首页|Lack of CD44 variant 6 expression in rectal cancer invasive front associates with early recurrence
Lack of CD44 variant 6 expression in rectal cancer invasive front associates with early recurrence
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NETL
NSTL
万方数据
维普
AIM:To investigate the prognostic value of CD44 variant 6 (CD44v6),a membranous adhesion molecule,in rectal cancer.METHODS:Altogether,210 rectal cancer samples from 214 patients treated with short-course radiotherapy (RT,n =90),long-course (chemo) RT (n =53) or surgery alone (n =71) were studied with immunohistochemistry for CD44v6.The extent and intensity of membranous and cytoplasmic CD44v6 staining,and the intratumoral membranous staining pattern,were analyzed.RESULTS:Membranous CD44v6 expression was seen in 84% and cytoplasmic expression in 81% of the cases.In 59% of the tumors with membranous CD44v6 expression,the staining pattern in the invasive front was determined as "front-positive" and in 41% as "front-negative".The latter pattern was associated with narrower circumferential margin (P =0.01),infiltrative growth pattern (P < 0.001),and shorter disease-free survival in univariate survival analysis (P =0.022) when compared to the "front-positive" tumors.CONCLUSION:The lack of membranous CD44v6 in the rectal cancer invasive front could be used as a method to identify patients at increased risk for recurrent disease.