Loss of phenotypic expression is related to tumour progression in early gastric differentiated adenocarcinoma.

Abstract:

AIMS:To evaluate the relationship between phenotypic expression and tumour progression as represented by macroscopic features, submucosal invasion and lymph node metastasis in early differentiated gastric adenocarcinoma. METHODS:One hundred and fifty-five cases of early gastric differentiated adenocarcinoma without any poorly differentiated components were studied. The mucosal and submucosal components of carcinomas and lymph node metastatic lesions were classified into four categories, gastric type (G-type), incomplete intestinal type (I-type), complete intestinal type (C-type) and unclassified type (U-type), based on the combination of the phenotypic expression of HGM (gastric foveolar epithelium), MUC 6 (gastric pyloric glands), MUC 2 (intestinal goblet cells) and CD 10 (small intestinal brush border). In addition, a new classification representing a phenotypic shift from mucosa to submucosa or from primary lesion to lymph node metastasis was established with the categories of preserved group (P-group), loss group (L-group) and acquired group (A-group). RESULTS:(1) In submucosal carcinoma, U-type was more common in the submucosa (39%) than in the mucosa (9%). (2) U-type was more common in the metastatic lesions (42%) than in the primary lesions (5%). (3) The submucosal component and lymph node metastatic lesions were classified as P-group in 48% and 43% of cases, respectively, and as L-group in 50% and 52% of cases, respectively. (4) Lymph node metastatic lesions comprising undifferentiated carcinoma were classified as L-group in 100% of cases. CONCLUSION:During the course of tumour progression, early differentiated adenocarcinoma at first tends to lose its phenotypic expression despite preserving its morphology, but subsequently morphological dedifferentiation occurs.

journal_name

Histopathology

journal_title

Histopathology

authors

Nakamura T,Yao T,Kabashima A,Nishiyama K,Maehara Y,Tsuneyoshi M

doi

10.1111/j.1365-2559.2005.02242.x

keywords:

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

357-67

issue

4

eissn

0309-0167

issn

1365-2559

pii

HIS2242

journal_volume

47

pub_type

杂志文章
  • Lack of cyclin D1 overexpression in gastric carcinogenesis.

    abstract:AIMS:Cyclin D1 overexpression was examined in early gastric carcinomas and precursor lesions with the following aims; (1) to assess the chronology of cyclin D1 overexpression in various stages of gastric carcinogenesis, (2) to correlate cyclin D1 overexpression with the Lauren type, the grade of differentiation and the...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.2000.00798.x

    authors: Blok P,Craanen ME,van Diest PJ,Dekker W,Tytgat GN

    更新日期:2000-02-01 00:00:00

  • Nuclear pleomorphism in typical carcinoid tumours of the lung: problems in frozen section interpretation.

    abstract::Pulmonary typical carcinoid tumours are generally easy to diagnose with their uniform cells, carcinoid growth pattern and lack of mitoses. However, nuclear pleomorphism, which is common in other neuroendocrine tumours, is not emphasized in pulmonary carcinoid tumours. Three cases of typical carcinoid tumours, because ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.1997.5430778.x

    authors: Sheppard MN

    更新日期:1997-05-01 00:00:00

  • In-situ hybridization-based quantification of hTR: a possible biomarker in malignant melanoma.

    abstract:AIMS:Telomerase is reactivated in most cancers and there is accumulating evidence that this is a driver event in malignant melanoma (MM). Thus, our aim was to evaluate if in-situ hybridization (ISH)-based quantification of telomerase RNA (hTR) could be used to distinguish MM from naevi, and if there was a correlation w...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12501

    authors: Vagner J,Steiniche T,Stougaard M

    更新日期:2015-04-01 00:00:00

  • Overexpression of inducible nitric oxide synthase and accumulation of 8-OHdG in nasopharyngeal carcinoma.

    abstract:AIMS:Nitric oxide (NO), produced by inducible NO synthase (iNOS), has been suggested to cause oxidative stress, leading to 8-hydroxydeoxyguanosine (8-OHdG) accumulation and subsequent transversion mutation of DNA. The aim was to evaluate iNOS expression and the status of oxidative stress in nasopharyngeal carcinoma (NP...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2007.02920.x

    authors: Segawa Y,Oda Y,Yamamoto H,Uryu H,Shiratsuchi H,Hirakawa N,Tomita K,Yamamoto T,Oda S,Yamada T,Komune S,Tsuneyoshi M

