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Zagazig University Medical Journal
Zagazig University Medical Journal
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Abstract: |
Background: Despite advances in intravesical therapy and surgery, up to 30% of
NMIBC suffer progression to MIBC. OBJECTIVES: To identify the valuable
prognostic biomarkers, we analyzed the immunohistochemical expression of Sox2,
YAP1, and IMP3 in 60 cases of NMIBC who underwent TURBT with adjuvant
intravesical bacillus-Calmette-Guerin (BCG). Methods: The
immunohistochemical expression was done on a sixty patients who complained
from primary papillary superficial transitional cell carcinoma (TCC) of the urinary
bladder (Stage Ta-T1).Their predicting role for recurrence, progression,
progression-free survival (PFS), and recurrence-free survival (RFS) was assessed.
Results: High Sox2 expression was observed in 55% of NMIBC cases, and it was
significantly associated with the tumor size, grade, and stage (p <0.001 for each).
High YAP1 was noted in 33.3% of the cases, and its expression was significantly
associated with the tumor size, grade, and stage (p <0.001 for each). Strong IMP3
expression was detected in 45% of the cases, and it was associated with the tumor
size, grade, and stage (p < 0.001 for each). Analysis of follow-up period revealed
that NMIBC with high Sox2, high YAP1, and Strong IMP3 expression exhibited a
potent relation with tumor recurrence, progression, and shorter RFS & PFS.
Conclusions: High Sox2, high YAP1, and strong IMP3 could be considered as
adverse prognostic factors of tumor recurrence and progression in NMIBC, and
these patients should be followed carefully. Therefore, we suggest that Sox2,
YAP1 and IMP3 should be considered and evaluated during the selection of the
appropriate management strategy for NMIBC patients.
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