PMID- 7902202 OWN - NLM STAT- MEDLINE DCOM- 19931223 LR - 20190620 IS - 0008-543X (Print) IS - 0008-543X (Linking) VI - 72 IP - 11 DP - 1993 Dec 1 TI - Overexpression of c-erbB-2 protein in gastric cancer. Its correlation with long-term survival of patients. PG - 3179-84 AB - BACKGROUND: Overexpression of c-erbB-2 protein in breast cancer has been reported to be associated with poor prognosis. However, clinical significance of c-erbB-2 protein overexpression has not been demonstrated clearly in gastric cancer. METHODS: Immunohistochemical reactivity to c-erbB-2 protein was examined in formalin-fixed, paraffin-embedded tissue sections from patients with gastric cancer. RESULTS: First, primary stomach cancers in 106 patients were examined. Among 58 cases of papillary or well- to moderately differentiated tubular adenocarcinoma, staining of c-erbB-2 protein was positive on the plasma membrane of cancer cells in 8 cases (14%). Conversely, among 47 cases of poorly differentiated adenocarcinoma or signet ring cell carcinoma, positive staining of c-erbB-2 protein was detected in one case only (2%), where the histopathologic type was poorly differentiated adenocarcinoma with a cohesive structure. Among tubular adenocarcinomas, no significant association was shown between overexpression of c-erbB-2 protein and the depth of tumor invasion, extent of lymph node metastasis, or tumor location. To investigate the correlation between the staining of c-erbB-2 protein and prognosis in gastric cancer, an additional 108 cases of papillary or well- to moderately differentiated tubular adenocarcinoma invasive as far as the muscularis propria were examined immunohistochemically for expression of c-erbB-2 protein. Twelve cases (11%) showed positive staining on the plasma membrane, and their survival curve showed a significantly poorer prognosis (P < 0.01). CONCLUSIONS: These results suggest that overexpression of c-erbB-2 protein occurs selectively in cohesive gastric cancer, and it can be considered an important prognostic indicator. FAU - Uchino, S AU - Uchino S AD - Pathology Division, National Cancer Center Research Institute, Tokyo, Japan. FAU - Tsuda, H AU - Tsuda H FAU - Maruyama, K AU - Maruyama K FAU - Kinoshita, T AU - Kinoshita T FAU - Sasako, M AU - Sasako M FAU - Saito, T AU - Saito T FAU - Kobayashi, M AU - Kobayashi M FAU - Hirohashi, S AU - Hirohashi S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer JT - Cancer JID - 0374236 RN - 0 (Biomarkers, Tumor) RN - 0 (Proto-Oncogene Proteins) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adenocarcinoma/genetics/metabolism/pathology/secondary MH - Adenocarcinoma, Papillary/genetics/metabolism/pathology/secondary MH - Biomarkers, Tumor/analysis/biosynthesis/*genetics MH - Carcinoma, Signet Ring Cell/genetics/metabolism/pathology MH - Cell Membrane/metabolism/ultrastructure MH - ErbB Receptors/analysis/biosynthesis/*genetics MH - Follow-Up Studies MH - Gastric Mucosa/metabolism/pathology MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - Lymphatic Metastasis/pathology MH - Neoplasm Invasiveness MH - Neoplasm Recurrence, Local MH - Prognosis MH - Proto-Oncogene Proteins/analysis/biosynthesis/*genetics MH - Receptor, ErbB-2 MH - Stomach Neoplasms/genetics/*metabolism/pathology MH - Survival Rate EDAT- 1993/12/01 00:00 MHDA- 1993/12/01 00:01 CRDT- 1993/12/01 00:00 PHST- 1993/12/01 00:00 [pubmed] PHST- 1993/12/01 00:01 [medline] PHST- 1993/12/01 00:00 [entrez] AID - 10.1002/1097-0142(19931201)72:11<3179::aid-cncr2820721108>3.0.co;2-# [doi] PST - ppublish SO - Cancer. 1993 Dec 1;72(11):3179-84. doi: 10.1002/1097-0142(19931201)72:11<3179::aid-cncr2820721108>3.0.co;2-#.