Lymphovascular Invasion Predicts Clinical Outcomes in Patients With Node-Negative Upper Tract Urothelial Carcinoma
Identifieur interne : 008234 ( Main/Exploration ); précédent : 008233; suivant : 008235Lymphovascular Invasion Predicts Clinical Outcomes in Patients With Node-Negative Upper Tract Urothelial Carcinoma
Auteurs : Eiji Kikuchi [Japon, États-Unis, Canada, Italie, Australie, Autriche, Allemagne, France, Chili] ; Vitaly Margulis ; Pierre I. Karakiewicz ; Marco Roscigno ; Shuji Mikami ; Yair Lotan ; Mesut Remzi ; Christian Bolenz ; Cord Langner ; Alon Weizer ; Francesco Montorsi ; Karim Bensalah ; Theresa M. Koppie ; Mario I. Fernandez ; Jay D. Roman ; Wassim Kassouf ; Christopher G. Wood ; Nazareno Suardi ; Mototsugu Oya ; Shahrokh F. ShariatSource :
- Journal of clinical oncology [ 0732-183X ] ; 2009.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Purpose To assess the association of lymphovascular invasion (LVI) with cancer recurrence and survival in a large international series of patients treated with radical nephroureterectomy (RNU) for upper urinary tract urothelial carcinoma (UTUC). Patients and Methods Data were collected on 1,453 patients treated with RNU at 13 academic centers and combined into a relational database. Pathologic slides were rereviewed by genitourinary pathologists according to strict criteria. LVI was defined as presence of tumor cells within an endothelium-lined space. Results LVI was observed in 349 patients (24%). Proportion of LVI increased with advancing tumor stage, high tumor grade, presence of tumor necrosis, sessile tumor architecture, and presence of lymph node metastasis (all P <.001). LVI was an independent predictor of disease recurrence and survival (P<.001 for both). Addition of LVI to the base model (comprising pathologic stage, grade, and lymph node status) marginally improved its predictive accuracy for both disease recurrence and survival (1.1%, P =.03; and 1.7%, P <.001, respectively). In patients with negative lymph nodes and those in whom a lymphadenectomy was not performed (n = 1,313), addition of LVI to the base model improved the predictive accuracy of the base model for both disease recurrence and survival by 3% (P<.001 for both). In contrast, LVI was not associated with disease recurrence or survival in node-positive patients (n = 140). Conclusion LVI was an independent predictor of clinical outcomes in nonmetastatic patients who underwent RNU for UTUC. Assessment of LVI may help identify patients who could benefit from multimodal therapy after RNU. After confirmation, LVI should be included in staging of UTUC.
Affiliations:
- Allemagne, Australie, Autriche, Canada, Chili, France, Italie, Japon, États-Unis
- Bade-Wurtemberg, District de Karlsruhe, Lombardie, Québec, Région Bretagne, Région de Kantō, Texas, Vienne (Autriche), État de New York
- Houston, Ithaca (New York), Mannheim, Milan, Montréal, Rennes, Tokyo, Vienne (Autriche)
- Université Cornell, Université McGill
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Shariat</name></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">09-0127358</idno><date when="2009">2009</date><idno type="stanalyst">PASCAL 09-0127358 INIST</idno><idno type="RBID">Pascal:09-0127358</idno><idno type="wicri:Area/PascalFrancis/Corpus">002F56</idno><idno type="wicri:Area/PascalFrancis/Curation">003062</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">002A18</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">002A18</idno><idno type="wicri:doubleKey">0732-183X:2009:Kikuchi E:lymphovascular:invasion:predicts</idno><idno type="wicri:Area/Main/Merge">008987</idno><idno type="wicri:Area/Main/Curation">008234</idno><idno type="wicri:Area/Main/Exploration">008234</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Lymphovascular Invasion Predicts Clinical Outcomes in Patients With Node-Negative Upper Tract Urothelial Carcinoma</title><author><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Keio University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>The University of Texas M. D. Anderson Cancer