Nuclear atypia grading score is a useful prognostic factor in papillary gastric adenocarcinoma

作者：Nakashima Yuichiro; Yao Takashi^*; Hirahashi Minako; Aishima Shinichi; Kakeji Yoshihiro; Maehara Yoshihiko; Tsuneyoshi Masazumi

来源：Histopathology, 2011, 59(5): 841-849.

DOI：10.1111/j.1365-2559.2011.04035.x

• DNA ploidy
• human epidermal growth factor receptor 2 (HER2)
• nuclear atypia
• p53
• papillary gastric adenocarcinoma

Aims: To investigate nuclear atypical in papillary gastric adenocarcinoma (PGA).
Method and results: Hundred cases of PGA were classified into two groups according to nuclear pleomorphism and nuclear polarity; these groups were designated as high nuclear grade and low nuclear grade. Correlations between nuclear grade and clinicopathological features were evaluated for prognostic value. In order to evaluate which types of biological factors influence nuclear atypia, the expression of gastric-type mucin phenotype, p53, HER2 and Ki-67 detected by immunohistochemistry and DNA ploidy detected by laser scanning cytometry. The high nuclear grade group correlated with deeper wall invasion, the presence of lymphatic and venous invasion and the positivity of lymph node metastasis. High nuclear grade was an independent prognostic factor for disease-free survival. Moreover, significant correlations were observed between high nuclear grade and positivity of gastric-type mucin phenotype, p53 and HER2 and DNA aneuploidy.
Conclusion: Nuclear grade could be a new and useful morphological predictor for high malignant potential in PGA.

• 出版日期2011-11