Impact of p16 expression on surgical management of malignant melanoma and pancreatic carcinoma

Background: Recent advances in molecular oncology have provided explanations at the DNA level for the malignant transformation and metastatic potential of various cancers. Malignant melanoma and pancreatic cancer may be classified together in both these cancers exhibit mutations in, or loss of, the...

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Veröffentlicht in:The American journal of surgery 1999, Vol.177 (1), p.15-18
Hauptverfasser: Bullock, Gloria J, Green, Judith L, Baron, Paul L
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Green, Judith L
Baron, Paul L
description Background: Recent advances in molecular oncology have provided explanations at the DNA level for the malignant transformation and metastatic potential of various cancers. Malignant melanoma and pancreatic cancer may be classified together in both these cancers exhibit mutations in, or loss of, the cell-cycle inhibitory gene, p16. This paper reviews the current literature on p16 expression in melanoma and pancreatic cancer, explores factors that place patients with these cancers in categories of high risk for metastases or recurrence, and addresses whether aberrant gene expressions should influence awareness of and current recommendations for the management of these aggressive cancers. Methods: A computerized literature search was performed utilizing OVID Technology’s Medline database from 1993 to 1998. Results: Both familial as well as sporadic cases of malignant melanoma and pancreatic carcinoma are reported in the literature. Although a low percentage of cases of either malignancy have p16 mutations, a higher risk of their development has been reported to occur in certain families with p16 germline mutations. Conclusions: The increased risk determined in these families may serve to heighten awareness of the influence of positive family history of these cancers in the evaluation of patients.
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Malignant melanoma and pancreatic cancer may be classified together in both these cancers exhibit mutations in, or loss of, the cell-cycle inhibitory gene, p16. This paper reviews the current literature on p16 expression in melanoma and pancreatic cancer, explores factors that place patients with these cancers in categories of high risk for metastases or recurrence, and addresses whether aberrant gene expressions should influence awareness of and current recommendations for the management of these aggressive cancers. Methods: A computerized literature search was performed utilizing OVID Technology’s Medline database from 1993 to 1998. Results: Both familial as well as sporadic cases of malignant melanoma and pancreatic carcinoma are reported in the literature. Although a low percentage of cases of either malignancy have p16 mutations, a higher risk of their development has been reported to occur in certain families with p16 germline mutations. Conclusions: The increased risk determined in these families may serve to heighten awareness of the influence of positive family history of these cancers in the evaluation of patients.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(98)00297-9</identifier><identifier>PMID: 10037301</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Cancer ; Cell cycle ; Cell growth ; Cyclin-Dependent Kinase Inhibitor p16 - genetics ; Cyclin-dependent kinases ; Deoxyribonucleic acid ; DNA ; Family medical history ; Gastroenterology. Liver. Pancreas. Abdomen ; Gene Expression Regulation, Neoplastic - physiology ; Genes ; Genetic engineering ; Genetic Predisposition to Disease - genetics ; Genetic testing ; Genetics ; Germ-Line Mutation - genetics ; Humans ; Kinases ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Malignancy ; Medical sciences ; Melanoma ; Melanoma - genetics ; Metastases ; Metastasis ; Mutation ; Mutation - genetics ; Pancreatic cancer ; Pancreatic carcinoma ; Pancreatic Neoplasms - genetics ; Polymorphism ; Prognosis ; Proteins ; Risk ; Signal transduction ; Skin cancer ; Skin Neoplasms - genetics ; Tomography ; Tumors</subject><ispartof>The American journal of surgery, 1999, Vol.177 (1), p.15-18</ispartof><rights>1999 Excerpta Medica Inc.</rights><rights>1999 INIST-CNRS</rights><rights>1999. 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Malignant melanoma and pancreatic cancer may be classified together in both these cancers exhibit mutations in, or loss of, the cell-cycle inhibitory gene, p16. This paper reviews the current literature on p16 expression in melanoma and pancreatic cancer, explores factors that place patients with these cancers in categories of high risk for metastases or recurrence, and addresses whether aberrant gene expressions should influence awareness of and current recommendations for the management of these aggressive cancers. Methods: A computerized literature search was performed utilizing OVID Technology’s Medline database from 1993 to 1998. Results: Both familial as well as sporadic cases of malignant melanoma and pancreatic carcinoma are reported in the literature. Although a low percentage of cases of either malignancy have p16 mutations, a higher risk of their development has been reported to occur in certain families with p16 germline mutations. Conclusions: The increased risk determined in these families may serve to heighten awareness of the influence of positive family history of these cancers in the evaluation of patients.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10037301</pmid><doi>10.1016/S0002-9610(98)00297-9</doi><tpages>4</tpages></addata></record>
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subjects Biological and medical sciences
Cancer
Cell cycle
Cell growth
Cyclin-Dependent Kinase Inhibitor p16 - genetics
Cyclin-dependent kinases
Deoxyribonucleic acid
DNA
Family medical history
Gastroenterology. Liver. Pancreas. Abdomen
Gene Expression Regulation, Neoplastic - physiology
Genes
Genetic engineering
Genetic Predisposition to Disease - genetics
Genetic testing
Genetics
Germ-Line Mutation - genetics
Humans
Kinases
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Malignancy
Medical sciences
Melanoma
Melanoma - genetics
Metastases
Metastasis
Mutation
Mutation - genetics
Pancreatic cancer
Pancreatic carcinoma
Pancreatic Neoplasms - genetics
Polymorphism
Prognosis
Proteins
Risk
Signal transduction
Skin cancer
Skin Neoplasms - genetics
Tomography
Tumors
title Impact of p16 expression on surgical management of malignant melanoma and pancreatic carcinoma
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