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ABSTRACTS of the 23Rd ANNUAL MEETING of the ITALIAN SOCIETY of URO-ONCOLOGY (Siuro)

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ABSTRACTS of the 23Rd ANNUAL MEETING of the ITALIAN SOCIETY of URO-ONCOLOGY (Siuro) ANTICANCER RESEARCH 33 : 2245-2342 (2013) ABSTRACTS OF THE 23rd ANNUAL MEETING OF THE ITALIAN SOCIETY OF URO-ONCOLOGY (SIUrO) 9-11 June, 2013, Florence, Italy Palazzo degli Affari, Piazza Adua, 1, Florence, Italy Chair: Alberto Lapini Honorary Chair: Marco Carini 2245 Abstracts of the 23 nd Annual Meeting of the Italian Society of Uro -O ncology (SIUrO), 9-11 June, 2013, Florence , Italy Italian Society of Uro-Oncology (SIUrO) President: Giario Conti, Como, Italy Board PRESIDENT: Giario Conti VICE PRESIDENT: Alberto Lapini PAST PRESIDENT: Giuseppe Martorana SECRETARY GENERAL & TREASURER: Alessandro Bertaccini INCOMING PRESIDENT: Riccardo Valdagni Advisors Vincenzo Altieri Enrico Bollito Sergio Bracarda Renzo Colombo Massimo Maffezzini Cinzia Ortega Roberto Sanseverino Gigliola Sica Elected Scientific Committee PRESIDENTS: Giuseppe Martorana, Gigliola Sica Members Giovanni Pappagallo Vittorio Vavassori Scientific Secretariat Societ Italiana di Urologia Oncologica (SIUrO) à Via Dante 17 – 40126 Bologna Tel: +39 051 349224 – Fax: +39 051 349224 e-mail: [email protected] – web: www.siuro.it Organizing Secretariat Over group Via Pagliari, 4 – 26100 Cremona Tel: +39 037 223310 – Fax: +39 037 2569605 e-mail: [email protected] Palazzo degli Affari, Piazza Adua, 1 – 50123 Florence http:// www.firenzefiera.it/ 2247 ANTICANCER RESEARCH 33 : 2245-2342 (2013) Referees of Abstracts V. ALTIERI, Napoli, Italy D. MARCHIORI, Bologna, Italy C.S. BALBI, Genova, Italy F. MASSARI, Verona, Italy P. BARBORO, Genova, Italy C. ORTEGA, Torino, Italy L. BELLARDITA, Milano, Italy G.L. PAPPAGALLO, Mirano, Italy A. BERTACCINI, Bologna, Italy C. PATRIARCA, Milano, Italy E. BOLLITO, Orbassano, Italy P. PAVLICA, Bologna, Italy R. CECCARELLI, Bologna, Italy V. SCATTONI, Milano, Italy R. COLOMBO, Milano, Italy G. SICA, Roma, Italy A. FANDELLA, Treviso, Italy C. STERNBERG, Roma, Italy G. FELLIN, Trento, Italy R. VALDAGNI, Milano, Italy D. FONTANA, Torino, Italy V. VAVASSORI, Bergamo, Italy M. GIAMPAOLI, Bologna, Italy S. VILLA, Milano, Italy B. JERECZEK, Milano, Italy A. VOLPE, Novara, Italy 2248 ANTICANCER RESEARCH 33 : 2245-2342 (2013) 1 conducted in a standardized manner with 8 biopsies in patients RELEVANCE OF PERIANASTOMOTIC with biochemical recurrence of disease has enabled us to SATURATION BIOPSY SCHEME IN THE increase the detection rate of local recurrence of 43% and DIAGNOSIS OF LOCAL RECURRENCE certainly avoid radiation therapies for prostate bed in cases of AFTER RADICAL PROSTATECTOMY detection of benign prostatic residual tissue. Lucio Dell’ Atti , Gian Rosario Russo 1 Carroll P, Coley C, Mc Leood D et al : Prostate-specific Urologia, Azienda Ospedaliero-Universitaria Arcispedale S. antigen best practice policy. Part II. Prostate cancer staging Anna, Ferrara, Italy and post-treatment follow-up. Urology 57 : 225-229, 2001. 2 Minardi D, Galosi AB, Dell’Atti L et al : Detectable serum Introduction: The perianastomotic biopsy is indicated in PSA after radical prostatectomy. Clinical and pathological patients with clinical suspicion of local recurrence, that of relevance of perianastomotic biopsies. Anticancer Res course cannot be diagnosed only by serum PSA, digital rectal 24(2C) : 1179-85, 2004. examination or imaging techniques. This study evaluated the 3 Sella T, Schwartz LH, Swindle PW et al : Suspected local optimization of the detection rate in a standardized manner recurrence after radical prostatectomy: endorectal coil MR using a scheme perianastomotic biopsy transrectal ultrasound imaging. Radiology 231(2) : 379-85, 2004. with 8 biopsies for the diagnosis of local recurrence in patients with prostate cancer who underwent radical prostatectomy (RP), compared to 4 or 6 conventional biopsies. Patients and 2 Methods: Between July 2007 and May 2012 we evaluated 62 ROLE OF HIGH GRADE INTRAEPITHELIAL patients (range 56-76 years) who underwent consecutive RP NEOPLASIA AS A RISK FACTOR (48 with the open technique and 14 with the laparoscopic FOR PROSTATIC CANCER technique) with recovery of biochemical disease (PSA >0.2 Lucio Dell’ Atti , Gian Rosario Russo ng/ml). The pathologic stages of patients were: 27pT2, 33pT3 and 2pT4 respectively. All patients had negative lymph nodes Urologia, Azienda Ospedaliero-Universitaria Arcispedale S. and only one pT4 had positive surgical margins. All patients Anna, Ferrara, Italy with suspected local recurrence were subjected to rectal examination and transrectal ultrasound-guided biopsy Introduction: High grade prostatic intraepithelial neoplasia perianastomotic (BTP) using an “end-fire” multi-frequency (HGPIN) is traditionally considered as a precancerous convex probe under local anesthesia with