Impact of micropapillary histological variant on survival after radical nephroureterectomy for upper tract urothelial carcinoma View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-04

AUTHORS

Alexandra Masson-Lecomte, Pierre Colin, Gregory Bozzini, Laurent Nison, Alexandre de La Taille, Eva Comperat, Marc Zerbib, François Rozet, Xavier Cathelineau, Antoine Valeri, Alain Ruffion, Laurent Guy, Stéphane Droupy, Olivier Cussenot, Morgan Rouprêt

ABSTRACT

PURPOSE: To assess the impact of micropapillary histological variant on oncological outcome after radical nephroureterectomy (RNU) for upper urinary tract urothelial carcinomas (UTUCs). METHODS: A French multicenter retrospective study was performed on patients who underwent RNU between 1995 and 2010. Pathological reports were reviewed to identify patients with pure urothelial carcinomas (PUC) and those with micropapillary histological variant (MPC). Uni- and multivariate Cox regression analyses were performed to identify factors predictive of survival. RESULTS: Overall, 519 patients were included and divided into two groups: 480 PUC and 39 MPC. Median follow-up were 28 and 19 months, respectively (p = 0.63). There was no difference between the two groups for gender, age and tumor location (pelvicalyceal or ureteral). MPC was associated with high-stage and high-grade UTUC (p < 0.001 and 0.04). No difference was observed between the two groups for 5-year cancer-specific survival (76.1 vs. 88.2 %; p = 0.54). The 5-year metastasis-free survival was significantly lower in the MPC group (48.9 vs. 73.8 %; p = 0.037). In multivariate analysis, pT stage, lymphovascular invasion, margin status and adjuvant chemotherapy administration were independent predictors of specific survival (p = 0.002; 0.001; 0.02; 0.01), contrary to histological variant (p = 0.94). CONCLUSIONS: Micropapillary histological variant was associated with advanced UTUC and reduced metastasis-free survival after RNU. It should be considered as an aggressive tumor and thus be stated in any pathological report after radical surgery. More... »

PAGES

531-537

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00345-013-1141-0

DOI

http://dx.doi.org/10.1007/s00345-013-1141-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1034485502

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23907662


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