You have accessJournal of UrologyKidney Cancer: Advanced I1 Apr 20121791 PREDICTION OF PROGNOSIS IN CLEAR CELL RENAL CELL CARCINOMA BASED ON INTERPHASE FISH ANALYSIS Jimsgene Sanjmyatav, Martin Mühr, Doriana Sava, Maria Sternal, Sophie Matthes, Heiko Wunderlich, Marc-Oliver Grimm, and Kerstin Junker Jimsgene SanjmyatavJimsgene Sanjmyatav Jena, Germany More articles by this author , Martin MührMartin Mühr Jena, Germany More articles by this author , Doriana SavaDoriana Sava Jena, Germany More articles by this author , Maria SternalMaria Sternal Jena, Germany More articles by this author , Sophie MatthesSophie Matthes Jena, Germany More articles by this author , Heiko WunderlichHeiko Wunderlich Jena, Germany More articles by this author , Marc-Oliver GrimmMarc-Oliver Grimm Jena, Germany More articles by this author , and Kerstin JunkerKerstin Junker Jena, Germany More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1822AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES By precise mapping of clear cell renal cell carcinomas using array-CGH in our previous studies we identified specific chromosomal aberrations which are significantly associated both with metastasis and cancer specific survival. The aim of this study was to examine in this cohort the prognostic value of possible combinations of the 4 most prominent aberrations detected by FISH analysis in order to develop a prognostic FISH assay. METHODS FISH experiments were performed on isolated cell nuclei from 43 ccRCCs of the same cohort of previous array-CGH analysis (26 metastasized/17 non-metastasized). For each critical chromosomal region (1q21.3, 7q36.3, 9p21.3p24.1 und 20q11.21q13.32) we hybridized a commercially available FISH probes. Mean/median follow-up was 55/41 months. RESULTS All 11 possible combinations of -9p21.3p24.1 and +1q21.3, +7q36.3 and +20q11.21q13.32 were present in tumors of this cohort. ROC-analysis showed that total number of specific aberrations (TNSA) presents the best predictor of metastasis (specificity=100%, sensitivity=77.8%) and cancer specific death of patients (specificity=100%, sensitivity=94.4%) compared to single aberrations and to different combinations of these aberrations. In Kaplan-Mayer analysis TNSA demonstrated highest significance value both in organ-confined situations and all tumors while T-status and grading of ccRCCs were not significant in this cohort. CONCLUSIONS Our results show that TNSA presents a strong prognostic factor both in all ccRCCs and organ-confined tumors. It seems that aggressiveness of the tumors increases with accumulation of specific aberrations. Based on these data it seems possible to design a combined FISH assay which can be used in routine diagnostics for outcome prediction of patients with ccRCC. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e723 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jimsgene Sanjmyatav Jena, Germany More articles by this author Martin Mühr Jena, Germany More articles by this author Doriana Sava Jena, Germany More articles by this author Maria Sternal Jena, Germany More articles by this author Sophie Matthes Jena, Germany More articles by this author Heiko Wunderlich Jena, Germany More articles by this author Marc-Oliver Grimm Jena, Germany More articles by this author Kerstin Junker Jena, Germany More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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