However, cystoscopy can cause unnecessary pain to the patient, and because of the stimulation of the bladder wall tumor, it will cause the malignant expansion and metastasis of the tumor, which is not suitable for large-scale screening, and the cytological examination is insufficiently sensitive. Fluorescence in situ hybridization detection of urine sediment cells showed strong advantages in early diagnosis and postoperative recurrence of bladder cancer.
Bladder cancer probes consist of two groups of probes. The orange dye is used to label the P16 gene region, the green dye is used to label the centromere region of chromosome 17 (CEP17); the orange dye is used to label the centromere region of chromosome 3 (CEP3), and the green dye is used to label the centromere region of chromosome 7 (CEP7). The P16 gene marker region is located at 9p21.3, and the chromosomal centromere probes are labeled with a specific alpha satellite sequences.
Clinical significance
The most common genetic alteration of urinary transitional epithelial cell carcinoma is the partial or total loss of chromosome 9 (e.g. p16 locus). In addition, the development of urinary transitional epithelial cell carcinoma is closely linked to chromosomal instability. In particular, it is closely related to the aneuploidy of chromosomes 3, 7, and 17. FISH is a non-invasive test, which can detect exfoliated cells in patient’s urine. If there are two or more abnormalities in the above four indicators, or if one of the indicators has a complex abnormality, it can be determined as the urinary system transitional epithelial cell carcinoma.