The prognostic role of lymphovascular invasion in urothelial carcinoma of the bladder View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-08

AUTHORS

Romain Mathieu, Ilaria Lucca, Morgan Rouprêt, Alberto Briganti, Shahrokh F. Shariat

ABSTRACT

Outcome prediction in patients with bladder cancer has improved through the development of nomograms and predictive models. However, integration of further characteristics such as lymphovascular invasion (LVI) might increase the accuracy and clinical utility of these instruments. Assessment and reporting of LVI in specimens from transurethral resection of the bladder tumour (TURBT) or biopsy in patients with non-muscle-invasive bladder cancer (NMIBC) or muscle-invasive bladder cancer (MIBC) might enable improved staging, prognostication and clinical decision-making. In NMIBC, presence of LVI in TURBT and biopsy samples seems to be associated with understaging and increased risks of disease recurrence and progression. In MIBC, presence of LVI is associated with features of aggressive disease and predicts recurrence and survival. Integration of LVI status into predictive models might aid clinical decision-making regarding intravesical instillation schedules and regimens, early radical cystectomy in patients with high-grade T1 disease and perioperative chemotherapy. However, LVI assessment is hampered by insufficient reproducibility and reliability, lack of routine evaluation and limited concordance between findings in TURBT and radical cystectomy specimens. Standardization of the pathological criteria defining LVI is warranted to improve its reporting in routine clinical practice and its utility as a care-changing prognostic marker. More... »

PAGES

471-479

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/nrurol.2016.126

DOI

http://dx.doi.org/10.1038/nrurol.2016.126

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1028852275

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27431340


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