Urinary Tract Cytopathology
Surgical pathology clinics,
Год журнала:
2024,
Номер
17(3), С. 383 - 394
Опубликована: Июль 14, 2024
Язык: Английский
The Role of Immunohistochemistry as a Surrogate Marker in Molecular Subtyping and Classification of Bladder Cancer
Diagnostics,
Год журнала:
2024,
Номер
14(22), С. 2501 - 2501
Опубликована: Ноя. 8, 2024
Bladder
cancer
(BC)
is
a
highly
heterogeneous
disease,
presenting
clinical
challenges,
particularly
in
predicting
patient
outcomes
and
selecting
effective
treatments.
Molecular
subtyping
has
emerged
as
an
essential
tool
for
understanding
the
biological
diversity
of
BC;
however,
its
implementation
practice
remains
limited
due
to
high
costs
complexity
genomic
techniques.
This
review
examines
role
immunohistochemistry
(IHC)
surrogate
marker
molecular
BC,
highlighting
potential
bridge
gap
between
advanced
classifications
routine
application;
Methods:
We
explore
evolution
taxonomic
classification
with
particular
focus
on
cytokeratin
(KRT)
expression
patterns
normal
urothelium,
which
are
key
identifying
basal
luminal
subtypes.
Furthermore,
we
emphasise
need
consensus
IHC
markers
reliably
define
these
subtypes,
facilitating
wider
standardised
use.
The
also
analyses
application
both
muscle-invasive
(MIBC)
non-muscle-invasive
bladder
(NMIBC),
attention
less
extensively
studied
NMIBC
cases.
discuss
practical
advantages
subtyping,
including
cost
effectiveness
feasibility
standard
pathology
laboratories,
alongside
ongoing
challenges
such
requirement
protocols
external
validation
across
diverse
settings;
Conclusions:
While
limitations,
it
offers
viable
alternative
laboratories
lacking
access
Further
research
required
determine
optimal
combination
markers,
establish
diagnostic
algorithm,
validate
through
large-scale
trials.
will
ultimately
enhance
accuracy,
guide
treatment
decisions,
improve
outcomes.
Язык: Английский
Prognostic impact of EGFR expression and immunohistochemistry-based “molecular classification” in bladder cancer
Annals of Diagnostic Pathology,
Год журнала:
2024,
Номер
73, С. 152380 - 152380
Опубликована: Окт. 10, 2024
Язык: Английский
Deciphering riddles in molecular subtyping of bladder cancer
Asian journal of urology,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 1, 2024
Bladder
cancer
(BCa)
is
a
prevalent
malignant
tumor
in
the
urinary
system.
Molecular
subtyping,
utilizing
molecular
characteristics,
represents
novel
classification
system
that
has
demonstrated
its
efficacy
diagnosis
and
treatment.
Given
critical
role
of
subtyping
BCa
treatment,
acquiring
comprehensive
understanding
imperative
for
guiding
treatment
decisions,
optimizing
risk
assessment
systems,
ultimately
improving
patient
prognosis.
In
this
review,
we
provide
overview
research
progress
BCa,
with
primary
focus
on
discussing
utility
various
modalities
including
neoadjuvant
chemotherapy,
immunotherapy,
targeted
therapy.
addition,
review
also
covers
trimodality
antibody-drug
conjugates,
small
cell
BCa.
We
present
responsiveness
or
resistance
different
subtypes
to
therapeutic
modalities.
The
basal
subtype
demonstrates
favorable
sensitivity
chemotherapy
across
multiple
whereas
luminal
infiltrated
exhibits
potential
susceptibility
immunotherapy.
terms
therapy,
basal-like
basal/squamous
some
classifications
have
shown
notable
epidermal
growth
factor
receptor-targeted
Moreover,
University
Texas
M.D.
Anderson
Cancer
Center
classification,
papillary
according
Genome
Atlas
Research
Network
2017,
unstable
type
2019
Subtyping
show
fibroblast
receptor
3-targeted
significance
impact
evaluating
progression,
predicting
prognosis
are
increasingly
acknowledged.
Accurate
broad
application
can
bring
good
benefits
clinical
decision-making,
assessment,
prognostic
evaluation.
Язык: Английский