14 results match your criteria: "and Brown University Health[Affiliation]"

Molecular testing in urinary cytology specimens: Current status and future directions.

Urol Oncol

March 2025

Department of Pathology and Laboratory Medicine, Department of Surgery (Urology), Brown University Warren Alpert Medical School, the Legorreta Cancer Center at Brown University and Brown University Health, Providence, RI.

Bladder cancer is a common type of urological cancer with high recurrence and mortality rates. Currently, it is diagnosed and monitored using minimal invasive cystoscopies and biopsies. Urinary cytology, the most widely accepted noninvasive and more economic urinary diagnosis method, aims to detect high grade urothelial carcinoma with a high specificity but low sensitivity, especially for detecting low-grade tumors.

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Primary adenocarcinoma of the urinary tract and its precursors: Diagnostic criteria and classification.

Hum Pathol

January 2025

Department of Pathology and Laboratory Medicine, Department of Surgery (Urology), Brown University Warren Alpert Medical School, the Legorreta Cancer Center at Brown University, and Brown University Health, Providence, RI, USA. Electronic address:

Primary adenocarcinoma of the urinary bladder is a rare malignancy, comprising up to 2% of bladder cancers, predominantly in males. Its rarity and similarity to urothelial carcinoma and secondary adenocarcinomas pose diagnostic challenges. A comprehensive literature review was conducted on the diagnosis, classification, morphological and immunophenotypic characteristics, and molecular profiles of primary adenocarcinoma, urachal adenocarcinoma, and precursor lesions.

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Embedding radical prostatectomy specimens: selective with regular cassettes or complete with large cassettes.

Virchows Arch

February 2025

Department of Pathology and Laboratory Medicine, Department of Surgery (Urology), Brown University Warren Alpert Medical School, the Legorreta Cancer Center at Brown University, and Brown University Health, Providence, RI, USA.

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Heterogeneity in Cancer.

Cancers (Basel)

January 2025

Laboratory of Translational Oncology and Experimental Cancer Therapeutics, The Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.

Cancer heterogeneity is a major challenge in oncology, complicating diagnosis, prognostication, and treatment. The clinical heterogeneity of cancer, which leads to differential treatment outcomes between patients with histopathologically similar cancers, is attributable to molecular diversity manifesting through genetic, epigenetic, transcriptomic, microenvironmental, and host biology differences. Heterogeneity is observed between patients, individual metastases, and within individual lesions.

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In hormone receptor-positive and HER2-negative breast cancers, a growing number of revolutionary personalized therapies are in clinical use or trials, such as CDK4/6 inhibitors, immune checkpoint inhibitors, and PIK3CA inhibitors. Those treatment options are largely driven by the presence or absence of genomic alterations in the tumor. Therefore, molecular profiling is often performed during disease progression.

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Article Synopsis
  • - The study aimed to assess how pathologists report tumor content in prostate cancer biopsies and evaluate consistency among them using 10 standardized cases.
  • - A survey of 304 pathologists revealed that most report tumor extent as a percentage, but there is significant variability in how they calculate these percentages.
  • - The findings indicate high interobserver variability, especially with percentage reporting, suggesting that using absolute measures of tumor content could provide more consistent results for patient prognosis.
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Renal Replacement Therapy in Patients With Cardiogenic Shock: Refining the AEIOUs in Cardiovascular Patients.

Can J Cardiol

November 2024

Division of Cardiology, University of Alberta, Edmonton, Alberta, Canada; Department of Critical Care Medicine, University of Alberta, and Alberta Health Services, Edmonton, Alberta, Canada. Electronic address:

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Chronic prostate inflammation in patients with benign prostate hyperplasia (BPH) correlates with the severity of symptoms. How inflammation contributes to prostate enlargement and/or BPH symptoms and the underlying mechanisms remain unclear. In this study, we utilize a unique transgenic mouse model that mimics chronic non-bacterial prostatitis in men and investigate the impact of inflammation on androgen receptor (AR) in basal prostate stem cells (bPSC) and their differentiation in vivo.

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The Price We Pay for Progression in Shock Care: Economic Burden, Accessibility, and Adoption of Shock-Teams and Mechanical Circulatory Support Devices.

Curr Cardiol Rep

October 2024

The Cardiovascular Center, Section of Cardiovascular Medicine, Department of Medicine, Tufts University School of Medicine, 800 Washington Street, Box No 80, Boston, MA, 02111, USA.

Article Synopsis
  • Cardiogenic shock (CS) is a serious condition that leads to high mortality rates and significant economic costs, highlighting the need to understand its impact on healthcare resources.
  • Recent findings suggest that while immediate outcomes are important, there's a growing focus on the long-term health issues faced by patients and the disparities in care systems.
  • Mitigation strategies include creating evidence-based care protocols, improving risk assessment, and evaluating the effectiveness of treatments to tackle the economic burden and improve patient outcomes in cardiogenic shock.
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Genomic Profiling and Immune Phenotyping of Neuroendocrine Bladder Cancer.

Clin Cancer Res

November 2024

State Key Laboratory of Systems Medicine for Cancer, Department of Radiation Oncology, Department of Urology, Ren Ji Hospital, Shanghai Cancer Institute, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Article Synopsis
  • Neuroendocrine bladder cancer (NEBC) is challenging to treat, and there's a growing interest in using immunotherapy, but its immunogenic profiles are not well-studied.
  • A comprehensive analysis of NEBC using various methods (genomic, transcriptomic, and single-cell RNA sequencing) revealed it generally has an inactive immune environment, despite high mutation rates; however, some mixed types show immune activity that could influence prognosis.
  • Findings suggest that while immune checkpoint inhibitors alone are not very effective for NEBC, combining immunotherapy with chemotherapy may improve treatment responses and offer new pathways for reducing mortality.
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Article Synopsis
  • This study investigates the characteristics of 10 rare primary renal perivascular epithelioid cell tumors (PEComas) that have a specific genetic alteration (Xp11.2 translocation), focusing on their presentation and outcomes.
  • The patient group included both genders aged 14-65, with positive outcomes for most after surgical treatment, and showed consistent expression of certain markers (TFE3 being the most significant) while lacking others typically seen in similar tumors.
  • The findings reveal the genetic variety among these tumors, with unique TFE3 fusion partners identified, and emphasize the importance of TFE3 immunohistochemistry for diagnosis and differentiation from other kidney cancers.
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