Abstract
The predictive value of quantifying argyrophilic nucleolar-organizer-region-associated proteins (Ag-NOR) in routinely processed paraffin-embedded tissue sections of bladder cancer remains controversial. The purpose of this study was to determine whether cell-imprint preparations facilitate a more accurate determination of the mean number of Ag-NOR per cell (Ag-NOR score). The utility of using the Ag-NOR scores of cell-imprint preparations as a prognostic indicator in patients with bladder cancer was explored. We evaluated 90 patients with newly diagnosed bladder cancer using cell-imprint preparations to determine Ag-NOR score. The score significantly correlated with known prognostic factors associated with this tumor, including histological grade (P<0.001), pathological stage (P<0.01), and papillary structure (P<0.001). Furthermore, the Ag-NOR score appeared to be an independent predictor of intravesical tumor recurrence of superficial bladder cancer (P<0.05). These results suggest that the Ag-NOR score determined in a cell imprint preparation may serve as a useful prognostic indicator in bladder cancer.
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Abbreviations
- Ag-NOR :
-
argyrophilic nucleolar-organizer-region-associated proteins
References
Boldy DAR, Crocker J and Ayres JG (1989) Application of the Ag-NOR method to cell imprints of lymphoid tissue. J Pathol 157:75–79
Cairns P, Suarez V, Newman J, Crocker J (1989) Nucleolar organizer regions in transitional cell tumors of the bladder. Arch Pathol Lab Med 113:1250–1252
Crocker J (1995) The trials and tribulations of interphase AgNORs. J Pathol 175:367–368
Delahunt B, Ribas JL, Nacey JN, Bethwaite PB (1991) Nucleolar organizer regions and prognosis in renal cell carcinoma. J Pathol 163:31–37
Gambini C, Casazza S, Borgiani L, Canepa M Rovida S, Rongioletti F, Rebora A (1992) Counting the nucleolar organizer region-associated proteins is a prognostic clue of malignant melanoma. Arch Dermatol 128:487–490
Goessens G (1984) Nucleolar structure. Int Rev Cytol 87:107–158
Hermanek P, Sobin L (1992) TNM classification of malignant tumours: renal pelvis and ureter, 4th ed. Springer, Tokyo, pp 151–153
Howat AJ, Giri DD, Wright AL, Underwood JCE (1988) Silverstained nucleoli and nucleolar organizer region counts are of no prognostic value in thick cutaneous malignant melanoma. J Pathol 156:227–232
Jinza S, Iki M, Noguchi S, Shuin T, Kubota Y, Takano Y, Masuda M (1995a) Nucleolar organizer regions: a new prognostic factor for upper tract urothelial cancer. J Urol 154:1688–1692
Jinza S, Iki M, Noguchi S, Shuin T, Kubota Y, Takano Y, Masuda M (1995b) Ag-NOR staining of cell imprint preparations of human bladder cancer. Acta Cytol (in press)
Lipponen PK, Eskelinen MJ, Nordling S (1991) Nucleolar organizer regions (AgNORs) as predictors in transitional cell bladder cancer. Br J Cancer 64:1139–1144
Mansour P, Crocker J, Newman J (1990) Lack of prognostic value of nucleolar organizer region enumeration in transitional cell carcinoma of the bladder. Arch Pathol Lab Med 114:1261
Misra K, Kumar ND (1992) Nucleolar organizer regions in FNAC smears of breast lesions. Diagn Cytopathol 8:346–348
Morita M, Kuwano H, Matsuda H, Moriguchi S, Sugimachi K (1991) Prognostic significance of argyrophilic nucleolar organizer regions in esophageal carcinoma. Cancer Res 51:5339–5341
Öfner D, Tötsch M, Sandbichler P, Hallbrucker C, Margreiter R, Mikuz G and Schmid KW (1990) Silver stained nucleolar organizer region proteins (Ag-NORs) as a predictor of prognosis in colonic cancer. J Pathol 162:43–49
Öfner D, Bankfalvi A, Riehemann K, Bier B, Böcker W, Schmid KW (1994) Wet autoclave pretreatment improves the visualization of silver stained nucleolar organizer region associated proteins (Ag-NOR) in routinely formalin-fixed and paraffin-embedded tissue. Mod Pathol 7:946–950
Öfner D, Reidmann B, Maier H, Hittmair A, Rumer A, Tötsch M, Spechtenhauser B, Böcker W, Schmid KW (1995) Standardized staining and analysis of argyrophilic nucleolar organizer region associated proteins (Ag-NORs) in radically resected colorectal adenocarcinoma-correlation with tumour stage and long-term survival. J Pathol 175:441–448
Ooms ECM, Veldhuizen RW (1989) Argyrophilic proteins of the nucleolar organizer region in bladder-tumours. Virchows Arch [A] 414:365–369
Pich A, Pisani P, Kzengli M, Cappello N, Navone R (1991) Argyrophilic nucleolar organizer region counts and prognosis in pharyngeal carcinoma. Br J Cancer 64:327–332
Ploton D, Menager M, Jeannesson P, Himber G, Pigeon F, Adnet JJ (1986) Improvement in the staining and in the visualization of the argyrophilic proteins of the nucleolar organizer region at the optical level. Histochem J 18:5–14
Yang AH, Wang TY, Liu HC (1992) Comparative study of the prognostic value of nuclear grade and silver-binding nucleolar organizer region in renal cell carcinomas. J Pathol 166:157–161
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Masuda, M., Takano, Y., Iki, M. et al. Predictive value of argyrophilic nucleolar-organizer-region-associated proteins in bladder cancer, using cell-imprint preparations. J Cancer Res Clin Oncol 123, 1–5 (1997). https://doi.org/10.1007/BF01212607
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DOI: https://doi.org/10.1007/BF01212607