A AB BS S T TR RA AC CT T OOb b j je ec c t ti i v ve e: : α-meth ylacyl-Co A ra ce ma se (AMACR) is a use ful di ag nos tic mar ker for pros ta tic ade no car ci no ma with a high sen si ti vity and spe ci fi city. Alt ho ugh ori gi nally vi e wed as a mar ker pre fe ren ti ally ex pres sed in pros ta tic car ci no ma, furt her stu di es sho wed its ex pres si on in ot her tu mors. The aim of this study is to exp lo re the pat ho lo gic sig ni fi can ce of AMACR ex pres si on in non-in va si ve and in va si ve urot he li al car ci no mas (UCs) of the blad der. M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : A to tal of 160 UCs of the blad der and 77 ad ja cent tis su es with car ci no ma in si tu we re in ves ti ga ted for AMACR ex pres si on im mu no his toc he mi cally. Po si ti ve AMACR ex pres si on was de fi ned as cytop las mic sta i ning with granu lar pat tern. Sta i ning in ten sity was gra ded as 0 (ne ga ti ve), 1+ (we ak), 2+ (mo de ra te), or 3+ (strong). Po si ti vity was furt her clas si fi ed as fo cal or dif fu se. R Re e s su ul lt ts s: : Non-ne op las tic urot he li um re ve a led no ex pres si on of AMACR. The re was a sta tis ti cally sig ni fi cant po si ti ve cor re la ti on bet we en AMACR expres si on and gra de (p = 0.021). AMACR ex pres si on was sig ni fi cantly hig her in high-gra de UCs than low-gra de ones. AMACR ex pres si on was al so cor re la ted with the sta ge which was sig ni fi cantly higher in in va si ve tu mors (p < 0.001). Although non sig ni fi cant, dif fu se sta i ning was pro mi nent in high gra de tu mors. C Co on nc c l lu u s si i o on n: : In the pre sent study, AMACR was fo und to be ex pres sed in a sig ni fi cant num ber of urot he li al car ci no mas of the blad der. AMACR ex pres si on was shown to be cor re la ted with ad van ced tu mor gra de and sta ge. Our da ta sug gest that AMACR ex pres si on may be used as an ad di tio nal prog nos tic in di ca tor in urot he li al car ci no mas. Eva lu a ti on of AMACR ex pres si on may al so be useful in de ter mi ning the ag gres si ve ca pa city of the se tu mors in tran su ret hral re sec ti on spe ci mens.K Ke ey y W Wo or rd ds s: : Uri nary blad der ne op lasms; car ci no ma, tran si ti o nal cell; alp ha-meth ylacyl-co a ra ce ma se Ö ÖZ ZE ET T A Am ma aç ç: : α al fa me ta la sil Co A ra se maz (AMACR) pros ta te ade no kar si no mu için yük sek sen si tivi te ve spe si fi si te ye sa hip ya rar lı bir ta nı sal be lir le yi ci dir. İlk baş lar da baş lı ca pros tat kar si no ma la rın -da eks pre se edi len bir be lir le yi ci ola rak gö rül müş se de, son ra ki ça lış ma lar di ğer tü mör ler de eks pres yo nu nu gös ter miş tir. Bu ça lış ma nın ama cı AMACR eks pres yo nu nun non in va ziv ve in va ziv me sa ne kan ser le rin de pa to lo jik öne mi ni araş tır mak tır. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : Yüz altmış me sa ne kanse ri ve 77 adet kom şu lu ğun da kar si no ma in si tu bu lu nan do ku lar da im mü no his to kim ya sal ola rak AMACR eks pres yo nu ara...