Mucin expression in gastric cancer: reappraisal of its clinicopathologic and prognostic significance.

Abstract:

CONTEXT:The clinical validity of mucin expression in gastric cancer is debated. Whereas several reports demonstrate a correlation between mucin expression and prognosis, others deny such an association. OBJECTIVES:This survival analysis study aims to elucidate the prognostic significance of mucin expression in gastric cancer. DESIGN:A retrospective survival analysis was done with 412 cases of gastric cancer characterized on the basis of MUC immunohistochemistry using MUC2, MUC5AC, MUC6, and CD10 antibodies; the cases were divided into those with a gastric, an intestinal, or a null mucin phenotype based on the predominant mucin. RESULTS:There was no association between mucin expression and survival when considering overall gastric cancers or the advanced gastric cancer subtype. However, early gastric cancers with a gastric mucin phenotype showed longer survival than those with an intestinal mucin phenotype (P = .01) or a null phenotype (P = .01). In particular, MUC5AC-positive early gastric cancers resulted in longer survival than did those that did not express MUC5AC (P = .009). The loss of MUC5AC expression was identified as an independent, poor prognostic factor in early gastric cancers using the Cox regression proportional hazard model (hazard ratio, 3.50; P = .045). CONCLUSIONS:MUC5AC expression is significantly associated with patient survival and can be used to predict outcomes in the gastric cancers, especially in the early gastric cancers.

journal_name

Arch Pathol Lab Med

authors

Kim DH,Shin N,Kim GH,Song GA,Jeon TY,Kim DH,Lauwers GY,Park DY

doi

10.5858/arpa.2012-0193-OA

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

1047-53

issue

8

eissn

0003-9985

issn

1543-2165

journal_volume

137

pub_type

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