Clinical significance of proliferation index and E-cadherin expression in colorectal adenocarcinoma

Introduction/Objective. The aim of this study is to examine the association of E-cadherin expression and high proliferation index (proIDX) with clinical and pathological indicators of colorectal cancer progression. Methods. The biopsy of 72 patients, obtained by resection of colorectal cancer, was r...

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Main Authors: Žujović Janko, Vuletić Milena, Stojanović Miroslav, Lazović Ranko, Đorđević Nebojša, Radunović Miodrag, Jančić Snežana, Milošević Velimir
Format: Article
Language:English
Published: Serbian Medical Society 2021-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2021/0370-81792100055Z.pdf
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author Žujović Janko
Vuletić Milena
Stojanović Miroslav
Lazović Ranko
Đorđević Nebojša
Radunović Miodrag
Jančić Snežana
Milošević Velimir
author_facet Žujović Janko
Vuletić Milena
Stojanović Miroslav
Lazović Ranko
Đorđević Nebojša
Radunović Miodrag
Jančić Snežana
Milošević Velimir
author_sort Žujović Janko
collection DOAJ
description Introduction/Objective. The aim of this study is to examine the association of E-cadherin expression and high proliferation index (proIDX) with clinical and pathological indicators of colorectal cancer progression. Methods. The biopsy of 72 patients, obtained by resection of colorectal cancer, was routinely processed at the Institute of Pathology of the Clinical Centre of Montenegro, embedded in paraffin and archived. Based on the archived pathohistological reports, two study groups were formed: the first group (n = 72) consisted of operative biopsies of colorectal cancer, and the control group (n = 72) consisted of biopsies of adjacent non-tumor tissue. Routine hematoxylin-eosin and immunohistochemical avidin-biotin-peroxidase complex method with anti-Ki67 and anti-E-cadherin antibodies was applied on. After quantification of the results for statistical tests, the software package SPSS for Windows (19.0) was used. Results. In colorectal carcinoma, we observed a significant association of proIDX with pT stage, lymph and blood vessel invasion, perineural invasion, lymph node metastases and distant metastases, and Astler–Coller stage tumor disease. We also observed that the absence of E-cadherin was significantly associated with pT stage, lymph and blood vessel invasion, perineural invasion with lymph node metastases, distant metastases, with C2 and D Astler–Coller tumor stage. E-cadherin expression is associated with proIDX with a significantly high, negative correlation coefficient. Conclusion. Our results indicate that it is possible to differentiate patients into groups with a higher or lower risk of developing metastatic disease, based on the expression of Ki67 and E-cadherin.
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spelling doaj.art-ed2b6915671d4708b0453ddffeca4c1b2022-12-21T20:07:44ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792406-08952021-01-011499-1055856510.2298/SARH200929055Z0370-81792100055ZClinical significance of proliferation index and E-cadherin expression in colorectal adenocarcinomaŽujović Janko0Vuletić Milena1https://orcid.org/0000-0003-3450-0241Stojanović Miroslav2Lazović Ranko3Đorđević Nebojša4https://orcid.org/0000-0003-1490-2227Radunović Miodrag5Jančić Snežana6Milošević Velimir7Clinical Centre of Montenegro, Centre for Abdominal Surgery, Podgorica, MontenegroUniversity of Kragujevac, Faculty of Medical Sciences, Department of Pathology, Kragujevac, SerbiaUniversity of Niš, Faculty of Medicine, Niš, SerbiaUniversity of Montenegro, Faculty of Medicine, Podgorica, MontenegroUniversity of Niš, Faculty of Medicine, Niš, SerbiaUniversity of Montenegro, Faculty of Medicine, Podgorica, MontenegroUniversity of Kragujevac, Faculty of Medical Sciences, Department of Pathology, Kragujevac, SerbiaCodra Hospital, Podgorica, MontenegroIntroduction/Objective. The aim of this study is to examine the association of E-cadherin expression and high proliferation index (proIDX) with clinical and pathological indicators of colorectal cancer progression. Methods. The biopsy of 72 patients, obtained by resection of colorectal cancer, was routinely processed at the Institute of Pathology of the Clinical Centre of Montenegro, embedded in paraffin and archived. Based on the archived pathohistological reports, two study groups were formed: the first group (n = 72) consisted of operative biopsies of colorectal cancer, and the control group (n = 72) consisted of biopsies of adjacent non-tumor tissue. Routine hematoxylin-eosin and immunohistochemical avidin-biotin-peroxidase complex method with anti-Ki67 and anti-E-cadherin antibodies was applied on. After quantification of the results for statistical tests, the software package SPSS for Windows (19.0) was used. Results. In colorectal carcinoma, we observed a significant association of proIDX with pT stage, lymph and blood vessel invasion, perineural invasion, lymph node metastases and distant metastases, and Astler–Coller stage tumor disease. We also observed that the absence of E-cadherin was significantly associated with pT stage, lymph and blood vessel invasion, perineural invasion with lymph node metastases, distant metastases, with C2 and D Astler–Coller tumor stage. E-cadherin expression is associated with proIDX with a significantly high, negative correlation coefficient. Conclusion. Our results indicate that it is possible to differentiate patients into groups with a higher or lower risk of developing metastatic disease, based on the expression of Ki67 and E-cadherin.http://www.doiserbia.nb.rs/img/doi/0370-8179/2021/0370-81792100055Z.pdfcolorectal cancere-cadherin expressionproliferative indexclinical significance
spellingShingle Žujović Janko
Vuletić Milena
Stojanović Miroslav
Lazović Ranko
Đorđević Nebojša
Radunović Miodrag
Jančić Snežana
Milošević Velimir
Clinical significance of proliferation index and E-cadherin expression in colorectal adenocarcinoma
Srpski Arhiv za Celokupno Lekarstvo
colorectal cancer
e-cadherin expression
proliferative index
clinical significance
title Clinical significance of proliferation index and E-cadherin expression in colorectal adenocarcinoma
title_full Clinical significance of proliferation index and E-cadherin expression in colorectal adenocarcinoma
title_fullStr Clinical significance of proliferation index and E-cadherin expression in colorectal adenocarcinoma
title_full_unstemmed Clinical significance of proliferation index and E-cadherin expression in colorectal adenocarcinoma
title_short Clinical significance of proliferation index and E-cadherin expression in colorectal adenocarcinoma
title_sort clinical significance of proliferation index and e cadherin expression in colorectal adenocarcinoma
topic colorectal cancer
e-cadherin expression
proliferative index
clinical significance
url http://www.doiserbia.nb.rs/img/doi/0370-8179/2021/0370-81792100055Z.pdf
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