PMID- 36369892 OWN - NLM STAT- MEDLINE DCOM- 20230504 LR - 20230505 IS - 1349-7006 (Electronic) IS - 1347-9032 (Print) IS - 1347-9032 (Linking) VI - 114 IP - 5 DP - 2023 May TI - Clinicopathological features and prognostic impact of dirty necrosis in metastatic lung cancers from the colon and rectum. PG - 2169-2177 LID - 10.1111/cas.15647 [doi] AB - Dirty necrosis (DN) is a form of tumor necrosis (TN) with prominent neutrophil infiltration and cell detritus in the necrotic foci. This study aimed to characterize the clinicopathological features of DN in metastatic lung cancers of the colon and rectum (MLCRs). A total of 227 patients who underwent pulmonary metastasectomy and complete resection for MLCR were included in this study. TN was evaluated using digitally scanned resection specimens. These slides were immunostained for biomarkers of NETosis (citrullinated histone H3 [citH3] and myeloperoxidase [MPO]), and the area positive for citH3 and MPO was further quantified. TN was observed in 216 cases (95.2%), and 54 (25.0%) of these cases had DN. The presence of TN was not associated with a worse prognosis; however, patients with DN had a significantly shorter overall survival than those without DN (p < 0.01). Furthermore, the presence of DN was a poor prognostic factor in both the univariate and multivariate analyses. Immunohistochemical analysis revealed that the percentage of citH3-positive and MPO-positive areas in the DN-positive cases was significantly higher than that in the DN-negative cases (p < 0.01 and p < 0.01, respectively). In surgically resected MLCR, DN is the characteristic TN subtype associated with poor prognosis and neutrophil extracellular traps (NETs). CI - (c) 2022 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association. FAU - Konishi, Yasuhito AU - Konishi Y AD - Department of Pathology and Clinical Laboratories, National Cancer Center Hospital East, Kashiwa, Japan. AD - Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan. AD - Departments of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan. FAU - Taki, Tetsuro AU - Taki T AD - Department of Pathology and Clinical Laboratories, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Nakai, Tokiko AU - Nakai T AD - Department of Pathology and Clinical Laboratories, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Kuroe, Takashi AU - Kuroe T AUID- ORCID: 0000-0002-2366-2467 AD - Department of Pathology and Clinical Laboratories, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Morisue, Ryo AU - Morisue R AD - Division of Pathology, Exploratory Oncology Research and Clinical Trial Center, National Cancer Center, Kashiwa, Japan. AD - Department of Hepatobiliary and Pancreatic Surgery, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Miyoshi, Tomohiro AU - Miyoshi T AD - Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Tane, Kenta AU - Tane K AUID- ORCID: 0000-0002-7737-8277 AD - Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Samejima, Joji AU - Samejima J AD - Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Aokage, Keiju AU - Aokage K AD - Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Miyazaki, Saori AU - Miyazaki S AD - Department of Pathology and Clinical Laboratories, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Sakamoto, Naoya AU - Sakamoto N AUID- ORCID: 0000-0001-6273-0189 AD - Department of Pathology and Clinical Laboratories, National Cancer Center Hospital East, Kashiwa, Japan. AD - Division of Pathology, Exploratory Oncology Research and Clinical Trial Center, National Cancer Center, Kashiwa, Japan. FAU - Sakashita, Shingo AU - Sakashita S AD - Department of Pathology and Clinical Laboratories, National Cancer Center Hospital East, Kashiwa, Japan. AD - Division of Pathology, Exploratory Oncology Research and Clinical Trial Center, National Cancer Center, Kashiwa, Japan. FAU - Watanabe, Reiko AU - Watanabe R AD - Department of Pathology and Clinical Laboratories, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Kojima, Motohiro AU - Kojima M AUID- ORCID: 0000-0002-6150-6545 AD - Department of Pathology and Clinical Laboratories, National Cancer Center Hospital East, Kashiwa, Japan. AD - Division of Pathology, Exploratory Oncology Research and Clinical Trial Center, National Cancer Center, Kashiwa, Japan. FAU - Suzuki, Kenji AU - Suzuki K AD - Departments of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan. FAU - Tsuboi, Masahiro AU - Tsuboi M AD - Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan. FAU - Ishii, Genichiro AU - Ishii G AUID- ORCID: 0000-0001-8637-3323 AD - Department of Pathology and Clinical Laboratories, National Cancer Center Hospital East, Kashiwa, Japan. AD - Division of Innovative Pathology and Laboratory Medicine, Exploratory Oncology Research and Clinical Trial Center, National Cancer Center, Kashiwa, Japan. LA - eng GR - 21H02931/JSPS KAKENHI/ PT - Journal Article DEP - 20221220 PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 RN - 0 (Histones) SB - IM MH - Humans MH - Prognosis MH - *Rectum/pathology MH - Histones MH - *Lung Neoplasms/surgery/pathology MH - Colon/pathology MH - Necrosis MH - Neutrophils/pathology PMC - PMC10154810 OTO - NOTNLM OT - NETosis OT - colon and rectum OT - dirty necrosis OT - metastatic lung cancer OT - tumor necrosis COIS- Dr. Genichiro Ishii is an editorial board member of Cancer Science. EDAT- 2022/11/13 06:00 MHDA- 2023/05/04 12:42 PMCR- 2022/12/20 CRDT- 2022/11/12 03:12 PHST- 2022/10/28 00:00 [revised] PHST- 2022/08/02 00:00 [received] PHST- 2022/11/01 00:00 [accepted] PHST- 2023/05/04 12:42 [medline] PHST- 2022/11/13 06:00 [pubmed] PHST- 2022/11/12 03:12 [entrez] PHST- 2022/12/20 00:00 [pmc-release] AID - CAS15647 [pii] AID - 10.1111/cas.15647 [doi] PST - ppublish SO - Cancer Sci. 2023 May;114(5):2169-2177. doi: 10.1111/cas.15647. Epub 2022 Dec 20.