    更新日期:2008-01-01 00:00:00

  • Testicular atrophy after oestrogen therapy.

    abstract::Therapeutic use of oestrogens by males with carcinoma of the prostate leads to testicular atrophy with markedly reduced spermatogenesis after only 21 d (Oshima et al. 1974). Treatment for over a year results in paucity of germ cells, vacuolation of Sertoli cells and reduction in Leydig cells (Lu & Steinberger 1978, Sm...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1988.tb01961.x

    authors: Venizelos ID,Paradinas FJ

    更新日期:1988-04-01 00:00:00

  • Mutational analysis of MED12 exon 2 in a spectrum of fibroepithelial tumours of the breast: implications for pathogenesis and histogenesis.

    abstract:AIMS:Fibroadenomas (FAs) and phyllodes tumours (PTs) are fibroepithelial tumours. Mutations in MED12 exon 2 have been reported in FAs. This study investigated the MED12 mutations in a spectrum of fibroepithelial tumours. METHODS AND RESULTS:Using direct sequencing, we analysed MED12 exon 2 mutations on 121 samples, in...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12764

    authors: Lien HC,Huang CS,Yang YW,Jeng YM

    更新日期:2016-02-01 00:00:00

  • A fixation-decalcification procedure for bone biopsies.

    abstract::A procedure for the simultaneous fixation and decalcification of bone biopsies is described. Mild acidic fixatives (such as Bouin's fluid) are effective decalcifying agents when made calcium-free by a continuous circulation through a column of anion-binding ion exchange resin. The procedure has been found relatively f...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1978.tb01725.x

    authors: Bussolati G

    更新日期:1978-09-01 00:00:00

  • A cytokeratin immunohistochemical study of cholestatic liver disease: evidence that hepatocytes can express 'bile duct-type' cytokeratins.

    abstract::A cytokeratin immunohistochemical study was performed on 38 liver biopsies from cases of primary biliary cirrhosis, primary sclerosing cholangitis, extrahepatic biliary obstruction or drug-induced liver disease in order to analyse the cytoskeletal changes in detail. On paraffin sections of 27 cases, a variable number ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1989.tb03060.x

    authors: Van Eyken P,Sciot R,Desmet VJ

    更新日期:1989-08-01 00:00:00

  • Detecting metastatic prostate carcinoma in pelvic lymph nodes following neoadjuvant hormone therapy: the eyes have it!

    abstract:AIMS:Residual cancer morphology in radical prostatectomies (RPs) after neoadjuvant hormone therapy includes inconspicuous cytology, and treated tumour cells can be difficult to identify in lymph nodes. The aim of this study was to evaluate the role of immunohistochemistry (IHC) in identifying occult lymph node metastas...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12739

    authors: Kehr E,Masry P,Lis R,Loda M,Taplin ME,Hirsch MS

    更新日期:2016-01-01 00:00:00

  • High-resolution array CGH of metanephric adenomas: lack of DNA copy number changes.

    abstract:AIMS:Previous karyotyping and fluorescence in situ hybridization analysis of metanephric adenomas (MAs) has yielded controversial data. The aim of this study was to detect small genomic alterations, if any, specific to MAs by applying high-resolution oligoarrays. METHODS AND RESULTS:DNA extracted from paraffin blocks ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2009.03473.x

    authors: Szponar A,Yusenko MV,Kovacs G

    更新日期:2010-01-01 00:00:00

  • Colorectal metastasis to the gallbladder mimicking a primary gallbladder malignancy: histopathological and molecular characteristics.

    abstract:AIMS:Outcomes of colorectal cancer (CRC) treatment and survival have steadily improved during the past decades, accompanied by an increased risk of developing second primary tumours and metastatic tumours at unusual sites. Metastatic CRC can show mucosal colonisation, thereby mimicking a second primary tumour. This pot...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.13892

    authors: de Bitter TJJ,van der Linden RLA,van Vliet S,Weren F,Sie D,Ylstra B,van der Linden HC,Knijn N,Ligtenberg MJL,van der Post RS,Simmer F,Nagtegaal ID

