Comparison of p53 expression in proximal and distal gastric cancer: Histopathologic correlation and prognostic significance |
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| Authors: | Huihuan Tang MD Shuichi Hokita MD PhD Xiangming Che MD Masamichi Baba MD PhD Kuniaki Aridome MD PhD Fumio Kijima MD Gen Tanabe MD PhD Sonshin Takao MD PhD Dr Takashi Aikou MD PhD |
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| Institution: | (1) From the First Department of Surgery, Kagoshima University School of Medicine, 8-35-1 Sakuragaoka, 890 Kagoshima, Japan;(2) Department of Surgery, Xiang Ya Hospital, Hunan Medical University, Changsa, Hunan, People's Republic of China |
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| Abstract: | Background: The overexpression of p53 has been found to be correlated with prognosis of some carcinomas, including gastric cancer, but
no studies have reported on its relationship to the location of gastric cancer. In the present study, we compared the p53
expression of proximal and distal gastric cancer concerning histopathology and prognosis.
Methods: A total of 170 tumors in the patients with proximal (80 cases) and distal (90 cases) gastric cancer were studied by immunohistochemical
methods.
Results: p53 immunopositivity was detected in 28.8% of all tumors. The p53-positive expression in proximal gastric cancer was higher
than in distal gastric cancer (38.8% vs. 20.0%, p<0.05). A 5-year survival analysis showed that there is no significant difference
between tumors that are p53 positive and p53 negative. No correlation was found between p53 expression and histopathology
of gastric cancer.
Conclusion: p53 nuclear staining is not useful as a prognostic indicator or as a parameter in gastric cancer. |
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| Keywords: | p53 overexpression Gastric cancer Prognosis |
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