摘要
Objective To evaluate the relationship of E cadherin (E CD) expression to cellular DNA content and biological behavior of gastric cancer. Methods E CD expression and cellular DNA content were quantitatively measured by flow cytometry and immunofluorescence methods in 80 cases of formalinfixed, paraffin embedded gastric cancer. Systematic pathological examinations and follow up were performed for all cases. Results E CD expression was significantly reduced in all cases of gastric cancer. Fluorescence Index (FI) of E CD expression was 0.67±0.11 in gastric cancer, 1.0±0.07 in normal gastric mucosa ( P <0.001). The reduction of E CD expression was also found in 2 cases of early gastric cancer. Tumors with a decrease in E CD expression occurred significantly more frequently in undifferentiated, diffuse growth pattern Borrmann 4 type, positive lymph node (LN) metastasis and infiltrated serosa type gastric cancer, of which survival time was within 5 years ( P <0.001). E CD expression was also reduced in gastric cancer with the number of LN metastasis above 5, metastasis to more than group 2. E CD expression was lower in uneuploid cancer than that in diploid cancer ( P <0.01). The value of DI and PI with negative E CD expression was significantly higher than that of positive E CD expression ( P <0.01). Conclusion Down regulation of E CD expression correlates with bad biological behavior and poor prognosis of gastric cancer. The reduction of E CD expression may take place during early time of gastric cancer. Quantitative analysis of E CD expression may have some value in evaluating the intensity of LN metastasis of gastric cancer.
Objective To evaluate the relationship of E cadherin (E CD) expression to cellular DNA content and biological behavior of gastric cancer. Methods E CD expression and cellular DNA content were quantitatively measured by flow cytometry and immunofluorescence methods in 80 cases of formalinfixed, paraffin embedded gastric cancer. Systematic pathological examinations and follow up were performed for all cases. Results E CD expression was significantly reduced in all cases of gastric cancer. Fluorescence Index (FI) of E CD expression was 0.67±0.11 in gastric cancer, 1.0±0.07 in normal gastric mucosa ( P <0.001). The reduction of E CD expression was also found in 2 cases of early gastric cancer. Tumors with a decrease in E CD expression occurred significantly more frequently in undifferentiated, diffuse growth pattern Borrmann 4 type, positive lymph node (LN) metastasis and infiltrated serosa type gastric cancer, of which survival time was within 5 years ( P <0.001). E CD expression was also reduced in gastric cancer with the number of LN metastasis above 5, metastasis to more than group 2. E CD expression was lower in uneuploid cancer than that in diploid cancer ( P <0.01). The value of DI and PI with negative E CD expression was significantly higher than that of positive E CD expression ( P <0.01). Conclusion Down regulation of E CD expression correlates with bad biological behavior and poor prognosis of gastric cancer. The reduction of E CD expression may take place during early time of gastric cancer. Quantitative analysis of E CD expression may have some value in evaluating the intensity of LN metastasis of gastric cancer.
