Epidermal Growth Factor Receptor in Undifferentiated Carcinoma of the Nasopharynx

Objectives To determine the expression levels of epidermal growth factor receptor (EGFR) and its prognostic value in undifferentiated carcinoma (UC) of the nasopharynx. Study Design A prospective study of 75 patients diagnosed with UC over a 4‐year period in a tertiary care hospital. Materials and M...

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Veröffentlicht in:The Laryngoscope 2004-01, Vol.114 (1), p.153-157
Hauptverfasser: Leong, Jern-Lin, Loh, Kwok Seng, Putti, Thomas Choudhary, Goh, Boon Cher, Tan, Luke Kim Siang
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container_end_page 157
container_issue 1
container_start_page 153
container_title The Laryngoscope
container_volume 114
creator Leong, Jern-Lin
Loh, Kwok Seng
Putti, Thomas Choudhary
Goh, Boon Cher
Tan, Luke Kim Siang
description Objectives To determine the expression levels of epidermal growth factor receptor (EGFR) and its prognostic value in undifferentiated carcinoma (UC) of the nasopharynx. Study Design A prospective study of 75 patients diagnosed with UC over a 4‐year period in a tertiary care hospital. Materials and Methods Postnasal space biopsies were obtained and processed, and immunohistochemical staining was performed. The over‐expression of EGFR was measured, and the expression levels were statistically analyzed with the clinical and pathologic variables. Disease‐free and overall survival analyses were performed. Results There were 62 (82.7%) specimens that showed over‐expression of EGFR levels. Over‐expression of EGFR correlated significantly only with primary tumor size (P = .007). Age, sex, positive smoking and family history, presence of nodal metastasis, distant metastasis, and Epstein‐Barr virus serology titers were not significantly correlated with over‐expression of EGFR. Both 54‐month disease‐free and 56‐month overall survivals were not associated with EGFR over‐expression. Conclusion The frequency of over‐expression of EGFR in UC is similar to other squamous cell carcinoma (SCC) of the head and neck region. Only primary tumor size is independently correlated with over‐expression of EGFR. EGFR over‐expression does not affect disease‐free and overall survival.
doi_str_mv 10.1097/00005537-200401000-00029
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Study Design A prospective study of 75 patients diagnosed with UC over a 4‐year period in a tertiary care hospital. Materials and Methods Postnasal space biopsies were obtained and processed, and immunohistochemical staining was performed. The over‐expression of EGFR was measured, and the expression levels were statistically analyzed with the clinical and pathologic variables. Disease‐free and overall survival analyses were performed. Results There were 62 (82.7%) specimens that showed over‐expression of EGFR levels. Over‐expression of EGFR correlated significantly only with primary tumor size (P = .007). Age, sex, positive smoking and family history, presence of nodal metastasis, distant metastasis, and Epstein‐Barr virus serology titers were not significantly correlated with over‐expression of EGFR. Both 54‐month disease‐free and 56‐month overall survivals were not associated with EGFR over‐expression. Conclusion The frequency of over‐expression of EGFR in UC is similar to other squamous cell carcinoma (SCC) of the head and neck region. Only primary tumor size is independently correlated with over‐expression of EGFR. EGFR over‐expression does not affect disease‐free and overall survival.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1097/00005537-200401000-00029</identifier><identifier>PMID: 14710013</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley &amp; Sons, Inc</publisher><subject>Biological and medical sciences ; Carcinoma - metabolism ; Carcinoma - mortality ; Cohort Studies ; Disease-Free Survival ; Female ; Humans ; Immunohistochemistry ; Male ; Medical sciences ; Middle Aged ; nasopharyngeal carcinoma ; Nasopharyngeal Neoplasms - metabolism ; Nasopharyngeal Neoplasms - mortality ; Otorhinolaryngology. 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Study Design A prospective study of 75 patients diagnosed with UC over a 4‐year period in a tertiary care hospital. Materials and Methods Postnasal space biopsies were obtained and processed, and immunohistochemical staining was performed. The over‐expression of EGFR was measured, and the expression levels were statistically analyzed with the clinical and pathologic variables. Disease‐free and overall survival analyses were performed. Results There were 62 (82.7%) specimens that showed over‐expression of EGFR levels. Over‐expression of EGFR correlated significantly only with primary tumor size (P = .007). Age, sex, positive smoking and family history, presence of nodal metastasis, distant metastasis, and Epstein‐Barr virus serology titers were not significantly correlated with over‐expression of EGFR. Both 54‐month disease‐free and 56‐month overall survivals were not associated with EGFR over‐expression. Conclusion The frequency of over‐expression of EGFR in UC is similar to other squamous cell carcinoma (SCC) of the head and neck region. Only primary tumor size is independently correlated with over‐expression of EGFR. EGFR over‐expression does not affect disease‐free and overall survival.</description><subject>Biological and medical sciences</subject><subject>Carcinoma - metabolism</subject><subject>Carcinoma - mortality</subject><subject>Cohort Studies</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>nasopharyngeal carcinoma</subject><subject>Nasopharyngeal Neoplasms - metabolism</subject><subject>Nasopharyngeal Neoplasms - mortality</subject><subject>Otorhinolaryngology. 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Stomatology</topic><topic>Prognosis</topic><topic>prognostic factors</topic><topic>Prospective Studies</topic><topic>Receptor, Epidermal Growth Factor - metabolism</topic><topic>Survival Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leong, Jern-Lin</creatorcontrib><creatorcontrib>Loh, Kwok Seng</creatorcontrib><creatorcontrib>Putti, Thomas Choudhary</creatorcontrib><creatorcontrib>Goh, Boon Cher</creatorcontrib><creatorcontrib>Tan, Luke Kim Siang</creatorcontrib><collection>Istex</collection><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><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leong, Jern-Lin</au><au>Loh, Kwok Seng</au><au>Putti, Thomas Choudhary</au><au>Goh, Boon Cher</au><au>Tan, Luke Kim Siang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidermal Growth Factor Receptor in Undifferentiated Carcinoma of the Nasopharynx</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2004-01</date><risdate>2004</risdate><volume>114</volume><issue>1</issue><spage>153</spage><epage>157</epage><pages>153-157</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Objectives To determine the expression levels of epidermal growth factor receptor (EGFR) and its prognostic value in undifferentiated carcinoma (UC) of the nasopharynx. 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source Wiley-Blackwell Journals; Journals@Ovid Complete - AutoHoldings; MEDLINE
subjects Biological and medical sciences
Carcinoma - metabolism
Carcinoma - mortality
Cohort Studies
Disease-Free Survival
Female
Humans
Immunohistochemistry
Male
Medical sciences
Middle Aged
nasopharyngeal carcinoma
Nasopharyngeal Neoplasms - metabolism
Nasopharyngeal Neoplasms - mortality
Otorhinolaryngology. Stomatology
Prognosis
prognostic factors
Prospective Studies
Receptor, Epidermal Growth Factor - metabolism
Survival Analysis
title Epidermal Growth Factor Receptor in Undifferentiated Carcinoma of the Nasopharynx
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