Center</s1><s2>Houston</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>University of Texas Southwestern Dallas</s1><s2>Dallas, TX</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>University of Texas Southwestern Dallas</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>University of Michigan</s1><s2>Ann Arbor, MI</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>University of Michigan</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>University of California Davis</s1><s2>Sacramento, CA</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>University of California Davis</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="06"><s1>Cornell University</s1><s2>New York, NY</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Ithaca (New York)</settlement><region type="state">État de New York</region></placeName><orgName type="university">Université Cornell</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>University of Montreal</s1><s3>CAN</s3></inist:fA14><country>Canada</country><wicri:noRegion>University of Montreal</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="08"><s1>McGill University</s1><s2>Montreal, Quebec</s2><s3>CAN</s3></inist:fA14><country>Canada</country><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName><orgName type="university">Université McGill</orgName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="09"><s1>VitaSalute University</s1><s2>Milan</s2><s3>ITA</s3></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="10"><s1>University of Vienna</s1><s2>Vienna</s2><s3>AUS</s3></inist:fA14><country>Australie</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Medical University Graz</s1><s2>Graz</s2><s3>AUT</s3></inist:fA14><country>Autriche</country><wicri:noRegion>Medical University Graz</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="12"><s1>University Medical Center Mannheim</s1><s2>Mannheim</s2><s3>DEU</s3></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="13"><s1>University of Rennes</s1><s2>Rennes</s2><s3>FRA</s3></inist:fA14><country>France</country><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="14"><s1>Clinica Alemana, Santiago de Chile</s1><s3>CHL</s3></inist:fA14><country>Chili</country><wicri:noRegion>Clinica Alemana, Santiago de Chile</wicri:noRegion></affiliation></author><author><name sortKey="Margulis, Vitaly" sort="Margulis, Vitaly" uniqKey="Margulis V" first="Vitaly" last="Margulis">Vitaly Margulis</name></author><author><name sortKey="Karakiewicz, Pierre I" sort="Karakiewicz, Pierre I" uniqKey="Karakiewicz P" first="Pierre I." last="Karakiewicz">Pierre I. Karakiewicz</name></author><author><name sortKey="Roscigno, Marco" sort="Roscigno, Marco" uniqKey="Roscigno M" first="Marco" last="Roscigno">Marco Roscigno</name></author><author><name sortKey="Mikami, Shuji" sort="Mikami, Shuji" uniqKey="Mikami S" first="Shuji" last="Mikami">Shuji Mikami</name></author><author><name sortKey="Lotan, Yair" sort="Lotan, Yair" uniqKey="Lotan Y" first="Yair" last="Lotan">Yair Lotan</name></author><author><name sortKey="Remzi, Mesut" sort="Remzi, Mesut" uniqKey="Remzi M" first="Mesut" last="Remzi">Mesut Remzi</name></author><author><name sortKey="Bolenz, Christian" sort="Bolenz, Christian" uniqKey="Bolenz C" first="Christian" last="Bolenz">Christian Bolenz</name></author><author><name sortKey="Langner, Cord" sort="Langner, Cord" uniqKey="Langner C" first="Cord" last="Langner">Cord Langner</name></author><author><name sortKey="Weizer, Alon" sort="Weizer, Alon" uniqKey="Weizer A" first="Alon" last="Weizer">Alon Weizer</name></author><author><name sortKey="Montorsi, Francesco" sort="Montorsi, Francesco" uniqKey="Montorsi F" first="Francesco" last="Montorsi">Francesco Montorsi</name></author><author><name sortKey="Bensalah, Karim" sort="Bensalah, Karim" uniqKey="Bensalah K" first="Karim" last="Bensalah">Karim Bensalah</name></author><author><name sortKey="Koppie, Theresa M" sort="Koppie, Theresa M" uniqKey="Koppie T" first="Theresa M." last="Koppie">Theresa M. Koppie</name></author><author><name sortKey="Fernandez, Mario I" sort="Fernandez, Mario