Clinicopathologic characteristics of patients with nonsmall cell lung carcinoma with elevated serum progastrin‐releasing peptide levels

BACKGROUND Progastrin‐releasing peptide (proGRP) is a specific tumor marker in patients with small cell lung carcinoma (SCLC). It has been reported that serum proGRP levels rarely are elevated in patients with nonsmall cell lung carcinoma (NSCLC); the reported frequency is

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Veröffentlicht in:Cancer 1998-03, Vol.82 (6), p.1056-1061
Hauptverfasser: Goto, Koichi, Kodama, Tetsuro, Hojo, Fumihiko, Kubota, Kaoru, Kakinuma, Ryutaro, Matsumoto, Taketoshi, Ohmatsu, Hironobu, Sekine, Ikuo, Nagai, Kanji, Nishiwaki, Yutaka
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container_end_page 1061
container_issue 6
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container_title Cancer
container_volume 82
creator Goto, Koichi
Kodama, Tetsuro
Hojo, Fumihiko
Kubota, Kaoru
Kakinuma, Ryutaro
Matsumoto, Taketoshi
Ohmatsu, Hironobu
Sekine, Ikuo
Nagai, Kanji
Nishiwaki, Yutaka
description BACKGROUND Progastrin‐releasing peptide (proGRP) is a specific tumor marker in patients with small cell lung carcinoma (SCLC). It has been reported that serum proGRP levels rarely are elevated in patients with nonsmall cell lung carcinoma (NSCLC); the reported frequency is
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It has been reported that serum proGRP levels rarely are elevated in patients with nonsmall cell lung carcinoma (NSCLC); the reported frequency is &lt;3%. The purpose of this study was to examine the clinicopathologic features of NSCLC patients with high serum proGRP levels. METHODS The authors measured serum proGRP levels with a TND‐4 kit, a newly developed enzyme‐linked immunoadsorbent assay, in 544 NSCLC and 206 SCLC patients. Pathologic features were examined using conventional hematoxylin and eosin staining and histochemical and immunohistochemical staining using polyclonal antibodies to proGRP, chromogranin A, calcitonin, and monoclonal antibody to the neural cell adhesion molecule (NCC‐Lu‐243). RESULTS The serum proGRP levels were elevated in 140 SCLC patients (68.0%) and in 23 NSCLC patients (4.2%). Seven of these 23 NSCLC patients had serum proGRP levels ≥ 100 pg/mL. They included two patients with renal dysfunction, one patient diagnosed cytologically with adenocarcinoma without undergoing precise pathologic examination, two patients diagnosed histologically with squamous cell carcinoma with foci of small cell elements, and two patients diagnosed with large cell neuroendocrine carcinoma and poorly differentiated adenocarcinoma, respectively, which showed neuroendocrine differentiation on immunohistologic analysis. The remaining 16 NSCLC patients had serum proGRP levels &lt; 70 pg/mL. CONCLUSIONS Nearly all NSCLC patients had serum proGRP levels &lt; 100 pg/mL. However, if an NSCLC patient presents with a proGRP level ≥ 100 pg/mL, the clinicopathologic features must be examined with regard to the small cell component, neuroendocrine differentiation, and renal dysfunction. Cancer 1998; 82:1056‐61. © 1998 American Cancer Society. In the current study, nearly all nonsmall cell lung carcinoma (NSCLC) patients had serum progastrin‐releasing peptide levels &lt; 100 pg/mL. However, if an NSCLC patient presents with a level ≥ 100 pg/mL, the clinicopathologic features must be examined with regard to the small cell component, neuroendocrine differentiation, and renal dysfunction.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/(SICI)1097-0142(19980315)82:6&lt;1056::AID-CNCR7&gt;3.0.CO;2-C</identifier><identifier>PMID: 9506349</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>New York: John Wiley &amp; Sons, Inc</publisher><subject>Adenocarcinoma - diagnosis ; Adenocarcinoma - pathology ; Adult ; Aged ; Biological and medical sciences ; Biomarkers, Tumor - blood ; Carcinoma, Large Cell - diagnosis ; Carcinoma, Large Cell - pathology ; Carcinoma, Non-Small-Cell Lung - diagnosis ; Carcinoma, Non-Small-Cell Lung - pathology ; Carcinoma, Squamous Cell - diagnosis ; Carcinoma, Squamous Cell - pathology ; Enzyme-Linked Immunosorbent Assay ; Female ; Gastrins - blood ; Humans ; Lung ; Lung Neoplasms - diagnosis ; Lung Neoplasms - pathology ; Male ; Medical sciences ; Middle Aged ; neuroendocrine carcinoma ; nonsmall cell lung carcinoma ; Pneumology ; progastrin‐releasing peptide (proGRP) ; Protein Precursors - blood ; renal dysfunction ; Renal Insufficiency - physiopathology ; small cell lung carcinoma ; Tumors of the respiratory system and mediastinum</subject><ispartof>Cancer, 1998-03, Vol.82 (6), p.1056-1061</ispartof><rights>Copyright © 1998 American Cancer Society</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4787-a4e94c75e8d5c718926850bc6899fb90f4d4e6b2deb26c67a8347beaa0dd16333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F%28SICI%291097-0142%2819980315%2982%3A6%3C1056%3A%3AAID-CNCR7%3E3.0.CO%3B2-C$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F%28SICI%291097-0142%2819980315%2982%3A6%3C1056%3A%3AAID-CNCR7%3E3.0.CO%3B2-C$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1413,1429,27906,27907,45556,45557,46391,46815</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2185652$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9506349$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goto, Koichi</creatorcontrib><creatorcontrib>Kodama, Tetsuro</creatorcontrib><creatorcontrib>Hojo, Fumihiko</creatorcontrib><creatorcontrib>Kubota, Kaoru</creatorcontrib><creatorcontrib>Kakinuma, Ryutaro</creatorcontrib><creatorcontrib>Matsumoto, Taketoshi</creatorcontrib><creatorcontrib>Ohmatsu, Hironobu</creatorcontrib><creatorcontrib>Sekine, Ikuo</creatorcontrib><creatorcontrib>Nagai, Kanji</creatorcontrib><creatorcontrib>Nishiwaki, Yutaka</creatorcontrib><title>Clinicopathologic characteristics of patients with nonsmall cell lung carcinoma with elevated serum progastrin‐releasing peptide levels</title><title>Cancer</title><addtitle>Cancer</addtitle><description>BACKGROUND Progastrin‐releasing peptide (proGRP) is a specific tumor marker in patients with small cell lung carcinoma (SCLC). It has been reported that serum proGRP levels rarely are elevated in patients with nonsmall cell lung carcinoma (NSCLC); the reported frequency is &lt;3%. The purpose of this study was to examine the clinicopathologic features of NSCLC patients with high serum proGRP levels. METHODS The authors measured serum proGRP levels with a TND‐4 kit, a newly developed enzyme‐linked immunoadsorbent assay, in 544 NSCLC and 206 SCLC patients. Pathologic features were examined using conventional hematoxylin and eosin staining and histochemical and immunohistochemical staining using polyclonal antibodies to proGRP, chromogranin A, calcitonin, and monoclonal antibody to the neural cell adhesion molecule (NCC‐Lu‐243). RESULTS The serum proGRP levels were elevated in 140 SCLC patients (68.0%) and in 23 NSCLC patients (4.2%). Seven of these 23 NSCLC patients had serum proGRP levels ≥ 100 pg/mL. They included two patients with renal dysfunction, one patient diagnosed cytologically with adenocarcinoma without undergoing precise pathologic examination, two patients diagnosed histologically with squamous cell carcinoma with foci of small cell elements, and two patients diagnosed with large cell neuroendocrine carcinoma and poorly differentiated adenocarcinoma, respectively, which showed neuroendocrine differentiation on immunohistologic analysis. The remaining 16 NSCLC patients had serum proGRP levels &lt; 70 pg/mL. CONCLUSIONS Nearly all NSCLC patients had serum proGRP levels &lt; 100 pg/mL. However, if an NSCLC patient presents with a proGRP level ≥ 100 pg/mL, the clinicopathologic features must be examined with regard to the small cell component, neuroendocrine differentiation, and renal dysfunction. Cancer 1998; 82:1056‐61. © 1998 American Cancer Society. In the current study, nearly all nonsmall cell lung carcinoma (NSCLC) patients had serum progastrin‐releasing peptide levels &lt; 100 pg/mL. However, if an NSCLC patient presents with a level ≥ 100 pg/mL, the clinicopathologic features must be examined with regard to the small cell component, neuroendocrine differentiation, and renal dysfunction.