Microsatellite Instability Is Associated With a Better Prognosis for Gastric Cancer Patients After Curative Surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-09

AUTHORS

Wen-Liang Fang, Shih-Ching Chang, Yuan-Tzu Lan, Kuo-Hung Huang, Jen-Hao Chen, Su-Shun Lo, Mao-Chih Hsieh, Anna Fen-Yau Li, Chew-Wun Wu, Shih-Hwa Chiou

ABSTRACT

BACKGROUND: Microsatellite instability (MSI) is one of the leading mechanisms for the carcinogenesis of gastric cancer. Its prognostic value is controversial. METHODS: Between May 1988 and Oct 2003, a total of 214 gastric cancer patients undergoing curative surgery were enrolled, and their MSI statuses were classified as MSI-H (high) or MSI-L/S (low/stable). The clinicopathologic characteristics of MSI-H and MSI-L/S gastric cancers were compared. RESULTS: The MSI-H tumors accounted for 11.7 % (n = 25) of the 214 total gastric cancers. Although not statistically significant, the MSI-H gastric cancers were more frequently located in the lower third of the stomach (64 % vs. 49.2 %) and were more often the intestinal type (72 % vs. 61.4 %) compared to the MSI-L/S gastric cancers. The MSI-H gastric cancers had a significantly better 5-year overall survival (OS) rate (68 % vs. 47.6 %, p = 0.030) and a trend of a better 3-year disease-free survival rate (71.8 % vs. 55.2 %, p = 0.076) compared to the MSI-L/S gastric cancers. A multivariate analysis revealed that pathologic TNM stage and MSI status were the independent prognostic factors for OS after curative surgery. CONCLUSIONS: Compared to MSI-L/S tumors, MSI-H tumors are associated with a better OS rate for gastric cancer patients after R0 resection. More... »

PAGES

2131-2138

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00268-012-1652-7

DOI

http://dx.doi.org/10.1007/s00268-012-1652-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1050128456

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22669398


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