Zusammenfassung
Eine Prüfung der aktuellen Literatur erbringt neue wissenschaftliche Erkenntnisse zur Diagnostik und Prognose und für neue molekulare Zielstrukturen. Die neue WHO-Klassifikation verfeinert unsere Stadieneinteilung und beeinflusst die Behandlungsoptionen des Blasenkarzinoms. Internationale klinische Daten zeigen neue Möglichkeiten, das individuelle Risiko bzgl. Remission oder Progression zu berechnen. Die systematische Genclusteranalyse definiert Multimarkerpanels, die als zuverlässige Prädikatoren für die Überlebenswahrscheinlichkeit dienen können. Die Entdeckung neuer Signalpfade beim Blasenkarzinom führen zu neuen Zielmolekülen für innovative Therapien.
Abstract
A review of the current literature provides new scientific insights into the diagnosis, prognosis and novel molecular targets for bladder cancer. The new WHO classification refines our staging system and influences treatment options. International clinical databases provide new tools for calculating the individual risk for bladder cancer recurrence and progression. Systematic gene cluster analysis defines multimarker panels that can serve as robust predictors of outcome. Discoveries of new signaling pathways in bladder cancer are leading to novel molecular targets for innovative therapies.
Literatur
Aaboe M, Birkenkamp-Demtroder K, Wiuf C et al. (2006) SOX4 expression in bladder carcinoma: clinical aspects and in vitro functional characterization. Cancer Res 66: 3434–3442
Advanced Bladder Cancer Meta-Analysis Collaboration (2005) Adjuvant chemotherapy in invasive bladder cancer: a systematic review and meta-analysis of individual patient data. Eur Urol 48(2): 189–199
Busch C, Algaba F (2002) The WHO/ISUP 1998 and WHO 1999 systems for malignancy grading of bladder cancer. Scientific foundation and translation to one another and previous systems. Virchows Arch 441: 105–108
Copp HL, Chin JL, Conaway M, Theodorescu D (2006) Prospective evaluation of the prognostic relevance of molecular staging for urothelial carcinoma. Cancer 107: 60–66
Eble JE, Sauter G, Epstein IJ, Sesterhenn IA (eds) (2004) Tumours of the urinary system and male genital organs, WHO classification of tumours. IARC Press, Lyon
Fahmy NM, Mahmud S, Aprikian AG (2006) Delay in the surgical treatment of bladder cancer and survival: systematic review of the literature. Eur Urol 50(6): 1176–1182
Fradet Y, Aprikian A, Dranitsaris G et al. (2006) Does prolonging the time to bladder cancer surgery affect long-term cancer control: a systematic review of the literature. Can J Urol 13 (Suppl 3): 37–47
Furey TS, Cristianini N, Duffy N et al. (2000) Support vector machine classification and validation of cancer tissue samples using microarray expression data. Bioinformatics 16(10): 906–914
Hautmann RE, Gschwend JE, Petriconi RC de et al. (2006) Cystectomy for transitional cell carcinoma of the bladder: results of a surgery only series in the neobladder era. J Urol 176: 486–492
International Bladder Cancer Nomogram Consortium, Bochner BH, Kattan MW, Vora KC (2006) Postoperative nomogram predicting risk of recurrence after radical cystectomy for bladder cancer. J Clin Oncol 24: 3967–3972
Kosugi M, Miyajima A, Kikuchi E et al. (2006) Angiotensin II type 1 receptor antagonist candesartan as an angiogenic inhibitor in a xenograft model of bladder cancer. Clin Cancer Res 12: 2888–2893
Lee CT, Madii R, Daignault S et al. (2006) Cystectomy delay more than 3 months from initial bladder cancer diagnosis results in decreased disease specific and overall survival. J Urol 175: 1262–1267
Osman I, Bajorin DF, Sun TT et al. (2006) Novel blood biomarkers of human urinary bladder cancer. Clin Cancer Res 12: 3374–3380
Ramesh N, Ge Y, Ennist DL et al. (2006) CG0070, a conditionally replicating granulocyte macrophage colony-stimulating factor–armed oncolytic adenovirus for the treatment of bladder cancer. Clin Cancer Res 12: 305–313
Sanchez-Carbayo M, Socci ND, Lozano J et al. (2006) Defining molecular profiles of poor outcome in patients with invasive bladder cancer using oligonucleotide microarrays. J Clin Oncol 24: 778–789
Studer UE, Burkhard FC, Schumacher M et al. (2006) Twenty years experience with an ileal orthotopic low pressure bladder substitute–lessons to be learned. J Urol 176: 161–166
Sylvester RJ (2006) Predicting recurrence and progression in individual patients with stage Ta T1 bladder cancer using EORTC risk tables: A combined analysis of 2596 patients from seven EORTC trials. Eur Urol 49: 466–477
Urakami S, Shiina H, Enokida H et al. (2006) Epigenetic inactivation of Wnt inhibitory factor-1 plays an important role in bladder cancer through aberrant canonical Wnt/beta-catenin signaling pathway. Clin Cancer Res 12: 383–391
Urakami S, Shiina H, Enokida H et al. (2006) Combination analysis of hypermethylated Wnt-antagonist family genes as a novel epigenetic biomarker panel for bladder cancer detection. Clin Cancer Res 12: 2109–2116
Wu X, Kakehi Y, Zeng Y et al. (2005) Uroplakin II as a promising marker for molecular diagnosis of nodal metastases from bladder cancer: comparison with cytokeratin 20. J Urol 174: 2138–2142
Interessenkonflikt
Es besteht kein Interessenkonflikt. Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen. Die Präsentation des Themas ist unabhängig und die Darstellung der Inhalte produktneutral.
Author information
Authors and Affiliations
Corresponding author
Additional information
Präsentation im Rahmen des Schlussforums der Jahrestagung der Deutschen Gesellschaft für Urologie, Hamburg 2006
Rights and permissions
About this article
Cite this article
Retz, M., Lehmann, J., Nawroth, R. et al. Was gibt’s Neues beim Harnblasenkarzinom?. Urologe 46, 727–732 (2007). https://doi.org/10.1007/s00120-007-1370-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00120-007-1370-1
Schlüsselwörter
- Blasenkarzinom
- Molekulare Zielstrukturen
- Stadieneinteilung
- Indiviuelle Risikoanalyse
- Innovative Therapien