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- W2013017838 abstract "No AccessJournal of UrologyINVESTIGATIVE UROLOGY1 Jul 2003Effect of Intravesical Treatment of Transitional Cell Carcinoma With Bacillus Calmette-Guerin and Mitomycin C on Urinary Survivin Levels and Outcome DEREK A. HAUSLADEN, MARCIA A. WHEELER, DARIO C. ALTIERI, JOHN W. COLBERG, and ROBERT M. WEISS DEREK A. HAUSLADENDEREK A. HAUSLADEN More articles by this author , MARCIA A. WHEELERMARCIA A. WHEELER More articles by this author , DARIO C. ALTIERIDARIO C. ALTIERI More articles by this author , JOHN W. COLBERGJOHN W. COLBERG More articles by this author , and ROBERT M. WEISSROBERT M. WEISS More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000063685.29339.24AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Urine survivin is a predictive/prognostic molecular marker that detects transitional cell carcinoma (TCC) with high specificity and sensitivity. The presence of urine survivin in patients with TCC who receive intravesical instillation of bacillus Calmette-Guerin or mitomycin C may predict recurrence. Materials and Methods: Urine from 25 subjects receiving 27 intravesical treatments of bacillus Calmette-Guerin or mitomycin C for TCC were collected prior to, during and after treatment. Urinary survivin levels were compared with outcome, as assessed by cytology and cystoscopy with or without biopsy 1 month and up to 12 months after the completion of treatment. Results: Pretreatment survivin levels were higher in subjects in whom TCC recurred following treatment compared with those who achieved remission. Survivin levels increased several-fold during treatment with the highest survivin levels measured in subjects with recurrence. Median posttreatment values of survivin were zero in those who achieved remission and 1.0 ng/ml urine in subjects in whom TCC recurred. Conclusions: The presence of urinary survivin 1 month after the completion of treatment predicts TCC recurrence with 100% sensitivity and 78% specificity. Specificity to predict TCC recurrence increases to 92% after 1 year. No TCC recurred for 1 year in 12 of the 14 subjects with a posttreatment survivin level of 0.1 ng or less per ml urine. Three of the 4 subjects who were survivin positive but in remission 1 month after the completion of treatment had recurrent TCC within 1 year. 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Google Scholar From the Departments of Surgery and Pathology, Yale University School of Medicine, New Haven, Connecticut© 2003 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byCui M, Au J, Wientjes M, O'Donnell M, Loughlin K and Lu Z (2018) Intravenous siRNA Silencing of Survivin Enhances Activity of Mitomycin C in Human Bladder RT4 XenograftsJournal of Urology, VOL. 194, NO. 1, (230-237), Online publication date: 1-Jul-2015.Wosnitzer M, Domingo-Domenech J, Castillo-Martin M, Ritch C, Mansukhani M, Petrylack D, Benson M, McKiernan J and Cordon-Cardo C (2018) Predictive Value of Microtubule Associated Proteins Tau and Stathmin in Patients With Nonmuscle Invasive Bladder Cancer Receiving Adjuvant Intravesical Taxane TherapyJournal of Urology, VOL. 186, NO. 5, (2094-2100), Online publication date: 1-Nov-2011.DAVIES B, CHEN J, MODUGNO F, WEISSFELD J, LANDSITTEL D, DHIR R, NELSON J and GETZENBERG R (2018) CONTRIBUTION OF THE PROSTATE LIMITS THE USEFULNESS OF SURVIVIN FOR THE DETECTION OF BLADDER CANCERJournal of Urology, VOL. 174, NO. 5, (1767-1770), Online publication date: 1-Nov-2005. Volume 170Issue 1July 2003Page: 230-234 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.KeywordsMycobacterium bovistumor markers, biologicalcarcinoma, transitional cellbladdermitomycinMetricsAuthor Information DEREK A. HAUSLADEN More articles by this author MARCIA A. WHEELER More articles by this author DARIO C. ALTIERI More articles by this author JOHN W. COLBERG More articles by this author ROBERT M. WEISS More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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