</description><subject>Adenocarcinoma - diagnosis</subject><subject>Adenocarcinoma - pathology</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Biomarkers, Tumor - blood</subject><subject>Carcinoma, Large Cell - diagnosis</subject><subject>Carcinoma, Large Cell - pathology</subject><subject>Carcinoma, Non-Small-Cell Lung - diagnosis</subject><subject>Carcinoma, Non-Small-Cell Lung - pathology</subject><subject>Carcinoma, Squamous Cell - diagnosis</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Female</subject><subject>Gastrins - blood</subject><subject>Humans</subject><subject>Lung</subject><subject>Lung Neoplasms - diagnosis</subject><subject>Lung Neoplasms - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>neuroendocrine carcinoma</subject><subject>nonsmall cell lung carcinoma</subject><subject>Pneumology</subject><subject>progastrin‐releasing peptide (proGRP)</subject><subject>Protein Precursors - blood</subject><subject>renal dysfunction</subject><subject>Renal Insufficiency - physiopathology</subject><subject>small cell lung carcinoma</subject><subject>Tumors of the respiratory system and mediastinum</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcuKFDEUhgtRxnH0EYRaiMwsqs2lKpceEYfy1jDY4AXG1SGVOtUdqUubVDvMzq07n9EnMWW3vVFwk5Dzf-fw5_xJ8pySGSWEPTl9vygXZ5RomRGas1OqtSKcFmeKzcVTSgoxn18sXmTl2_KdfMZnZFYuz1lW3kqOD023k2NCiMqKnF_dTe6F8Dk-JSv4UXKkCyJ4ro-T72XremeHjRnXQzusnE3t2nhjR_QujM6GdGjSqDrsx5Beu3Gd9kMfOtO2qcV4tNt-lVrjreuHzuwIbPGrGbFOA_ptl278sDJh9K7_-e2Hj6IJLjZtcDO6GtMIYxvuJ3ca0wZ8sL9Pko-vXn4o32SXy9eL8uIys7lUMjM56tzKAlVdWEmVZkIVpLJCad1UmjR5naOoWI0VE1ZIo3guKzSG1DUVnPOT5PFubnT1ZYthhM6F6Semx2EbQGrJiZA0glc70PohBI8NbLzrjL8BSmBKCWBKCaaFw7Rw-JMSKAYCppQAYkrwOyXgQKBcAoMyjn6497CtOqwPg_exRP3RXjfBmrbxprcuHDBGVSEKFrFPO-zatXjzl73_u_uXuV2B_wJllb_u</recordid><startdate>19980315</startdate><enddate>19980315</enddate><creator>Goto, Koichi</creator><creator>Kodama, Tetsuro</creator><creator>Hojo, Fumihiko</creator><creator>Kubota, Kaoru</creator><creator>Kakinuma, Ryutaro</creator><creator>Matsumoto, Taketoshi</creator><creator>Ohmatsu, Hironobu</creator><creator>Sekine, Ikuo</creator><creator>Nagai, Kanji</creator><creator>Nishiwaki, Yutaka</creator><general>John Wiley &amp; Sons, Inc</general><general>Wiley-Liss</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19980315</creationdate><title>Clinicopathologic characteristics of patients with nonsmall cell lung carcinoma with elevated serum progastrin‐releasing peptide levels</title><author>Goto, Koichi ; Kodama, Tetsuro ; Hojo, Fumihiko ; Kubota, Kaoru ; Kakinuma, Ryutaro ; Matsumoto, Taketoshi ; Ohmatsu, Hironobu ; Sekine, Ikuo ; Nagai, Kanji ; Nishiwaki, Yutaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4787-a4e94c75e8d5c718926850bc6899fb90f4d4e6b2deb26c67a8347beaa0dd16333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adenocarcinoma - diagnosis</topic><topic>Adenocarcinoma - pathology</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Biomarkers, Tumor - blood</topic><topic>Carcinoma, Large Cell - diagnosis</topic><topic>Carcinoma, Large Cell - pathology</topic><topic>Carcinoma, Non-Small-Cell Lung - diagnosis</topic><topic>Carcinoma, Non-Small-Cell Lung - pathology</topic><topic>Carcinoma, Squamous Cell - diagnosis</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Female</topic><topic>Gastrins - blood</topic><topic>Humans</topic><topic>Lung</topic><topic>Lung Neoplasms - diagnosis</topic><topic>Lung Neoplasms - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>neuroendocrine carcinoma</topic><topic>nonsmall cell lung carcinoma</topic><topic>Pneumology</topic><topic>progastrin‐releasing peptide (proGRP)</topic><topic>Protein Precursors - blood</topic><topic>renal dysfunction</topic><topic>Renal Insufficiency - physiopathology</topic><topic>small cell lung carcinoma</topic><topic>Tumors of the respiratory system and mediastinum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goto, Koichi</creatorcontrib><creatorcontrib>Kodama, Tetsuro</creatorcontrib><creatorcontrib>Hojo, Fumihiko</creatorcontrib><creatorcontrib>Kubota, Kaoru</creatorcontrib><creatorcontrib>Kakinuma, Ryutaro</creatorcontrib><creatorcontrib>Matsumoto, Taketoshi</creatorcontrib><creatorcontrib>Ohmatsu, Hironobu</creatorcontrib><creatorcontrib>Sekine, Ikuo</creatorcontrib><creatorcontrib>Nagai, Kanji</creatorcontrib><creatorcontrib>Nishiwaki, Yutaka</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goto, Koichi</au><au>Kodama, Tetsuro</au><au>Hojo, Fumihiko</au><au>Kubota, Kaoru</au><au>Kakinuma, Ryutaro</au><au>Matsumoto, Taketoshi</au><au>Ohmatsu, Hironobu</au><au>Sekine, Ikuo</au><au>Nagai, Kanji</au><au>Nishiwaki, Yutaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinicopathologic