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Das plasmazytoide und mikropapilläre Urothelkarzinom

Seltene Varianten eines Urothelkarzinoms

Plasmacytoid and micropapillary urothelial carcinoma

Rare forms of urothelial carcinoma

  • Urologische Forschung
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Zusammenfassung

Das plasmazytoide Urothelkarzinom (PUC) zählt neben dem mikropapillären (MPC), kleinzelligen und dem Tumor vom „nested-type“ zu den seltenen Varianten von Urothelkarzinomen. Die molekulare Charakterisierung von PUC und MPC stellt dabei gegenwärtig unser Forschungsschwerpunkt im Bereich Harnblasenkarzinom dar, welchen wir in Kooperation mit dem Pathologischen Institut Erlangen verfolgen. PUC betreffen ca. 0,9% aller Urothelkarzinome. Die Diagnose solcher seltenen Varianten erlangt immer mehr an Bedeutung, da sich daraus prognostische und möglicherweise auch therapeutische Konsequenzen für den Patienten ergeben. In einer Analyse von 32 PUC konnten wir die bisher umfassendsten Ergebnisse zu grundlegenden molekularen und klinischen Charakteristika dieser Variante präsentieren. MPC wurden bereits in multiplen Organen beschrieben. Mikropapilläre Karzinome der Mamma stellen dabei eine eigene Entität mit charakteristischen genomischen Aberrationen und entsprechenden klinischen und pathologischen Eigenschaften dar.

Abstract

Plasmacytoid urothelial carcinomas (PUC) along with micropapillary urothelial carcinoma (MPC), small cell cancer, and nested-typed tumors are among the rare variations of urothelial carcinomas. The molecular characterization of PUC and MPC is currently the focus of our research on bladder cancer which we are conducting in cooperation with the Institute of Pathology in Erlangen. PUCs account for approximately 0.9% of all urothelial carcinomas. The diagnosis of these rare variants has acquired increasing importance since this may have prognostic and possibly therapeutic consequences for the patients. By analysis of 32 PUCs we were able to demonstrate the most comprehensive results available to date on the underlying molecular and clinical characteristics of these variants. Micropapillary cancers have already been described in multiple organs. Micropapillary breast cancer represent an individual entity with characteristic genomic aberrations and corresponding clinical and pathological features

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Keck, B., Stoehr, R., Wach, S. et al. Das plasmazytoide und mikropapilläre Urothelkarzinom. Urologe 50, 217–220 (2011). https://doi.org/10.1007/s00120-010-2484-4

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