In a study of 34 normal healthy controls, 35 patients with urinary tra
ct bilharziasis and 93 bladder cancer patients (62 of them are operabl
e cases and 31 are non-operable ones), serum tumor necrosis factor alp
ha (TNF-alpha) and cytosolic Cathepsin-D were estimated. Though both p
otential markers were elevated in bladder cancer patients, neither Cat
hepsin-D nor TNF-alpha showed associations of prognostic value since t
here were no positive correlations with tumor stages, grades or associ
ation of tumors with bilharzial ova or lymph node involvement.