دورية أكاديمية

Prevalence of bladder cancer in Costello syndrome: New insights to drive clinical decision‐making

التفاصيل البيبلوغرافية
العنوان: Prevalence of bladder cancer in Costello syndrome: New insights to drive clinical decision‐making
المؤلفون: Leoni, Chiara, Paradiso, Filomena Valentina, Foschi, Nazario, Tedesco, Marta, Pierconti, Francesco, Silvaroli, Sara, Diego, Mario Di, Birritella, Lisa, Pantaleoni, Francesca, Rendeli, Claudia, Onesimo, Roberta, Viscogliosi, Germana, Bassi, Pierfrancesco, Nanni, Lorenzo, Genuardi, Maurizio, Tartaglia, Marco, Zampino, Giuseppe
المساهمون: Artificial Intelligence Research Center
المصدر: Clinical Genetics ; volume 101, issue 4, page 454-458 ; ISSN 0009-9163 1399-0004
بيانات النشر: Wiley
سنة النشر: 2022
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Costello syndrome (CS) is a rare disorder affecting development and growth characterized by cancer predisposition and caused by mutations in HRAS proto‐oncogene. Somatic HRAS mutations drive bladder carcinogenesis. The aim of this study was to analyze prevalence and histological characterization of bladder cancer (BC) in a cohort of patients with CS to help clinicians plan effective management strategies. This study included 13 patients above 10 years of age with molecular diagnosis of CS. Screening cystoscopies (31 total procedures) were performed to exclude BC. Any lesion was analyzed through cold‐cup biopsy or trans‐urethral resection of the bladder. According to histology, patients were followed‐up with urinalysis and abdominal ultrasound yearly, and cystoscopies every 12–24 months. During study enrollment, bladder lesions (often multifocal) were detected in 11/13 patients. Histological analysis documented premalignant lesions in 90% of cystoscopies performed, epithelial dysplasia in 71%, and papillary urothelial neoplasm of low‐malignant potential in 19%. BC G1/low grade (Ta) were removed in 10%. Overall, 76% of patients showed a bladder lesion at first cystoscopy. The present findings document that individuals with CS aged 10 years and older have high prevalence of bladder lesions (premalignant/malignant), highlighting the importance of personalized screening protocols.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1111/cge.14111
الإتاحة: https://doi.org/10.1111/cge.14111Test
حقوق: http://onlinelibrary.wiley.com/termsAndConditions#vorTest
رقم الانضمام: edsbas.B65C3B46
قاعدة البيانات: BASE