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ArticleTitle Evaluation of prognostic factors and PCNA expression for pulmonary metastatic tumors of colorectal carcinoma
AuthorList Shinji Matsushima1, Hideki Yamamoto1, Seiji Suzuki1, Kaku Egami1, Masatomo Yoshioka1, Nobutaka Yamada2 and Shigeo Tanaka3
Affiliation 1Department of Surgery of TamaNagayama Hospital, Nippon Medical School22nd Department of Pathology and 32nd Department of Surgery, Nippon Medical School
Language EN
Volume 67
Issue 1
Year 2000
Page 28-31
Received August 19, 1999
Accepted October 15, 1999
Keywords pulmonary metastatic tumor, colorectal carcinoma, PCNA, prognostic factor
Abstract The present study was conducted to evaluate clinicopathologically 26 patients whose primary colorectal carcinoma and resulting pulmonary metastatic tumors had been resected, and to determine the relationship between tumor progress and prognosis by PCNA immunostaining. Patients with solitary pulmonary metastasis were found to have much better prognoses than those with multiple metastasis. There was no correlation between tumor size of pulmonary metastasis and prognosis. Survival rates of patients with disease-free intervals (DFIs) of 2 years or longer were higher than for those with DFIs of less than 2 years. Mean PCNA expression of pulmonary metastatic lesions was significantly higher than that of primary lesions. It was suggested that the higher PCNA expression stemming from the relation between depth of tumor invasion and PCNA expression was greater with tumor progress.
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