lidocaine spray conditions. The majority of patients with diagnosed HGPIN are (10g/100ml). Results: Patients were divided into two groups. expected to develop prostate cancer (PC) within 10 years (1). Group A: 33 patients with mean PSA 2.3 ng / ml, subjected to The degree of association between HGPIN and PC in different BTP: 14/33 (42%) and 19/33 (57%) respectively four and six sources of literature ranges between 22% and 80% (2, 3).There biopsies. Group B: 29 patients with mean PSA 1.4 ng / ml is a controversy regarding the role of HGPIN as a risk factor underwent a standard eight biopsies. Among patients in the for PC. The aim of the present study was to evaluate the role of latter group, three had already undergone four biopsies. One HGPIN in prediction of adverse pathology in patients patient belonging to group B did not complete the entire biopsy undergoing a radical prostatectomy (RP). Patients and procedure because of discomfort. In the first group signs of Methods: We retrospectively analysed 210 patients who local recurrence were observed in 11/33 (33%), while in 22/33 underwent a RP (open or laparoscopic) between July 2007 and (66%) residual benign prostate tissue was found in six biopsies December 2010 at a single referral center. Exclusion criteria and fibrous tissue and scar in sixteen. In Group B: 22/29 (76%) were any preoperative treatment protocol, active surveillance, were found with prostate cancer relapsed, whereas 7/29 (24%): hormone therapy and radiotherapy. The relationship between prostate tissue residue was found in two biopsies fibrous tissue HGPIN and the presence of positive surgical margins (PSM), and scar in five biopsies. Discussion and Conclusion: The extracapsular disease (ECD), seminal vesicle invasion (SVI) present study raises the possibility that residual and benign and lymph node invasion (LNI) was analysed. Patients were tissue, resulting from unintentional disruption of the prostatic stratified into low (PSA <10 ng/ml, cT1, biopsy Gleason sum capsule during surgery, may be responsible for a detectable ≤6), high (cT3 or biopsy Gleason 8-10 or PSA >20 ng/ml) and postoperative PSA. The clinical significance of prostatic intermediate risk (all the remaining patients). The prognostic residual tissue in follow-up is most important since it can be value of HGPIN was estimated in each risk group separately. responsible for biochemical failure and can increase in size, Results: The median age was 66.7 years (range 48-77) and simulating in this way a local recurrence. Although there was median PSA was 8.5 ng/ml (range 2.5-16). Based on the no evidence of a significant correlation between PSA levels to preoperative clinical staging, 139 (66%) patients were T1c, local recurrence, Gleason score and positive biopsy, the BTP 51(24%) T2a, 17(8%) T2b and 3(1.5%)T2c. HGPIN was found 0250-7005/2013 $2.00+.40 2249 ANTICANCER RESEARCH 33 : 2245-2342 (2013) in 41(19.5%) speciments. PSM were identified in 64(30.5%), thus they may contribute to development and progression of ECD in 23(11%) and SVI in 14(6.6%) patients. A pelvic lymph kidney carcinoma. In fact, their impaired function could node dissection was conducted in 186 patients and from those trigger a series of altered signalling resulting in abnormal a malignant invasion was found in 22 (10.4%) differentiation, proliferation and apoptosis. In the last years, patients.Concerning the preoperative risk stratification: the necessity to use miRs as biological biomarkers is 72(34.2%) patients were considered low risk, 113(53.8%) emerging in order to improve diagnosis, prognosis and medium risk and 25(11.9%) high risk. A statistically significant therapy response in renal carcinomas. Furthermore, miRNAs correlation was found between HGPIN and preoperative PSA might be potential targets for novel therapeutic strategies, (p= 0.025) and patients’age ( p= 0.030). No significant especially in patients with tumour subtypes that do not differences were found, regarding the presence of adverse respond to currently available therapies (1, 2). Here, we have pathological findings, between the patients with or without focalized our study on the role of miR501-5p in kidney HGPIN, irrespective of the preoperative risk stratification. carcinomas because it has been found differently expressed Conclusion: The results of our study showed that patients with in kidney cancer tissues compared with the normal kidney of HGPIN were younger and they had lower levels of preoperative the same patients. Materials and Methods: Analysis of PSA. However, there was no significant difference in the tumor miR501-5p expression was performed by real time RT-PCR. grade and pathological stage between groups. HGPIN did not Depletion or enrichment of this miR was conducted by reach significance for the prediction of PSM, ECD, SVI and specific antagomiRs and plasmid expressing miR-501-5p LNI.
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