Isolated Tumor Cells and Circulating CK20 mRNA in pN0 Colorectal Cancer Patients

Micrometastases in lymph nodes and blood may provide important prognostic information. In this study, cytokeratin 20 (CK20) positive cells in lymph nodes and circulating CK20 mRNA were studied using 57 paraffin-embedded lymph node specimens and blood from 24 patients with pN0 colorectal cancer (CRC)...

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Veröffentlicht in:International journal of surgical pathology 2008-04, Vol.16 (2), p.119-126
Hauptverfasser: Wong, Cesar Sze-Chuen, Cheung, Mong-Tong, Ma, Brigette Buig-Yue, Pun Hui, Edwin, Chan, Alex Chak-Lam, Chan, Chi-Kin, Lee, King-Chung, Cheuk, Wah, Lam, Money Yan-Yee, Wong, Manson Chi-Keung, Chan, Charles Ming-Lok, Chan, John Kwok-Cheung, Chan, Anthony Tak-Cheung
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container_end_page 126
container_issue 2
container_start_page 119
container_title International journal of surgical pathology
container_volume 16
creator Wong, Cesar Sze-Chuen
Cheung, Mong-Tong
Ma, Brigette Buig-Yue
Pun Hui, Edwin
Chan, Alex Chak-Lam
Chan, Chi-Kin
Lee, King-Chung
Cheuk, Wah
Lam, Money Yan-Yee
Wong, Manson Chi-Keung
Chan, Charles Ming-Lok
Chan, John Kwok-Cheung
Chan, Anthony Tak-Cheung
description Micrometastases in lymph nodes and blood may provide important prognostic information. In this study, cytokeratin 20 (CK20) positive cells in lymph nodes and circulating CK20 mRNA were studied using 57 paraffin-embedded lymph node specimens and blood from 24 patients with pN0 colorectal cancer (CRC), respectively. Results showed that 29 out of 56 (52%) lymph node specimens had CK20-positive cells (range: 1-35). Follow-up of the patients for 12 months indicated that 4 patients (7%) had CRC metastases to liver, lung, and bone. In addition, 8 out of 24 (33%) samples had at least 2-fold circulating CK20 mRNA expression higher than the pooled normal sample. This study provides evidence that CK20-positive cells were found in the lymph nodes and differentially expressed circulating CK20 mRNA was also detected in the blood from patients with pN0 CRC. Long-term follow-up is necessary to study their prognostic use in patients with non-metastatic CRC.
doi_str_mv 10.1177/1066896907311901
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In this study, cytokeratin 20 (CK20) positive cells in lymph nodes and circulating CK20 mRNA were studied using 57 paraffin-embedded lymph node specimens and blood from 24 patients with pN0 colorectal cancer (CRC), respectively. Results showed that 29 out of 56 (52%) lymph node specimens had CK20-positive cells (range: 1-35). Follow-up of the patients for 12 months indicated that 4 patients (7%) had CRC metastases to liver, lung, and bone. In addition, 8 out of 24 (33%) samples had at least 2-fold circulating CK20 mRNA expression higher than the pooled normal sample. This study provides evidence that CK20-positive cells were found in the lymph nodes and differentially expressed circulating CK20 mRNA was also detected in the blood from patients with pN0 CRC. 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subjects Adenocarcinoma - genetics
Adenocarcinoma - secondary
Adult
Aged
Aged, 80 and over
Biomarkers, Tumor - genetics
Biomarkers, Tumor - metabolism
Cell Count
Colorectal Neoplasms - genetics
Colorectal Neoplasms - pathology
Female
Humans
Immunohistochemistry
Keratin-20 - genetics
Keratin-20 - metabolism
Lymph Nodes - metabolism
Lymph Nodes - pathology
Lymphatic Metastasis
Male
Middle Aged
Neoplastic Cells, Circulating - metabolism
RNA, Messenger - analysis
RNA, Neoplasm - analysis
title Isolated Tumor Cells and Circulating CK20 mRNA in pN0 Colorectal Cancer Patients
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