I" uniqKey="Fernandez M" first="Mario I." last="Fernandez">Mario I. Fernandez</name></author><author><name sortKey="Roman, Jay D" sort="Roman, Jay D" uniqKey="Roman J" first="Jay D." last="Roman">Jay D. Roman</name></author><author><name sortKey="Kassouf, Wassim" sort="Kassouf, Wassim" uniqKey="Kassouf W" first="Wassim" last="Kassouf">Wassim Kassouf</name></author><author><name sortKey="Wood, Christopher G" sort="Wood, Christopher G" uniqKey="Wood C" first="Christopher G." last="Wood">Christopher G. Wood</name></author><author><name sortKey="Suardi, Nazareno" sort="Suardi, Nazareno" uniqKey="Suardi N" first="Nazareno" last="Suardi">Nazareno Suardi</name></author><author><name sortKey="Oya, Mototsugu" sort="Oya, Mototsugu" uniqKey="Oya M" first="Mototsugu" last="Oya">Mototsugu Oya</name></author><author><name sortKey="Shariat, Shahrokh F" sort="Shariat, Shahrokh F" uniqKey="Shariat S" first="Shahrokh F." last="Shariat">Shahrokh F. Shariat</name></author></analytic><series><title level="j" type="main">Journal of clinical oncology</title><title level="j" type="abbreviated">J. clin. oncol.</title><idno type="ISSN">0732-183X</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of clinical oncology</title><title level="j" type="abbreviated">J. clin. oncol.</title><idno type="ISSN">0732-183X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cancerology</term><term>Early stage</term><term>Human</term><term>Invasion</term><term>Metastasis</term><term>Predictive factor</term><term>Prognosis</term><term>Transitional cell carcinoma</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Métastase</term><term>Invasion</term><term>Facteur prédictif</term><term>Carcinome cellule transitionnelle</term><term>Pronostic</term><term>Homme</term><term>Stade précoce</term><term>Cancérologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose To assess the association of lymphovascular invasion (LVI) with cancer recurrence and survival in a large international series of patients treated with radical nephroureterectomy (RNU) for upper urinary tract urothelial carcinoma (UTUC). Patients and Methods Data were collected on 1,453 patients treated with RNU at 13 academic centers and combined into a relational database. Pathologic slides were rereviewed by genitourinary pathologists according to strict criteria. LVI was defined as presence of tumor cells within an endothelium-lined space. Results LVI was observed in 349 patients (24%). Proportion of LVI increased with advancing tumor stage, high tumor grade, presence of tumor necrosis, sessile tumor architecture, and presence of lymph node metastasis (all P <.001). LVI was an independent predictor of disease recurrence and survival (P<.001 for both). Addition of LVI to the base model (comprising pathologic stage, grade, and lymph node status) marginally improved its predictive accuracy for both disease recurrence and survival (1.1%, P =.03; and 1.7%, P <.001, respectively). In patients with negative lymph nodes and those in whom a lymphadenectomy was not performed (n = 1,313), addition of LVI to the base model improved the predictive accuracy of the base model for both disease recurrence and survival by 3% (P<.001 for both). In contrast, LVI was not associated with disease recurrence or survival in node-positive patients (n = 140). Conclusion LVI was an independent predictor of clinical outcomes in nonmetastatic patients who underwent RNU for UTUC. Assessment of LVI may help identify patients who could benefit from multimodal therapy after RNU. After confirmation, LVI should be included in staging of UTUC.