Ts. Obrien et al., URINARY BASIC FIBROBLAST GROWTH-FACTOR IN PATIENTS WITH BLADDER-CANCER AND BENIGN PROSTATIC HYPERTROPHY, British Journal of Urology, 76(3), 1995, pp. 311-314
Objective To investigate the role of urinary measurements of an angiog
enic factor, basic fibroblast growth factor (bPGF), in the assessment
of patients with bladder cancer. Patients and methods Urine from 83 pa
tients was assayed using a commercially available ELISA for bFGF. Thir
ty-eight patients had a bladder tumour and 21 had a history of bladder
cancer but no disease at the time of testing, Twenty-four patients ac
ted as controls, 16 of whom were about to undergo transurethral resect
ion of the prostate (TURF) for benign prostatic hypertrophy (BPH) and
eight who had no urological disease. Results Median urinary bFGF was h
igher in patients with active bladder cancer than in those with a clea
r cystoscopy (5.20 and 2.13 ng/g creatinine, respectively; P<0.005), M
edian urinary bFGF was also elevated in patients about to undergo TURP
(4.52 ng/g creatinine). Using a threshold value of 6.0 ng/g creatinin
e, the sensitivity of the test for detecting cancer was 42% and specif
icity was 88%, At a threshold value of 4.0 ng/g the sensitivity was 62
% and the specificity 70%. Conclusion The relationship between urinary
basic FGF and the presence of bladder cancer was significant. The tes
t is not sufficiently sensitive or specific to use as a screening test
for bladder cancer but may be very useful in monitoring the effective
ness of systemic therapies in bladder cancer. Elevated levels of bFGF
in the urine of patients about to undergo TURP suggests a role for bFG
F in the pathogenesis of BPH.