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KL-6 mucin expression in carcinoma of the ampulla of Vater: Association with cancer progression
作者姓名:Tang W  Inagaki Y  Kokudo N  Guo Q  Seyama Y  Nakata M  Imamura H  Sano K  Sugawara Y  Makuuchi M
作者单位:Department of Applied Biochemistry Tokai University Hiratsuka Kanagawa 259-1292 Japan,Hepato-Biliary-Pancreatic Surgery Division Department of Surgery Graduate School of Medicine the University of Tokyo 7-3-1 Hongo Bunkyo-ku Tokyo 113-8655 Japan,Hepato-Biliary-Pancreatic Surgery Division Department of Surgery Graduate School of Medicine the University of Tokyo 7-3-1 Hongo Bunkyo-ku Tokyo 113-8655 Japan,Department of Applied Biochemistry and Institute of Glycotechnology Tokai University Hiratsuka Kanagawa 259-1292 Japan,Hepato-Biliary-Pancreatic Surgery Division Department of Surgery Graduate School of Medicine the University of Tokyo 7-3-1 Hongo Bunkyo-ku Tokyo 113-8655 Japan,Hepato-Biliary-Pancreatic Surgery Division Department of Surgery Graduate School of Medicine the University of Tokyo 7-3-1 Hongo Bunkyo-ku Tokyo 113-8655 Japan,Hepato-Biliary-Pancreatic Surgery Division Department of Surgery Graduate School of Medicine the University of Tokyo 7-3-1 Hongo Bunkyo-ku Tokyo 113-8655 Japan,Hepato-Biliary-Pancreatic Surgery Division Department of Surgery Graduate School of Medicine the University of Tokyo 7-3-1 Hongo Bunkyo-ku Tokyo 113-8655 Japan
基金项目:Supported by Grants-in-aid From the Ministry of Education, Science, Sports, and Culture of Japan and a grant for Hi-Tech Research from Tokai University
摘    要:AIM: To assess histochemical expression of KL-6 and its clinicopathological significance in carcinoma of the ampulla of Vater. METHODS: Ampullary carcinoma tissues were collected from 38 patients who underwent pancreatoduodenectomy or local resection. Tissues were subjected to immunohistochemical analysis using KL-6 antibody. RESULTS: Positive staining of ampullary carcinoma cells was observed in 26 (68.4%) cases. Staining was not found in the surrounding non-cancer regions of the ampullary tissues. Remarkable KL-6 expression was observed in invasive carcinoma cells in pancreatic and duodenal tissues and in metastatic carcinoma cells in lymph nodes. Positive KL-6 expression was related to lymph node metastasis (P=0.020), pancreatic invasion (P=0.016), duodenal invasion (P= 0.034), and advanced stage of TNM clinical classification (P=0.010). Survival analysis showed that positive expression of KL-6 was related to a poorer prognosis (P=0.029). CONCLUSION: The aberrant expression of KL-6 mucin is significantly related to unfavorable behaviors of carcinoma of the ampulla of Vater.

关 键 词:KL-6粘液素  基因表达  癌症  疾病分类
收稿时间:2005 Mar 1

KL-6 mucin expression in carcinoma of the ampulla of Vater: association with cancer progression
Tang W,Inagaki Y,Kokudo N,Guo Q,Seyama Y,Nakata M,Imamura H,Sano K,Sugawara Y,Makuuchi M.KL-6 mucin expression in carcinoma of the ampulla of Vater: association with cancer progression[J].World Journal of Gastroenterology,2005,11(35):5450-5454.
Authors:Tang Wei  Inagaki Yoshinori  Kokudo Norihiko  Guo Qian  Seyama Yasuji  Nakata Munehiro  Imamura Hiroshi  Sano Keiji  Sugawara Yasuhiko  Makuuchi Masatoshi
Institution:1. Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery,Graduate School of Medicine, the University of Tokyo, 7-3-1 Hongo,Bunkyo-ku, Tokyo 113-8655, Japan
2. Department of Applied Biochemistry, Tokai University, Hiratsuka, Kanagawa 259-1292, Japan
3. Department of Applied Biochemistry and Institute of Glycotechnology, Tokai University, Hiratsuka,Kanagawa 259-1292, Japan
Abstract:AIM: To assess histochemical expression of KL-6 and its clinicopathological significance in carcinoma of the ampulla of Vater. METHODS: Ampullary carcinoma tissues were collected from 38 patients who underwent pancreatoduodenectomy or local resection. Tissues were subjected to immunohistochemical analysis using KL-6 antibody. RESULTS: Positive staining of ampullary carcinoma cells was observed in 26 (68.4%) cases. Staining was not found in the surrounding non-cancer regions of the ampullary tissues. Remarkable KL-6 expression was observed in invasive carcinoma cells in pancreatic and duodenal tissues and in metastatic carcinoma cells in lymph nodes. Positive KL-6 expression was related to lymph node metastasis (P=0.020), pancreatic invasion (P=0.016), duodenal invasion (P= 0.034), and advanced stage of TNM clinical classification (P=0.010). Survival analysis showed that positive expression of KL-6 was related to a poorer prognosis (P=0.029). CONCLUSION: The aberrant expression of KL-6 mucin is significantly related to unfavorable behaviors of carcinoma of the ampulla of Vater.
Keywords:KL-6 mucin  Carcinoma of the ampulla of Vater Invasion  Metastasis  Prognosis
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