Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Bladder cancer

Improvements in clinical staging of muscle-invasive bladder cancer

Clinical staging of muscle-invasive bladder cancer remains limited by volume criteria used to identify nodal metastases. The development of accurate predictive models that identify patients at high risk of nodal disease, such as the one described here, is essential to optimize treatment planning for this group of patients.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Shariat, S. F. et al. Discrepancy between clinical and pathologic stage: impact on prognosis after radical cystectomy. Eur. Urol. 51, 137–149 (2007).

    Article  PubMed  Google Scholar 

  2. Stein, J. P. et al. Radical cystectomy in the treatment of invasive bladder cancer: long-term results in 1,054 patients. J. Clin. Oncol. 19, 666–675 (2001).

    Article  CAS  PubMed  Google Scholar 

  3. Karakiewicz, P. I. et al. Precystectomy nomogram for prediction of advanced bladder cancer stage. Eur. Urol. 50, 1254–1260 (2006).

    Article  PubMed  Google Scholar 

  4. Resnick, M. J. et al. Longitudinal evaluation of the concordance and prognostic value of lymphovascular invasion in transurethral resection and radical cystectomy specimens. BJU Int. 107, 46–52 (2011).

    Article  PubMed  Google Scholar 

  5. Shariat, S. F. et al. Predictive value of combined immunohistochemical markers in patients with pT1 urothelial carcinoma at radical cystectomy. J. Urol. 182, 78–84 (2009).

    Article  PubMed  Google Scholar 

  6. Dyrskjot, L. et al. Gene expression signatures predict outcome in non-muscle-invasive bladder carcinoma: a multicenter validation study. Clin. Cancer Res. 13, 3545–3551 (2007).

    Article  PubMed  Google Scholar 

  7. Smith, S. C. et al. A 20-gene model for molecular nodal staging of bladder cancer: development and prospective assessment. Lancet Oncol. 12, 137–143 (2011).

    Article  PubMed  PubMed Central  Google Scholar 

  8. Ginsburg, G. S. & Willard, H. F. Genomic and personalized medicine: foundations and applications. Transl. Res. 154, 277–287 (2009).

    Article  PubMed  Google Scholar 

  9. Shah, J. B., McConkey, D. J. & Dinney, C. P. New strategies in muscle invasive bladder cancer: on the road to personalized medicine. Clin. Cancer Res. doi:10.1158/1078-0432.CCR-10-2770.

    Article  PubMed  Google Scholar 

  10. Morris, D. S. et al. Understanding bladder cancer death: tumor biology versus physician practice. Cancer 115, 1011–1020 (2009).

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Thomas J. Guzzo.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Resnick, M., Guzzo, T. Improvements in clinical staging of muscle-invasive bladder cancer. Nat Rev Urol 8, 360–361 (2011). https://doi.org/10.1038/nrurol.2011.69

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrurol.2011.69

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing