國家衛生研究院 NHRI:Item 3990099045/2846
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    題名: Mismatch repair protein expression in Amsterdam II criteria-positive patients in Taiwan
    作者: Chen, JR;Chiang, JM;Changchien, CR;Chen, JS;Tang, RP;Wang, JI
    貢獻者: National Institute of Cancer Research
    摘要: Background: Hereditary non-polyposis colorectal cancer (HNPCC) is characterized genetically by germline mutations in DNA mismatch repair (MMR) genes. Immunohistochemistry (IHC) has high sensitivity and specificity for identifying MMR-deficient tumours. This study investigated the clinical presentations and frequency of HNPCC in Taiwan by combined Amsterdam II criteria (AC-II) and IHC. Methods: In 1995-2003, 7108 patients with primary colorectal cancer registered in Chang Gung Memorial Hospital's Colorectal Cancer Registry were screened using AC-II. Tumour specimens were analysed for MMR protein expression by IHC, and relevant clinicopathological details were documented. Results: Some 83 patients fulfilled the AC-II. Clinicopathologically, 43 patients (52 per cent) had proximal tumours, ten (12 per cent) had poorly differentiated cancers, 17 (20 per cent) had mucinous adenocarcinoma and 51 (61 per cent) had stage I-II tumours. Seventeen patients developed second primary colonic and extracolonic cancers over a mean 7.2-year follow-up. Immunohistochemically, 58 patients were MMR protein deficient. They had a significantly earlier age of onset (P < 0.001), more proximal tumour location (P = 0.002), less advanced tumour stage (P = 0.008) and more second primary cancers (P = 0.017) compared with MMR-competent patients. Conclusion: These data show significant differences in clinical features between MMR protein-deficient and MMR competent subgroups.
    關鍵詞: Surgery
    日期: 2008-01
    關聯: British Journal of Surgery. 2008 Jan;95(1):102-110.
    Link to: http://dx.doi.org/10.1002/bjs.5786
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0007-1323&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000253256400014
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=38549167666
    顯示於類別:[陳俊叡(2003-2007)] 期刊論文

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