The World Health Organization/International Society of Urological Pathology consensus classification of urothelial (transitional cell) neoplasms of the urinary bladder

In October 1997, Dr. F.K. Mostofi assembled a group of individuals interested in bladder neoplasia at a meeting in Washington DC. The participants included urologic pathologists, urologists, urologic oncologists, and basic scientists with an interest in bladder neoplasia. The purpose of this meeting was to discuss bladder terminology and make recommendations to the World Health Organization (WHO) Committee on urothelial tumors. Following this meeting, a group of the urologic pathologists who attended the Washington meeting decided to broaden the representation of the group and arranged a meeting primarily of the members of the International Society of Urologic Pathologists (ISUP) at the 1998 United States and Canadian Academy of Pathology Meeting held in Boston. Massachusetts. At this meeting. issues regarding terminology of bladder lesions, primarily neoplastic and putative preneoplastic lesions, were discussed, resulting in a consensus statement. The WHO/ ISUP consensus classification arises from this consensus conference committee's recommendations to the WHO planning committee and their agreement with virtually all of the proposals presented herein. 29 The effort involved in reaching such a consensus was often considerable. Many of those involved in this process have compromised to arrive at a consensus. The aim was to develop a universally acceptable classification system for bladder neoplasia that could be used effectively by pathologists, urologists, and oncologists.

[1]  L. G. Ortega,et al.  In situ carcinoma of the prostate with intraepithelial extension into the urethra and bladder. A Paget's disease of the urethra and bladder , 1953, Cancer.

[2]  W. Lutzeyer,et al.  Natural history and treatment of low and high risk superficial bladder tumors. , 1988, The Journal of urology.

[3]  R. Young Papillary and Polypoid Cystitis: A Report of Eight Cases , 1988, The American journal of surgical pathology.

[4]  S. Kitada,et al.  Significance of invasion to the muscularis mucosae on the progression of superficial bladder cancer. , 1994, Urology.

[5]  L. True,et al.  The usefulness of the level of the muscularis mucosae in the staging of invasive transitional cell carcinoma of the urinary bladder , 1990, Cancer.

[6]  P D Abel,et al.  Differing interpretations by pathologists of the pT category and grade of transitional cell cancer of the bladder. , 1988, British journal of urology.

[7]  A. C. Broders EPITHELIOMA OF THE GENITO‐URINARY ORGANS , 1922, Annals of surgery.

[8]  J. Epstein,et al.  Papillary urothelial hyperplasia. A precursor to papillary neoplasms. , 1996, The American journal of surgical pathology.

[9]  G. Farrow,et al.  Morphological and clinical observations of patients with early bladder cancer treated with total cystectomy. , 1976, Cancer research.

[10]  G. Hermann,et al.  The influence of the level of lamina propria invasion and the prevalence of p53 nuclear accumulation on survival in stage T1 transitional cell bladder cancer. , 1998, The Journal of urology.

[11]  A G Ayala,et al.  Muscularis Mucosa of Urinary Bladder Importance for Staging and Treatment , 1987, The American journal of surgical pathology.

[12]  S. Loening,et al.  Superficial bladder cancer: progression and recurrence. , 1983, The Journal of urology.

[13]  W. Murphy,et al.  Transitional cell neoplasms of the urinary bladder. Can biologic potential be predicted from histologic grading? , 1987, Cancer.

[14]  N. Christensen,et al.  Grading of human urothelial carcinoma based on nuclear atypia and mitotic frequency. II. Prognostic importance. , 1991, The Journal of urology.

[15]  L. Koss Mapping of the urinary bladder: its impact on the concepts of bladder cancer. , 1979, Human pathology.

[16]  R. Elton,et al.  Prognostic significance of biopsy results of normal-looking mucosa in cases of superficial bladder cancer. , 1983, British journal of urology.

[17]  Evaluation of endothelial markers in detecting blood and lymphatic channel invasion in pT1 transitional carcinoma of bladder , 1991, Histopathology.

[18]  W. Murphy Current status of urinary cytology in the evaluation of bladder neoplasms. , 1990, Human pathology.

[19]  M. Cohen,et al.  Is microstaging of early invasive cancer of the urinary bladder possible or useful? , 1996, Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc.

[20]  E. Holmberg,et al.  The importance of the depth of invasion in stage T1 bladder carcinoma: a prospective cohort study. , 1997, The Journal of urology.

[21]  G. Jakse,et al.  Urothelial dysplasia and carcinoma in situ of the bladder , 1986, Cancer.

[22]  T. Sun,et al.  Uroplakins, specific membrane proteins of urothelial umbrella cells, as histological markers of metastatic transitional cell carcinomas. , 1995, The American journal of pathology.

[23]  A. Althausen,et al.  Non-invasive papillary carcinoma of the bladder associated with carcinoma in situ. , 1976, The Journal of urology.

[24]  M. Amin,et al.  Urothelial transitional cell carcinoma with endophytic growth patterns: a discussion of patterns of invasion and problems associated with assessment of invasion in 18 cases. , 1997, The American journal of surgical pathology.

[25]  J. Gosling,et al.  Histology and fine structure of the muscularis mucosae of the human urinary bladder. , 1983, Journal of anatomy.

[26]  M. Boon,et al.  Analysis of the performance of pathologists in the grading of bladder tumors. , 1983, Human pathology.

[27]  D. Grignon,et al.  Muscularis mucosa differentiates two populations with different prognosis in stage T1 bladder cancer. , 1995, Urology.

[28]  L. Koss The asymmetric unit membranes of the epithelium of the urinary bladder of the rat. An electron microscopic study of a mechanism of epithelial maturation and function. , 1969, Laboratory investigation; a journal of technical methods and pathology.