Cancers of the Genitourinary System: Pathophysiology, Modeling, and Treatment

A special issue of Diseases (ISSN 2079-9721). This special issue belongs to the section "Oncology".

Deadline for manuscript submissions: 9 June 2025 | Viewed by 3558

Special Issue Editors


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Department of Anatomy, Cell Biology, and Physiological Sciences, Faculty of Medicine, American University of Beirut, Beirut 1107-2020, Lebanon
Interests: cancer stem cells; solid tumors; biomarkers research
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Special Issue Information

Dear Colleagues,

Genitourinary tumors are common neoplasms that include prostate cancer, kidney cancer, bladder cancer, testicular cancer, and cancers of the penis. Each of those cancers is recognized as a heterogeneous disease, and the clinical course is unique to every patient in terms of prognosis and treatment response. With the rapid advancement in the medical field and the wide use of next-generation sequencing techniques to understand cancer, researchers and physicians are moving away from a “one size fits all” strategy in treating the disease to identifying novel biomarkers that can be targeted to specifically treat every patient. Nevertheless, the treatment of most patients with genitourinary cancers requires a multimodality approach that includes surgical intervention, radiation therapy, and chemotherapy.

It is thus crucial to decipher the molecular and cellular mechanisms underlying the initiation and progression of those intractable cancers and accordingly identify the unique biomarkers associated with them to aid in diagnosis and improve prognosis. This approach to the management of genitourinary cancers by applying basic and translational research with bed-side clinical research is the hub for “personalized medicine” in the 21st century and it is an area of great interest to physicians and researchers working in the field, in particular molecular pathologists, and hematology-oncologists. This issue focuses on research and experiences related to cancers of the genitourinary system. This may include deciphering the mechanisms underlying the initiation and progression of genitourinary cancers, including:

pathophysiology; molecular, and cellular mechanism identification of novel cancer biomarker therapeutic targets; improving personalized cancer care using new technologies enhancing cancer diagnoses, management, and outcomes. We invite researchers in molecular pathology, hematology-oncology, genitourinary pathology, stem cells, and other fields of cancer research to submit high-quality reviews related to the issues in this research area.

Dr. Hisham Bahmad
Dr. Wassim Abou-Kheir
Guest Editors

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Keywords

  • prostate cancer
  • bladder cancer
  • genitourinary
  • biomarkers
  • therapeutic target
  • personalized medicine
  • targeted therapy
  • genetic aberrations
  • molecular signatures
  • next generation sequencing
  • modeling
  • organoids

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Published Papers (2 papers)

