High-Grade Urothelial Carcinoma (HGUC)

Momin T. Siddiqui, Derek B. Allison, Guido Fadda, Jee Young Han, Patrick J. McIntire, Christopher L. Owens, Z. Laura Tabatabai, Toyonori Tsuzuki, Mingjuan Lisa Zhang

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

9 Scopus citations

Abstract

High-grade urothelial carcinoma (HGUC) is diagnosed using major criteria which include high N/C ratio, irregular nuclear membranes, and coarse chromatin. TPS second edition recognizes these criteria to be stringent in order to normalize the cytomorphologic heterogeneity of HGUC on urine samples and has included notable variances which may be present in urine samples. These variances are most notably N/C ratios that have a wide range in tumor cells and hypochromasia in select cases, along with HGUC sub-types, all of which impact cytologic interpretation. Degeneration of tumor cells also affects diagnosis of HGUC. The recognition of the major criteria and the variances will help in diagnosis of HGUC on cytologic specimens.

Original languageEnglish
Title of host publicationThe Paris System for Reporting Urinary Cytology
Subtitle of host publicationSecond Edition
Pages97-114
Number of pages18
ISBN (Electronic)9783030886868
DOIs
StatePublished - Jan 1 2022

Bibliographical note

Publisher Copyright:
© Springer Nature Switzerland AG 2022.

Keywords

  • Bladder barbotage
  • Bladder washing
  • HGUC
  • High N/C ratio
  • Hyperchromasia
  • Malignant cells
  • Urothelial carcinoma
  • Voided urines

ASJC Scopus subject areas

  • General Medicine

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