Skip to main content
Log in

Prognostic significance of peritumoural inflammation in invasive urothelial bladder carcinoma

  • Originals
  • Published:
Urological Research Aims and scope Submit manuscript

Summary

Peritumoural inflammation consisting of lymphocytes, plasma cells and lymph follicles is present in two thirds of invasive urothelial bladder carcinomas. This type of inflammation is significantly rarer in advanced tumour stages (P3, P4) and its presence is a favourable prognostic factor. The mean survival time in patients with this type of inflammation is 26.1 months compared to only 14.8 months in patients without. All other forms of inflammation e. g. eosinophilic or polymorphonuclear leukocytes have no relation with prognosis. The significant prognostic value of lympho-plasmocytic inflammation may be considered as local expression of immunological host resistance.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bean, M. A., Bloom, B. R., Herberman, R. B., Old, L. J., Oettgen, H. F., Klein, G., Terry, W. D.: Cell mediated cytotoxicity for bladder carcinoma: Evaluation of a workshop. Cancer Research 35, 2902 (1975)

    Google Scholar 

  2. Bean, M. A., Pees, H., Fogh, J. E., Grabstald, H., Oettgen, H. F.: Cytotoxicity of lymphocytes from patients with cancer of the urinary bladder: Detection by a H3-proline microcytotoxicity test. International Journal of Cancer 14, 186 (1976)

    Google Scholar 

  3. Berg, J.: Inflammation and prognosis in breast cancer. A search for host resistance. Cancer 12, 714 (1963)

    Google Scholar 

  4. Black, M. M.: Human breast carcinoma. New York State Journal of Medicine 70, 962 (1970)

    Google Scholar 

  5. Black, M. M., Asire, A. J.: Palpable axillary lymph nodes in cancer of the breast: Structural and biological considerations. Cancer 23, 251 (1969)

    Google Scholar 

  6. Black, M. M., Speer, F. D.: Structural representation of tumor-host relationship in gastric carcinoma. Surgery, Gynecology and Obstetrics 102, 599 (1956)

    Google Scholar 

  7. Bubenik, J., Perlmann, P., Helmstein, K., Moberger, G.: Cellular and humoral immune response to human urinary bladder carcinomes. International Journal of Cancer 5, 310 (1970)

    Google Scholar 

  8. Catalona, W. J., Torpley, J. L., Chretien, B. P., Castle, J. R.: Lymphocyte stimulation in urologic cancer patients. Journal of Urology 112, 373 (1974)

    Google Scholar 

  9. Chretien, P. B., Crowder, W. L., Gartner, H. R., Sample, W. F., Catalona, W. J.: Correlation of preoperative lymphocyte reactivity with the clinical course of cancer patients. Surgery, Gynecology and Obstetrics 136, 380 (1973)

    Google Scholar 

  10. Cutler, S. J., Black, M. M., Mark, J.: Further observations on prognostic factors in cancer of the female breast. Cancer 24, 653 (1969)

    Google Scholar 

  11. Cutler, S. J., Ederer, F.: Maximum utilization of the life table method in analyzing survival. Journal of Chronic Diseases 8, 699 (1958)

    Google Scholar 

  12. Decenzo, J. M., Howard, P., Irish, C. E.: Antigenic deletion and prognosis of patients with stage A transitional cell bladder carcinoma. Journal of Urology 114, 874 (1975)

    Google Scholar 

  13. Dayan, A. G.: Spontaneous regression of cancer. Lancet 2, 1083 (1966)

    Google Scholar 

  14. Eilber, F. R., Morton, D. L.: Impaired immunologic reactivity and recurrence following cancer surgery. Cancer 25, 362 (1970)

    Google Scholar 

  15. Good, R. A.: The lymphoid system, immunodificiency and malignancy. In: Advances in Biosciences, Vol. 12, p. 123. Schering-Symposium on Immunopathology. Braunschweig: Vieweg 1974

    Google Scholar 

  16. Hakala, T. R., Lange, P. H., Castro, A. E., Elliott, A. Y., Fraley, E. E.: Antibody induction of lymphocyte-mediated cytotoxicity against human transitional-cell carcinomas of the urinary bladder. New England Journal of Medicine 291, 637 (1974)

    Google Scholar 

  17. Hellström, J., Hellström, K. E., Evans, C. A., Heppner, G., Pierce, G. E., Yang, J. P. S.: Serum mediated protection of neoplastic cells from inhibition by lymphocytes immune to their tumor specific antigens. Proceedings of the National Academy of Science 62, 263 (1969)

    Google Scholar 

  18. Hellström, J., Hellström, K. E.: Cell mediated immune reactions to tumor antigens with particular emphasis on immunity to human neoplasms. Cancer (Suppl.) 34, 1461 (1974)

    Google Scholar 

  19. Herr, H. W.: Immunobiology of human bladder cancer. Journal of Urology 115, 147 (1976)

    Google Scholar 

  20. Johansson, B., Ljungqvist, A.: Localization of immunoglobulins in urinary bladder tumours. Acta Pathologica et Microbiologica Scandinavica 82, 559 (1974)

    Google Scholar 

  21. MacCarty, W. C., Mahle, A. E.: Relation of differentiation and lymphocytic infiltration to postoperative survival in gastric carcinoma. Journal of Laboratory and Clinical Medicine 6, 473 (1971)

    Google Scholar 

  22. O'Toole, C., Perlmann, D., Unsgaard, B., Almgard, L. E., Johansson, B., Moberger, G., Edmyr, F.: Cellular immunity to human urinary bladder carcinoma. II. Effect of surgery and pre-operative irradiation. International Journal of Cancer 10, 92 (1972)

    Google Scholar 

  23. O'Toole, C., Perlmann, P., Unsgaard, B., Moberger, G., Edsmyr, F.: Cellular immunity to human urinary bladder carcinoma. I. Correlation to clinical stage and radiotherapy. International Journal of Cancer 10, 77 (1972)

    Google Scholar 

  24. Penn, J.: Malignancies in recipients of organ transplants. Johns Hopkins Medical Journal (Suppl.) 13, 211 (1974)

    Google Scholar 

  25. Sarma, K. P.: The role of lymphoid reaction in bladder cancer. Journal of Urology 104, 843 (1970)

    Google Scholar 

  26. Steiner, P. E., Moimon, S. N., Palmer, W. L., Kirzner, J. B.: Gastric cancer: morphologic features in five year survival after gastrectomy. American Journal of Pathology 24, 947 (1948)

    Google Scholar 

  27. Willis, R. A.: The Spread of Tumours in the Human Body. London: Churchill 1934

    Google Scholar 

  28. Zamcheck, N., Doos, W. G., Prudente, R., Lurie, B. B., Gottlieb, L. S.: Prognostic factors in colon carcinoma. Human Pathology 6, 31 (1975)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mihatsch, M.J., Rist, M., Romppanen, T. et al. Prognostic significance of peritumoural inflammation in invasive urothelial bladder carcinoma. Urol. Res. 7, 97–102 (1979). https://doi.org/10.1007/BF00254688

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00254688

Key words

Navigation