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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2006-7-25
pubmed:abstractText
Ultimately aiming at a more individualized therapeutic approach in epidermoid anal cancer, this study explored the prognostic and predictive impact of a set of tumour markers. From a population-based cohort of 276 patients with epidermoid anal cancer, treated according to prospective protocols, 215 pre-treatment biopsies were investigated using immunohistochemistry. The expression of p53, p21, Cyclin A and CD31 was measured semi-quantitatively. The expression rate was classified as high when immunostaining was seen in > 5% of the tumour cells for p53 and p21, > 20% in Cyclin A and, above median vessel count for CD31. Marker expression was correlated to survival and treatment response. A high Cyclin A expression correlated significantly with improved overall (77% vs 59%, p = 0.005) and tumour-specific (81% vs 64%, p = 0.009) survival at 5 years. Also, the locoregional failure rate was significantly lower in patients with a high Cyclin A expression (12% vs 24%, p < 0.05). In a multivariate Cox analysis Cyclin A was an independent prognostic factor. A low p21 expression correlated with a reduced rate of locoregional failure (14% vs 27%, p < 0.05) but no impact on survival was found. For p53 and CD31 no significant correlations were obtained. Cyclin A may be an indicator of radiosensitivity and a valuable prognostic marker in epidermoid anal cancer.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1021-335X
pubmed:author
pubmed:issnType
Print
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
443-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:16865241-Adult, pubmed-meshheading:16865241-Aged, pubmed-meshheading:16865241-Aged, 80 and over, pubmed-meshheading:16865241-Antigens, CD31, pubmed-meshheading:16865241-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:16865241-Anus Neoplasms, pubmed-meshheading:16865241-Carcinoma, Squamous Cell, pubmed-meshheading:16865241-Cohort Studies, pubmed-meshheading:16865241-Cyclin A, pubmed-meshheading:16865241-Cyclin-Dependent Kinase Inhibitor p21, pubmed-meshheading:16865241-Disease-Free Survival, pubmed-meshheading:16865241-Female, pubmed-meshheading:16865241-Humans, pubmed-meshheading:16865241-Male, pubmed-meshheading:16865241-Middle Aged, pubmed-meshheading:16865241-Prospective Studies, pubmed-meshheading:16865241-Survival Rate, pubmed-meshheading:16865241-Treatment Outcome, pubmed-meshheading:16865241-Tumor Markers, Biological, pubmed-meshheading:16865241-Tumor Suppressor Protein p53
pubmed:year
2006
pubmed:articleTitle
Prognostic significance of Cyclin A in epidermoid anal cancer.
pubmed:affiliation
Centre of Gastrointestinal Disease, Ersta Hospital, SE 116 91 Stockholm, Sweden. perjohan.nilsson@erstadiakoni.se.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't