    更新日期:2019-09-01 00:00:00

  • Monoclonal antibody HML-1 reactivity with adult T-cell leukaemia/lymphoma and other lymphomas.

    abstract::Human T-cell leukaemia/lymphoma virus type 1 (HTLV-1), a causative virus of adult T-cell leukaemia/lymphoma (ATLL), is known to be transmitted by breast-feeding. Using a monoclonal antibody HML-1 which labels human intestinal intra-epithelial T lymphocytes, we have immunohistochemically examined ATLL tissues in order ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1994.tb01322.x

    authors: Kitajima S,Tokunaga M,Goto M,Sato E,Utsunomiya A,Ohtsuka M,Hanada S,Arima T

    更新日期:1994-09-01 00:00:00

  • Pathology of the gastric antrum and body associated with Helicobacter pylori infection in non-ulcerous patients: is the bacterium a promoter of intestinal metaplasia?

    abstract::A series of 115 consecutive, non-ulcerous, dyspeptic patients were examined for Helicobacter pylori (H. pylori) colonization in the gastric antral and/or body mucosa using Giemsa staining. Findings were correlated with the presence and degree of activity of superficial gastritis, deep gastritis, atrophic gastritis and...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1993.tb00062.x

    authors: Rugge M,Di Mario F,Cassaro M,Baffa R,Farinati F,Rubio J Jr,Ninfo V

    更新日期:1993-01-01 00:00:00

  • Human salivary gland morphogenesis: myoepithelial cell maturation assessed by immunohistochemical markers.

    abstract:AIMS:Myoepithelial cells are important components of salivary gland structure, aiding the expulsion of saliva from acinar lobules. The aim was to evaluate the expression of smooth muscle actin (SMA), calponin, caldesmon, CD10, CD29, S100 protein, glial fibrillary acidic protein (GFAP) and p63 in myoepithelial cells dur...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2010.03645.x

    authors: Ianez RF,Buim ME,Coutinho-Camillo CM,Schultz R,Soares FA,Lourenço SV

    更新日期:2010-09-01 00:00:00

  • Staging of bladder cancer.

    abstract::Urothelial carcinoma of the urinary bladder is a heterogeneous disease with multiple possible treatment modalities and a wide spectrum of clinical outcome. Treatment decisions and prognostic expectations hinge on accurate and precise staging, and the recently published American Joint Committee on Cancer (AJCC) Staging...

    journal_title:Histopathology

    pub_type: 杂志文章,评审

    doi:10.1111/his.13734

    authors: Magers MJ,Lopez-Beltran A,Montironi R,Williamson SR,Kaimakliotis HZ,Cheng L

    更新日期:2019-01-01 00:00:00

  • The expression and prognostic significance of bcl-2-associated transcription factor 1 in rectal cancer following neoadjuvant therapy.

    abstract:AIMS:bcl-2-associated transcription factor 1 (BCLAF1) is a nuclear protein that binds to bcl-related proteins and can induce apoptosis and autophagy. The aim of this study was to investigate the expression of BCLAF1 in a series of rectal cancers following neoadjuvant therapy. METHODS AND RESULTS:Immunohistochemistry w...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12780

    authors: Brown GT,Cash B,Alnabulsi A,Samuel LM,Murray GI

    更新日期:2016-03-01 00:00:00

  • Immunohistochemical expression of p53 proteins in Wilms' tumour: a possible association with the histological prognostic parameter of anaplasia.

    abstract::Wilms' tumour (nephroblastoma) has been associated with chromosomal abnormalities at the 11p13, 11p15 and 16q regions. A study into the possibility of mutations occurring within p53, the ubiquitous adult tumour suppressor gene, in Wilms' tumour was carried out. Thirty-eight cases were studied. Of these 36 were categor...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.1996.d01-384.x

    authors: Cheah PL,Looi LM,Chan LL

    更新日期:1996-01-01 00:00:00

  • Osteogenic differentiation in dedifferentiated liposarcoma: a study of 36 cases in comparison to the cases without ossification.