characteristics of patients with nonsmall cell lung carcinoma with elevated serum progastrin‐releasing peptide levels</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>1998-03-15</date><risdate>1998</risdate><volume>82</volume><issue>6</issue><spage>1056</spage><epage>1061</epage><pages>1056-1061</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>BACKGROUND Progastrin‐releasing peptide (proGRP) is a specific tumor marker in patients with small cell lung carcinoma (SCLC). It has been reported that serum proGRP levels rarely are elevated in patients with nonsmall cell lung carcinoma (NSCLC); the reported frequency is &lt;3%. The purpose of this study was to examine the clinicopathologic features of NSCLC patients with high serum proGRP levels. METHODS The authors measured serum proGRP levels with a TND‐4 kit, a newly developed enzyme‐linked immunoadsorbent assay, in 544 NSCLC and 206 SCLC patients. Pathologic features were examined using conventional hematoxylin and eosin staining and histochemical and immunohistochemical staining using polyclonal antibodies to proGRP, chromogranin A, calcitonin, and monoclonal antibody to the neural cell adhesion molecule (NCC‐Lu‐243). RESULTS The serum proGRP levels were elevated in 140 SCLC patients (68.0%) and in 23 NSCLC patients (4.2%). Seven of these 23 NSCLC patients had serum proGRP levels ≥ 100 pg/mL. They included two patients with renal dysfunction, one patient diagnosed cytologically with adenocarcinoma without undergoing precise pathologic examination, two patients diagnosed histologically with squamous cell carcinoma with foci of small cell elements, and two patients diagnosed with large cell neuroendocrine carcinoma and poorly differentiated adenocarcinoma, respectively, which showed neuroendocrine differentiation on immunohistologic analysis. The remaining 16 NSCLC patients had serum proGRP levels &lt; 70 pg/mL. CONCLUSIONS Nearly all NSCLC patients had serum proGRP levels &lt; 100 pg/mL. However, if an NSCLC patient presents with a proGRP level ≥ 100 pg/mL, the clinicopathologic features must be examined with regard to the small cell component, neuroendocrine differentiation, and renal dysfunction. Cancer 1998; 82:1056‐61. © 1998 American Cancer Society. In the current study, nearly all nonsmall cell lung carcinoma (NSCLC) patients had serum progastrin‐releasing peptide levels &lt; 100 pg/mL. However, if an NSCLC patient presents with a level ≥ 100 pg/mL, the clinicopathologic features must be examined with regard to the small cell component, neuroendocrine differentiation, and renal dysfunction.</abstract><cop>New York</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>9506349</pmid><doi>10.1002/(SICI)1097-0142(19980315)82:6&lt;1056::AID-CNCR7&gt;3.0.CO;2-C</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenocarcinoma - diagnosis
Adenocarcinoma - pathology
Adult
Aged
Biological and medical sciences
Biomarkers, Tumor - blood
Carcinoma, Large Cell - diagnosis
Carcinoma, Large Cell - pathology
Carcinoma, Non-Small-Cell Lung - diagnosis
Carcinoma, Non-Small-Cell Lung - pathology
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - pathology
Enzyme-Linked Immunosorbent Assay
Female
Gastrins - blood
Humans
Lung
Lung Neoplasms - diagnosis
Lung Neoplasms - pathology
Male
Medical sciences
Middle Aged
neuroendocrine carcinoma
nonsmall cell lung carcinoma
Pneumology
progastrin‐releasing peptide (proGRP)
Protein Precursors - blood
renal dysfunction
Renal Insufficiency - physiopathology
small cell lung carcinoma
Tumors of the respiratory system and mediastinum
title Clinicopathologic characteristics of patients with nonsmall cell lung carcinoma with elevated serum progastrin‐releasing peptide levels
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