PMID- 9758367 OWN - NLM STAT- MEDLINE DCOM- 19981202 LR - 20151119 IS - 0893-3952 (Print) IS - 0893-3952 (Linking) VI - 11 IP - 9 DP - 1998 Sep TI - Prognostic factors in gastric cancer. PG - 870-7 AB - Molecular assays related to cell proliferation correlate with stage and/or survival in a variety of tumors. We immunostained formalin-fixed, paraffin-embedded tissue sections from 61 patients with gastric adenocarcinoma (21 biopsy and 40 gastrectomy specimens) for cyclin A, cyclin B1, p34cdc2, p120, MIB1, and proliferating cell nuclear antigen (PCNA) by automated methods. HER-2/neu gene amplification was analyzed by automated fluorescence in situ hybridization (FISH). Immununostains, FISH results, and pathologic stage were compared with length of survival. Forty-three percent of the cases showed amplification of HER-2/neu. Sixty-two percent of cases showed positive immunostaining for cyclin A, 38% for cyclin B1, 31% for p34cdc2, 49% for p120, 69% for MIB1, and 33% for PCNA. On univariate analysis, pathologic stage (P = .003) and HER-2/neu gene amplification (P < .001) correlated with length of survival. Cyclin A, cyclin B1, p34cdc2, p120, MIB1, and PCNA did not correlate with survival. On multivariate analysis, pathologic stage (P = .015) and HER-2/neu gene amplification (P = .002) independently predicted survival. These correlations were unrelated to tubular or signet ring cell histologic characteristics or to location within the cardia or more distally. Pathologic stage and HER-2/neu gene amplification by FISH were independent prognostic factors in gastric cancer, but the various proliferation markers that we studied did not correlate with survival. FAU - Brien, T P AU - Brien TP AD - Department of Pathology and Laboratory Medicine, Albany Medical College and S. Stratton Veterans Administration Medical Center, New York 12208, USA. FAU - Depowski, P L AU - Depowski PL FAU - Sheehan, C E AU - Sheehan CE FAU - Ross, J S AU - Ross JS FAU - McKenna, B J AU - McKenna BJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Mod Pathol JT - Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc JID - 8806605 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/metabolism MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Prognosis MH - Receptor, ErbB-2/metabolism MH - Stomach Neoplasms/*diagnosis/metabolism/mortality/pathology MH - Survival Rate EDAT- 1998/10/03 00:00 MHDA- 1998/10/03 00:01 CRDT- 1998/10/03 00:00 PHST- 1998/10/03 00:00 [pubmed] PHST- 1998/10/03 00:01 [medline] PHST- 1998/10/03 00:00 [entrez] PST - ppublish SO - Mod Pathol. 1998 Sep;11(9):870-7.