    abstract:AIMS:Ossification is found occasionally in dedifferentiated liposarcoma (DDLPS). The aims of this study were to elucidate whether the formed bone tissue is usually produced by tumour cells or by reactive non-neoplastic cells, and to reveal the clinicopathological characteristics of DDLPS with ossification. METHODS AND...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.13421

    authors: Yamashita K,Kohashi K,Yamada Y,Ishii T,Nishida Y,Urakawa H,Ito I,Takahashi M,Inoue T,Ito M,Ohara Y,Oda Y,Toyokuni S

    更新日期:2018-04-01 00:00:00

  • The predictive value of histological classification into degrees of differentiation of squamous cell carcinoma of the larynx and hypopharynx compared with the survival of patients.

    abstract::In the course of running two clinical trials between 1966 and 1985, data became available for 1315 patients, 713 in the first trial and 602 patients in the second trial, which has allowed comparison between histological findings in laryngeal and hypopharyngeal carcinoma, the observed survival and the tumour-free rates...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1991.tb00230.x

    authors: Wiernik G,Millard PR,Haybittle JL

    更新日期:1991-11-01 00:00:00

  • Pleomorphic lobular carcinoma: a distinctive clinical and molecular breast cancer type.

    abstract:AIMS:Pleomorphic lobular carcinoma (PLC) is an aggressive variant of invasive lobular carcinoma. The aim of this study was to redefine PLC in terms of molecular classification. METHODS AND RESULTS:Cases of PLC were selected between 1995 and 2010. Key clinicopathological features were recorded for most of the patients....

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2012.04230.x

    authors: Monhollen L,Morrison C,Ademuyiwa FO,Chandrasekhar R,Khoury T

    更新日期:2012-09-01 00:00:00

  • Adult granulosa cell tumour-like areas occurring in ovarian epithelial neoplasms: report of a case series with investigation of FOXL2 mutation status.

    abstract:AIMS:To look for FOXL2 mutation in rare ovarian epithelial lesions showing stromal components with morphological features of adult granulosa cell tumour (AGCT). METHODS AND RESULTS:We report the 402C→G FOXL2 mutation status in five epithelial ovarian lesions in women aged 45-77 years showing stromal proliferations tha...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12314

    authors: Singh N,Gilks CB,Huntsman DG,Smith JH,Coutts M,Ganesan R,McCluggage WG

    更新日期:2014-04-01 00:00:00

  • Class III beta-tubulin, a marker of resistance to paclitaxel, is overexpressed in pancreatic ductal adenocarcinoma and intraepithelial neoplasia.

    abstract:AIMS:Class III beta-tubulin (TUBB3) reduces microtubule stability and confers resistance to microtubule-stabilizing taxanes, including paclitaxel and docetaxel. Pancreatic ductal adenocarcinomas show limited responsiveness to taxanes, but little is known of the underlying mechanisms. The aim of this study was to examin...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2007.02792.x

    authors: Lee KM,Cao D,Itami A,Pour PM,Hruban RH,Maitra A,Ouellette MM

    更新日期:2007-10-01 00:00:00

  • Pulmonary sclerosing pneumocytoma remains a diagnostic challenge using frozen sections: a clinicopathological analysis of 59 cases.

    abstract:AIMS:Using intraoperative frozen sections to diagnose pulmonary sclerosing pneumocytoma is always challenging. However, an accurate diagnosis is needed to guide surgical management and prevent unnecessary treatment. The aim of this study was to investigate the most frequently misdiagnosed histological patterns and eval...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.13391

    authors: Yang CH,Lee LY

    更新日期:2018-02-01 00:00:00

  • Clinicopathological significance of EGFR pathway gene mutations and CRTC1/3-MAML2 fusions in salivary gland mucoepidermoid carcinoma.

    abstract:AIMS:Mucoepidermoid carcinoma (MEC) is one of the most common salivary gland carcinomas. Epidermal growth factor receptor (EGFR) signalling pathway gene mutations are important in predicting a patient's prognosis, selecting molecularly targeted drugs and estimating the efficacy of a molecular therapy. However, their si...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.14100

    authors: Morita M,Murase T,Okumura Y,Ueda K,Sakamoto Y,Masaki A,Kawakita D,Tada Y,Nibu KI,Shibuya Y,Inagaki H