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10 pages, 1655 KiB  
Article
Enzalutamide Prolonged the Duration of Drug Use in Comparison to Abiraterone Acetate and Cabazitaxel after Upfront Docetaxel: A Large Japanese Database Study
by Katsuya Yamaguchi, Takashi Kawahara, Akihito Hashizume, Kimito Ousaka, Koichi Uemura, Yusuke Ito, Hiroki Ito, Kazuhide Makiyama and Hiroji Uemura
Diseases 2024, 12(7), 162; https://doi.org/10.3390/diseases12070162 - 18 Jul 2024
Viewed by 621
Abstract
Introduction: In the United States, a total of 268,490 men were found to have prostate cancer in 2022, thus making it the most common cancer in men, accounting for 27% of all cancers in the male population. Among all cancers in men, it [...] Read more.
Introduction: In the United States, a total of 268,490 men were found to have prostate cancer in 2022, thus making it the most common cancer in men, accounting for 27% of all cancers in the male population. Among all cancers in men, it was the fifth leading cause of death, with 34,500 deaths and a mortality rate of 11%. In 2019, the total number of cases was 94,748, making it the leading cancer in males, accounting for 11% of all male cancers. In terms of mortality, it ranked seventh, with 13,217 deaths and a mortality rate of 1.6%. However, new treatment options for metastatic castration-sensitive prostate cancer (mCSPC) have emerged. Docetaxel has been shown to be effective for both mCSPC and castration-resistant prostate cancer (CRPC). Upfront docetaxel has not been approved in Japan, nor has it been validated in large-scale studies. Furthermore, several agents can be used after docetaxel treatment, but it is unclear which is the most effective. We used a large Japanese health insurance database to determine which agent would be the most effective as a next-line therapy in patients who had received docetaxel. Materials and Methods: We used data from medical institutions using the Diagnosis Procedure Combination (DPC), which provides a comprehensive evaluation of medical classifications. The Medical Data Vision database covers approximately 23% of DPC hospitals in Japan. This study analyzed 2938 patients with mCSPC who received docetaxel, followed by CRPC, between April 2008 and December 2021. The study focused on three agents: enzalutamide, abiraterone acetate, and cabazitaxel. Other agents were excluded due to the small number of patients. The following data were analyzed: age, date of CRPC diagnosis, presence of bone metastasis, drug type, and prognosis. Results: This study included 1997 patients with CRPC after upfront docetaxel therapy for mCSPC (enzalutamide [ENZ] group, n = 998; abiraterone acetate [ABI] group, n = 617; and cabazitaxel [CBZ] group, n = 382). The overall survival (OS) time from drug initiation was 456 days in the enzalutamide group, which was significantly longer than that in the cabazitaxel group (p = 0.017, HR 0.94) (ENZ: ABI p = 0.54, HR 0.94; ABI: CBZ p = 0.14, HR 0.75). OS was also compared for the third-line drug in the group that received enzalutamide as the second-line drug, the group that used abiraterone acetate as the third-line drug (ENZ-ABI group), and the group that used abiraterone acetate as the second-line drug. OS from the start of the third-line drug was compared between the ENZ–ABI group and the ABI–ENZ group, which received enzalutamide as the third-line drug, but showed no significant difference (269 vs. 281 days, p = 0.85; HR 1.03). Conclusion: ENZ was shown to prolong OS relative to cabazitaxel after the cessation of docetaxel. ENZ was associated with a longer duration of drug use than ABI and CBZ. Full article
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9 pages, 11282 KiB  
Case Report
Renal Cell Carcinoma Presenting as Syncope due to Saddle Pulmonary Tumor Embolism
by Mohamad K. Elajami, Ephraim Mansour, Hisham F. Bahmad, Gerard Chaaya, Steven DeBeer, Robert Poppiti and Yumna Omarzai
Diseases 2022, 10(4), 119; https://doi.org/10.3390/diseases10040119 - 2 Dec 2022
Cited by 3 | Viewed by 2107
Abstract
Pulmonary embolism (PE) is defined as the obstruction of the pulmonary artery or one of its branches by a blood clot, tumor, air, or fat emboli originating elsewhere in the body. A saddle PE occurs when the obstruction affects the bifurcation of the [...] Read more.
Pulmonary embolism (PE) is defined as the obstruction of the pulmonary artery or one of its branches by a blood clot, tumor, air, or fat emboli originating elsewhere in the body. A saddle PE occurs when the obstruction affects the bifurcation of the main pulmonary artery trunk. We present a case of a 46-year-old man who presented to our hospital due to an episode of syncope. Computed tomography angiography (CTA) of the chest showed extensive PE and abdominal CT scan showed a large 8 cm left renal mass with inferior vena cava (IVC) thrombus. Emergent embolectomy, left total nephrectomy, and IVC tumor removal were performed yielding the diagnosis of clear cell renal cell carcinoma (RCC). Interestingly, our patient did not experience any symptoms related to his RCC until the diagnosis of PE due to syncope, and the asymptomatic tumor was found out to be the possible cause of this PE due to the presence of tumor cells constituting the tumor embolus. It is thus recommended to improve the early screening process for RCC. Besides, clinicians should pay attention to patients presenting with uncharacteristic symptoms of RCC who might present with symptoms of saddle PE. Full article
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