Cytokeratin 20 (CK20) and apomucin 1 (MUC1) expression in ampullary carcinoma: Correlation with tumor progression and prognosis

<p>Abstract</p> <p>Background</p> <p>We assessed the expression of cytokeratin (CK) and apomucin (MUC) in ampullary carcinoma (AC) to develop a system for the classification of ACs on the basis of their clinical significance.</p> <p>Method</p> <p>...

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Main Authors: Nishi Takeshi (Author), Inao Touko (Author), Nishisaka Takashi (Author), Tanaka Tsuneo (Author), Kawabata Yasunari (Author), Yano Seiji (Author)
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Published: BMC, 2010-11-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Nishi Takeshi  |e author 
700 1 0 |a Inao Touko  |e author 
700 1 0 |a Nishisaka Takashi  |e author 
700 1 0 |a Tanaka Tsuneo  |e author 
700 1 0 |a Kawabata Yasunari  |e author 
700 1 0 |a Yano Seiji  |e author 
245 0 0 |a Cytokeratin 20 (CK20) and apomucin 1 (MUC1) expression in ampullary carcinoma: Correlation with tumor progression and prognosis 
260 |b BMC,   |c 2010-11-01T00:00:00Z. 
500 |a 10.1186/1746-1596-5-75 
500 |a 1746-1596 
520 |a <p>Abstract</p> <p>Background</p> <p>We assessed the expression of cytokeratin (CK) and apomucin (MUC) in ampullary carcinoma (AC) to develop a system for the classification of ACs on the basis of their clinical significance.</p> <p>Method</p> <p>We studied the expressions of CK7, CK20, MUC1, MUC2, MUC5AC, and MUC6 in 43 patients with ACs. Clinical data were obtained retrospectively by examining surgically resected ACs of the patients.</p> <p>Results</p> <p>We classified the cases into 3 groups: tumors expressing CK20 and lacking MUC1 (intestinal type [I-type], 26%), tumors expressing MUC1 and lacking CK20 (pancreatobiliary type [PB-type], 35%), and those expressing or lacking both CK20 and MUC1 (other type [O-type], 39%). Eight (73%) of 11 I-type carcinomas, 3 (20%) of 15 PB-type carcinomas, and 4 (24%) of 17 O-type carcinomas were classified as pT1. The number of I-type carcinomas in the early tumor stages was significantly higher than the number of PB- and O-type carcinomas (p = 0.014 and p = 0.018, respectively). The 5-year survival rates for pT1, pT2, and pT3 tumors were 76%, 33%, and 22%, respectively (p < 0.001). Rates of MUC5AC and MUC6 coexpression for I-type, PB-type, and O-type tumors were 18%, 13%, and 53%, respectively. There was a significant correlation between MUC5AC and MUC6 coexpression and O-type characteristics (p = 0.031). The five-year survival rates for O-type ACs with and without MUC5AC and MUC6 coexpression were 71% and 17%, respectively (p = 0.048).</p> <p>Conclusions</p> <p>The immunohistochemical subtypes based on CK and MUC expression correlated with tumor progression. Gastric MUC5AC and MUC6 coexpression correlated with better prognosis for O-type ACs.</p> 
546 |a EN 
690 |a Pathology 
690 |a RB1-214 
655 7 |a article  |2 local 
786 0 |n Diagnostic Pathology, Vol 5, Iss 1, p 75 (2010) 
787 0 |n http://www.diagnosticpathology.org/content/5/1/75 
787 0 |n https://doaj.org/toc/1746-1596 
856 4 1 |u https://doaj.org/article/ca547db2b07c4eba9fc29a1d6aee5108  |z Connect to this object online.