    更新日期:2020-06-01 00:00:00

  • Upper GI biopsies for adenocarcinoma - how many biopsies should endoscopists take?

    abstract:AIMS:There is evidence that four or five gastric cancer biopsies are required for accurate HER2 interpretation. However, the number of biopsies that need to be taken to reach this number of viable cancer biopsies is without evidence. This study aimed to address this gap by assessing the number of biopsies required to g...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.13816

    authors: Kaye P,Lindsay D,Madhusudan S,Vohra R,Catton J,Platt C,Ragunath K

    更新日期:2019-05-01 00:00:00

  • Inflammatory disease of the bile ducts-cholangiopathies: liver biopsy challenge and clinicopathological correlation.

    abstract::Liver biopsy challenge and clinicopathological correlation Liver biopsy interpretation in inflammatory diseases of the bile ducts or chronic cholangiopathies may be challenging, especially for pathologists working outside referral centres, where there is a limited exposure to relatively uncommon conditions. In view of...

    journal_title:Histopathology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2559.2011.03853.x

    authors: Portmann B,Zen Y

    更新日期:2012-01-01 00:00:00

  • Interlaboratory concordance of PD-L1 immunohistochemistry for non-small-cell lung cancer.

    abstract:AIMS:Programmed death ligand 1 (PD-L1) immunohistochemistry has become a mandatory diagnostic test in the treatment of lung cancer. Several research initiatives have started to harmonise the five PD-L1 immunohistochemistry assays that have been used in clinical trials. Here, we report data on interlaboratory and intera...

    journal_title:Histopathology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/his.13375

    authors: Scheel AH,Baenfer G,Baretton G,Dietel M,Diezko R,Henkel T,Heukamp LC,Jasani B,Jöhrens K,Kirchner T,Lasitschka F,Petersen I,Reu S,Schildhaus HU,Schirmacher P,Schwamborn K,Sommer U,Stoss O,Tiemann M,Warth A,Weichert

    更新日期:2018-02-01 00:00:00

  • Histopathological study of lymph node lesions in the acute phase of Kawasaki disease.

    abstract:AIMS:  To review the histopathological features of cervical LNs, and to clarify the changes in extracervical LNs, in acute Kawasaki disease (KD). METHODS AND RESULTS:  The samples were obtained from 33 patients with acute-phase KD. We divided the LNs into those in the neck (n = 23) and those located elsewhere (n = 26)...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12007

    authors: Yokouchi Y,Oharaseki T,Harada M,Ihara F,Naoe S,Takahashi K

    更新日期:2013-02-01 00:00:00

  • An immunohistochemical analysis-based decision tree model for estimating the risk of lymphatic metastasis in pN0 squamous cell carcinomas of the lung.

    abstract:AIMS:Lung cancer patients within the pN0 category have a significantly different outcome. The aim of this study was to develop a mathematical model to assist in predicting the prognosis of pN0 lung squamous cell carcinoma (SCC). METHODS AND RESULTS:Twenty-three proteins were examined by immunohistochemical (IHC) analy...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2011.04013.x

    authors: Liu Y,Lin D,Xiao T,Ma Y,Hu Z,Zheng H,Zheng S,Liu Y,Li M,Li L,Cao Y,Guo S,Han N,Di X,Zhang K,Cheng S,Gao Y

    更新日期:2011-11-01 00:00:00

  • High expression of MDR-1 gene and P-glycoprotein in initial and re-biopsy specimens of relapsed B-cell lymphoma.

    abstract:AIMS:Multidrug resistance (MDR) is a major obstacle in the treatment of lymphoma. The expression of MDR-1 mRNA and P-glycoprotein (MDR-1/P-gp) has been linked to MDR. We aimed to investigate the expression of MDR-1/P-gp in B-cell lymphoma. METHODS AND RESULTS:Samples at diagnosis and relapse from 10 patients with B-ce...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.2001.01076.x

    authors: Liu Q,Ohshima K,Kikuchi M

    更新日期:2001-03-01 00:00:00