PMID- 15513363 OWN - NLM STAT- MEDLINE DCOM- 20041123 LR - 20220330 IS - 0036-5521 (Print) IS - 0036-5521 (Linking) VI - 39 IP - 8 DP - 2004 Aug TI - Prognostic relevance of 20q13 gains in sporadic colorectal cancers: a FISH analysis. PG - 766-72 AB - BACKGROUND: Amplification of 20q13 is a frequent chromosomal alteration in solid tumors and harbors a number of putative oncogenes (CAS/CSE1-L, NABC1, or Aurora2). Amplifications on 20q13 have been identified as an independent prognostic marker indicating worse survival in breast and ovarian cancer. However, little is known about the prognostic significance of 20q13 gains in sporadic colorectal cancers. The aim of this study was to correlate 20q13 gains in sporadic colorectal cancers with other known prognostic factors, tumor progression, and overall survival. METHODS: Nuclei were extracted from 146 paraffin-embedded colorectal cancers of different UICC stages and used for fluorescence in situ hybridization (FISH) with a directly labeled probe for 20q13.2 (VYSIS). Signals were counted in 120 nuclei per sample. 20q13 was considered gained when > or =40% of the nuclei showed 3 or more FISH signals. Statistical correlations were tested with log-rank tests and Kaplan-Meier survival curves. RESULTS: Signal numbers for 20q13.2 were gained in 78 cases (53%). Cases with gains on 20q13.2 showed worse outcome than cases without: the gain of 20q13.2 was an independent prognostic marker for overall survival (P=0.006) as well as tumor progression (P=0.012) in univariate and multivariate analyses. Gains on 20q13.2 did not correlate with tumor stage. However, there was a significant association between 20q13.2 gains and tumor location in the left-sided colon and an inverse correlation between histologic grade and 20q13.2 gains. CONCLUSION: These data indicate that gains on 20q13.2 correlate with faster tumor progression and worse patient survival independent from tumor size and lymph node involvement. Therefore, alterations on 20q13 are an important biological event in colorectal tumor progression with independent prognostic relevance. FAU - Aust, D E AU - Aust DE AD - Pathologisches Institut der Ludwig-Maximilians-Universitat, Munchen, Germany. Daniela.Aust@pathologie.med.tu-dresden.de FAU - Muders, M AU - Muders M FAU - Kohler, A AU - Kohler A FAU - Schmidt, M AU - Schmidt M FAU - Diebold, J AU - Diebold J FAU - Muller, C AU - Muller C FAU - Lohrs, U AU - Lohrs U FAU - Waldman, F M AU - Waldman FM FAU - Baretton, G B AU - Baretton GB LA - eng PT - Journal Article PL - England TA - Scand J Gastroenterol JT - Scandinavian journal of gastroenterology JID - 0060105 RN - 0 (Tumor Suppressor Protein p53) SB - IM MH - Adenoma/genetics MH - Chromosomes, Human, Pair 20/*genetics MH - Colorectal Neoplasms/chemistry/*genetics MH - Female MH - *Gene Amplification MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Prognosis MH - Tumor Suppressor Protein p53/analysis EDAT- 2004/10/30 09:00 MHDA- 2004/12/16 09:00 CRDT- 2004/10/30 09:00 PHST- 2004/10/30 09:00 [pubmed] PHST- 2004/12/16 09:00 [medline] PHST- 2004/10/30 09:00 [entrez] AID - HJL188VYT9UACXGE [pii] AID - 10.1080/00365520410003191 [doi] PST - ppublish SO - Scand J Gastroenterol. 2004 Aug;39(8):766-72. doi: 10.1080/00365520410003191.