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Autriche</li><li>Canada</li><li>Chili</li><li>France</li><li>Italie</li><li>Japon</li><li>États-Unis</li></country><region><li>Bade-Wurtemberg</li><li>District de Karlsruhe</li><li>Lombardie</li><li>Québec</li><li>Région Bretagne</li><li>Région de Kantō</li><li>Texas</li><li>Vienne (Autriche)</li><li>État de New York</li></region><settlement><li>Houston</li><li>Ithaca (New York)</li><li>Mannheim</li><li>Milan</li><li>Montréal</li><li>Rennes</li><li>Tokyo</li><li>Vienne (Autriche)</li></settlement><orgName><li>Université Cornell</li><li>Université McGill</li></orgName></list><tree><noCountry><name sortKey="Bensalah, Karim" sort="Bensalah, Karim" uniqKey="Bensalah K" first="Karim" last="Bensalah">Karim Bensalah</name><name sortKey="Bolenz, Christian" sort="Bolenz, Christian" uniqKey="Bolenz C" first="Christian" last="Bolenz">Christian Bolenz</name><name sortKey="Fernandez, Mario I" sort="Fernandez, Mario I" uniqKey="Fernandez M" first="Mario I." last="Fernandez">Mario I. Fernandez</name><name sortKey="Karakiewicz, Pierre I" sort="Karakiewicz, Pierre I" uniqKey="Karakiewicz P" first="Pierre I." last="Karakiewicz">Pierre I. Karakiewicz</name><name sortKey="Kassouf, Wassim" sort="Kassouf, Wassim" uniqKey="Kassouf W" first="Wassim" last="Kassouf">Wassim Kassouf</name><name sortKey="Koppie, Theresa M" sort="Koppie, Theresa M" uniqKey="Koppie T" first="Theresa M." last="Koppie">Theresa M. Koppie</name><name sortKey="Langner, Cord" sort="Langner, Cord" uniqKey="Langner C" first="Cord" last="Langner">Cord Langner</name><name sortKey="Lotan, Yair" sort="Lotan, Yair" uniqKey="Lotan Y" first="Yair" last="Lotan">Yair Lotan</name><name sortKey="Margulis, Vitaly" sort="Margulis, Vitaly" uniqKey="Margulis V" first="Vitaly" last="Margulis">Vitaly Margulis</name><name sortKey="Mikami, Shuji" sort="Mikami, Shuji" uniqKey="Mikami S" first="Shuji" last="Mikami">Shuji Mikami</name><name sortKey="Montorsi, Francesco" sort="Montorsi, Francesco" uniqKey="Montorsi F" first="Francesco" last="Montorsi">Francesco Montorsi</name><name sortKey="Oya, Mototsugu" sort="Oya, Mototsugu" uniqKey="Oya M" first="Mototsugu" last="Oya">Mototsugu Oya</name><name sortKey="Remzi, Mesut" sort="Remzi, Mesut" uniqKey="Remzi M" first="Mesut" last="Remzi">Mesut Remzi</name><name sortKey="Roman, Jay D" sort="Roman, Jay D" uniqKey="Roman J" first="Jay D." last="Roman">Jay D. Roman</name><name sortKey="Roscigno, Marco" sort="Roscigno, Marco" uniqKey="Roscigno M" first="Marco" last="Roscigno">Marco Roscigno</name><name sortKey="Shariat, Shahrokh F" sort="Shariat, Shahrokh F" uniqKey="Shariat S" first="Shahrokh F." last="Shariat">Shahrokh F. Shariat</name><name sortKey="Suardi, Nazareno" sort="Suardi, Nazareno" uniqKey="Suardi N" first="Nazareno" last="Suardi">Nazareno Suardi</name><name sortKey="Weizer, Alon" sort="Weizer, Alon" uniqKey="Weizer A" first="Alon" last="Weizer">Alon Weizer</name><name sortKey="Wood, Christopher G" sort="Wood, Christopher G" uniqKey="Wood C" first="Christopher G." last="Wood">Christopher G. Wood</name></noCountry><country name="Japon"><region name="Région de Kantō"><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name></region></country><country name="États-Unis"><region name="Texas"><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name></region><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name></country><country name="Canada"><noRegion><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name></noRegion><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name></country><country name="Italie"><region name="Lombardie"><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name></region></country><country name="Australie"><region name="Vienne (Autriche)"><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name></region></country><country name="Autriche"><noRegion><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name></noRegion></country><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name></region></country><country name="France"><region name="Région Bretagne"><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name></region></country><country name="Chili"><noRegion><name sortKey="Kikuchi, Eiji" sort="Kikuchi, Eiji" uniqKey="Kikuchi E" first="Eiji" last="Kikuchi">Eiji Kikuchi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|wiki= Wicri/Asie
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|texte= Lymphovascular Invasion Predicts Clinical Outcomes in Patients With Node-Negative Upper Tract Urothelial Carcinoma
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