MUC5AC-negative phenotype is correlated with poor patient prognosis of pancreas head ductal carcinoma.

  • Sakuraba Shingo
    Department of Pathology and Bioscience, Hirosaki University Graduate School of Medicine Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Morohashi Satoko
    Department of Pathology and Bioscience, Hirosaki University Graduate School of Medicine
  • Yoshizawa Tadashi
    Department of Pathology and Bioscience, Hirosaki University Graduate School of Medicine
  • Tsutsumi Shinji
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Kimura Norihisa
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Kudo Daisuke
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Ishido Keinosuke
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Toyoki Yoshikazu
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Hakamada Kenichi
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Kijima Hiroshi
    Department of Pathology and Bioscience, Hirosaki University Graduate School of Medicine

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抄録

    Both pancreas head ductal carcinoma (PHDC) and distal bile duct carcinoma (DBDC) are located within the pancreas head/intra-pancreatic bile duct region, and are the most aggressive malignancies with poor patient prognosis. In the present study, we demonstrated clinicopathological features and patients prognosis of PHDC/DBDC. We examined total 87 surgically resected cases of PHDC (40 cases) and DBDC (47 cases). PHDC showed frequent neural invasion (85.0%) and lymph node metastasis (77.5%), compared with DBDC (57.4% and 40.4% respectively), resulting in the poorer prognosis (P=0.0219) than DBDC. In addition, PHDC expressed MUC2 (10.0%) and MUC6 (25.0%) less frequently, compared with DBDC (36.2% and 55.3%, respectively). MUC5AC-negative PHDC exhibited significantly poorer patient’s prognosis, compared with MUC5AC-positive PHDC (P=0.0111), MUC5ACpositive DBDC (P=0.000162), and MUC5AC-negative DBDC (P=0.00416). In conclusion, MUC5AC-negative PHDC showed significantly poor patient's prognosis.

収録刊行物

  • 弘前医学

    弘前医学 66 (1), 28-37, 2015

    弘前大学大学院医学研究科・弘前医学会

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