytometry and cytology of bladder washings: review of discordant cases. Diagn Cytopathol 22(2):65–69

    Article  PubMed  CAS  Google Scholar 

  61. Jitsukawa S, Tachibana M et al (1987) Flow cytometry based on heterogeneity index score compared with urine cytology to evaluate their diagnostic efficacy in bladder tumor. Urology 29(2):218–222

    Article  PubMed  CAS  Google Scholar 

  62. Murphy WM, Emerson LD et al (1986) Flow cytometry versus urinary cytology in the evaluation of patients with bladder cancer. J Urol 136(4):815–819

    PubMed  CAS  Google Scholar 

  63. Ring KS, Karp F et al (1990) Enhanced detection of bladder cancer using the epithelial surface marker epithelial membrane antigen: a preliminary report. J Occup Med 32(9):904–909

    Article  PubMed  CAS  Google Scholar 

  64. Dyrskjot L, Ostenfeld MS et al (2009) Genomic profiling of microRNAs in bladder cancer: miR-129 is associated with poor outcome and promotes cell death in vitro. Cancer Res 69(11):4851–4860

    Article  PubMed  CAS  Google Scholar 

  65. Dyrskjot L, Zieger K et al (2007) Gene expression signatures predict outcome in non-muscle-invasive bladder carcinoma: a multicenter validation study. Clin Cancer Res 13(12):3545–3551

    Article  PubMed  Google Scholar 

  66. Guo B, Che T et al (2011) Screening and identification of specific markers for bladder transitional cell carcinoma from urine urothelial cells with suppressive subtractive hybridization and cDNA microarray. Can Urol Assoc J 5(6):E129–E137

    Article  PubMed  Google Scholar 

  67. Klein A, Zemer R et al (1998) Expression of cytokeratin 20 in urinary cytology of patients with bladder carcinoma. Cancer 82(2):349–354

    Article  PubMed  CAS  Google Scholar 

  68. Tetu B (2009) Diagnosis of urothelial carcinoma from urine. Mod Pathol 22(Suppl 2):S53–S59

    Article  PubMed  Google Scholar 

  69. van Rhijn BW, van der Poel HG et al (2005) Urine markers for bladder cancer surveillance: a systematic review. Eur Urol 47(6):736–748

    Article  PubMed  Google Scholar 

  70. Zieger K (2008) High throughput molecular diagnostics in bladder cancer – on the brink of clinical utility. Mol Oncol 1(4):384–394

    Article  PubMed  Google Scholar 

  71. Chiong E, Gaston KE et al (2008) Urinary markers in screening patients with hematuria. World J Urol 26(1):25–30

    Article  PubMed  CAS  Google Scholar 

  72. Shariat SF, Karam JA et al (2008) Urine cytology and urine-based markers for bladder urothelial carcinoma detection and monitoring: developments and future prospects. Biomark Med 2(2):165–180

    Article  PubMed  CAS  Google Scholar 

  73. Olsson H, Zackrisson B (2001) ImmunoCyt a useful method in the follow-up protocol for patients with urinary bladder carcinoma. Scand J Urol Nephrol 35(4):280–282

    Article  PubMed  CAS  Google Scholar 

  74. Babjuk M, Kostirova M et al (2002) Qualitative and quantitative detection of urinary human complement factor H-related protein (BTA stat and BTA TRAK) and fragments of cytokeratins 8, 18 (UBC rapid and UBC IRMA) as markers for transitional cell carcinoma of the bladder. Eur Urol 41(1):34–39

    Article  PubMed  CAS  Google Scholar 

  75. Heicappell R, Wettig IC et al (1999) Quantitative detection of human complement factor H-related protein in transitional cell carcinoma of the urinary bladder. Eur Urol 35(1):81–87

    Article  PubMed  CAS  Google Scholar 

  76. Thomas L, Leyh H et al (1999) Multicenter trial of the quantitative BTA TRAK assay in the detection of bladder cancer. Clin Chem 45(4):472–477

    PubMed  CAS  Google Scholar 

  77. Gray M, Sims TW (2004) NMP-22 for bladder cancer screening and surveillance. Urol Nurs 24(3):171–172, 177–179, 186

    PubMed  Google Scholar 

  78. Voutsinas GE, Stravopodis DJ (2009) Molecular targeting and gene delivery in bladder cancer therapy. J BUON 14(Suppl 1):S69–S78

    PubMed  Google Scholar 

  79. Mitra AP, Bartsch CC et al (2009) Strategies for molecular expression profiling in bladder cancer. Cancer Metastasis Rev 28(3–4):317–326

    Article  PubMed  CAS  Google Scholar 

  80. Mitra AP, Cote RJ (2009) Molecular pathogenesis and diagnostics of bladder cancer. Annu Rev Pathol 4:251–285

    Article  PubMed  CAS  Google Scholar 

  81. Argani P, Ladanyl M (2004) Renal carcinomas associated with Xp11.2 translocations/TFE gene fusions. In: Eble JN, Sauter G, Epstein JI, Sesterhenn IA (eds) Pathology and genetics of tumours of the urinary system and male genital organs, vol 6. IARC Press, Lyon, pp 37–38

    Google Scholar 

  82. Argani P, Antonescu CR et al (2001) Primary renal neoplasms with the ASPL-TFE3 gene fusion of alveolar soft part sarcoma: a distinctive tumor entity previously included among renal cell carcinomas of children and adolescents. Am J Pathol 159(1):179–192

    Article  PubMed  CAS  Google Scholar 

  83. Heimann P, El Housni H et al (2001) Fusion of a novel gene, RCC17, to the TFE3 gene in t(X;17)(p11.2;q25.3)-bearing papillary renal cell carcinomas. Cancer Res 61(10):4130–4135

    PubMed  CAS  Google Scholar 

  84. Argani P, Ladanyi M (2003) Recent advances in pediatric renal neoplasia. Adv Anat Pathol 10(5):243–260

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marino E. Leon M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Leon, M.E., Qin, D., Zynger, D.L. (2014). Molecular Diagnosis of Bladder and Kidney Cancer. In: Coppola, D. (eds) Molecular Pathology and Diagnostics of Cancer. Cancer Growth and Progression, vol 16. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7192-5_10

Download citation

  • DOI: https://doi.org/10.1007/978-94-007-7192-5_10

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-7191-8

  • Online ISBN: 978-94-007-7192-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics