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• W2149124626 abstract "No AccessJournal of UrologyClinical Urology: Original Articles1 Nov 1997ADENOCARCINOMA OF THE URACHUS AND BLADDER EXPRESSES A UNIQUE COLONIC EPITHELIAL EPITOPE: AN IMMUNOHISTOCHEMICAL STUDY Allan J. Pantuck, Edita Bancila, Kiron M. Das, Peter S. Amenta, Kenneth B. Cummings, Michael Marks, and Robert E. Weiss Allan J. PantuckAllan J. Pantuck More articles by this author , Edita BancilaEdita Bancila More articles by this author , Kiron M. DasKiron M. Das More articles by this author , Peter S. AmentaPeter S. Amenta More articles by this author , Kenneth B. CummingsKenneth B. Cummings More articles by this author , Michael MarksMichael Marks More articles by this author , and Robert E. WeissRobert E. Weiss More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64109-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Primary adenocarcinoma of the bladder is a rare neoplasm whose histogenesis is poorly understood. Current data support the concept that adenocarcinoma of the bladder and urachus evolves from zones of intestinal metaplasia that become dysplastic and invasive. To address this hypothesis further we determined the immunoreactivity of benign and malignant epithelial tissue from the bladder and urachus with a monoclonal antibody that is reactive with colonic epithelium to evaluate the presence of a common reactive epitope. Materials and Methods: The monoclonal antibody 7E12 H12 (IgM isotype), developed against a colonic epithelial protein, was used in an immunoperoxidase assay to survey formalin fixed, paraffin embedded archival tissue specimens. A total of 26 specimens obtained by endoscopic biopsy or extirpative surgery, including benign and malignant bladder and urachal epithelial abnormalities, was chosen for retrospective evaluation. Results: All adenocarcinoma reacted positively regardless of the histological variant, differentiation, or bladder or urachal origin. In contrast, transitional cell and squamous cell carcinomas were nonreactive. Also, the pattern of reactivity in tissues that contained benign epithelial proliferations suggested a stepwise transition with no reactivity in normal urothelium or Brunn's epithelial nests, rare staining of cystitis cystica, and uniformly positive reactivity in cystitis glandularis and frank colonic intestinal metaplasia of the bladder and urachus. Conclusions: The shared, aberrant phenotypic expression of a unique colonic epitope in benign epithelial metaplasia, and adenocarcinoma of the bladder and urachus suggests a common underlying pathway toward adenocarcinoma in cystic and urachal adenocarcinoma. The implications for diagnostic pathology are discussed. References 1 : The production and characterization of monoclonal antibodies to a human colonic antigen associated with ulcerative colitis: cellular localization of the antigen by using the monoclonal antibody. J. Immunol.1987; 139: 77. Google Scholar 2 : Development of monoclonal antibody specifically reactive to gastrointestinal goblet cells. Proc. Natl. Acad. Sci.1987; 84: 3425. Google Scholar 3 : Primary adenocarcinoma of urinary bladder: clinicopathologic study of 16 cases. Urology1987; 24: 9. Google Scholar 4 : Primary adenocarcinoma of the urinary bladder. A clinicopathologic analysis of 72 cases. Cancer1991; 67: 2165. 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Abstract, Google Scholar From the Division of Urology and Departments of Medicine, Pathology and Laboratory Medicine, Robert Wood Johnson Medical School, New Brunswick, New Jersey.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byBRYAN R, NICHOLLS J, HARRISON R, JANKOWSKI J and WALLACE D (2018) The Role of β-Catenin Signaling in the Malignant Potential of Cystitis GlandularisJournal of Urology, VOL. 170, NO. 5, (1892-1896), Online publication date: 1-Nov-2003.MURPHY D, PANTUCK A, AMENTA P, DAS K, CUMMINGS K, KEENEY G and WEISS R (2018) FEMALE URETHRAL ADENOCARCINOMA: IMMUNOHISTOCHEMICAL EVIDENCE OF MORE THAN 1 TISSUE OF ORIGINJournal of Urology, VOL. 161, NO. 6, (1881-1884), Online publication date: 1-Jun-1999. Volume 158Issue 5November 1997Page: 1722-1727 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Allan J. Pantuck More articles by this author Edita Bancila More articles by this author Kiron M. Das More articles by this author Peter S. Amenta More articles by this author Kenneth B. Cummings More articles by this author Michael Marks More articles by this author Robert E. Weiss More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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