Histopathological features and p53 nuclear protein staining as predictors of survival and tumor recurrence in patients with transitional cell carcinoma of the renal pelvis

J Urol. 1995 Oct;154(4):1342-7.

Abstract

Purpose: We determine which histopathological features are predictive of recurrence and cause-specific survival in renal pelvic transitional cell carcinoma.

Materials and methods: Univariant and multivariant analysis was done on material from 67 patients.

Results: Univariate and multivariate analysis identified lamina propria invasion, grade 3 tumors and capillary-lymphatic invasion as predictors of disease-specific survival. Multicentric disease was the sole independent predictor of recurrence. Multicentric disease and lamina propria invasion were independent predictors of recurrence-free survival. Also, p53 over-expression was not statistically associated with any of the studied prognostic factors.

Conclusions: Histopathological features remain the cornerstone of prognostic assessment for renal pelvic transitional cell carcinoma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma, Transitional Cell / genetics
  • Carcinoma, Transitional Cell / mortality
  • Carcinoma, Transitional Cell / pathology*
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Kidney Neoplasms / genetics
  • Kidney Neoplasms / mortality
  • Kidney Neoplasms / pathology*
  • Kidney Pelvis*
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Neoplasm Recurrence, Local / epidemiology
  • Predictive Value of Tests
  • Retrospective Studies
  • Staining and Labeling
  • Survival Rate
  • Tumor Suppressor Protein p53 / analysis*
  • Tumor Suppressor Protein p53 / biosynthesis

Substances

  • Tumor Suppressor Protein p53