1. AXIN2 and SNAIL expression predict the risk of recurrence in cutaneous squamous cell carcinoma after Mohs micrographic surgery
- Author
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Guohua Zhao, Zhenlong Zheng, Ki Yeol Kim, Zhehu Jin, Dae San Yoo, Kee Yang Chung, Yeongjoo Oh, Mi Ryung Roh, and Myung Eun Lee
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0301 basic medicine ,Oncology ,predictive nomogram ,Cancer Research ,medicine.medical_specialty ,recurrence ,Snail ,axis inhibition protein 2 ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,biology.animal ,medicine ,Oncogene ,biology ,SNAIL ,business.industry ,Cancer ,Articles ,cutaneous squamous cell carcinoma patients ,mohs micrographic surgery ,Cell cycle ,Nomogram ,medicine.disease ,Molecular medicine ,030104 developmental biology ,030220 oncology & carcinogenesis ,Immunohistochemistry ,business ,Complication - Abstract
Recurrence is a common complication observed during cutaneous squamous cell carcinoma (cSCC) treatment; however, biomarkers for predicting recurrence in cSCC remain unknown. The present study aimed to investigate the predictive value of axis inhibition protein 2 (AXIN2) and SNAIL expression in cSCC recurrence. AXIN2 and SNAIL expression was evaluated using immunohistochemistry in 111 cSCC tissue samples obtained from 18 patients who presented recurrence (recurrence interval, 1โ91 months) and 93 patients who did not experience recurrence following Mohs micrographic surgery (MMS) during the follow-up period (156 months). Nomogram construction was performed using patients' clinicopathological characteristics and AXIN2 and SNAIL protein expression. The results demonstrated that high AXIN2 (histoscore >100) and SNAIL (histoscore >100) expression was detected in 35 and 44 cSCC tissues, respectively. Furthermore, the expression levels of AXIN2 and SNAIL were significantly associated in patients with cSCC (P=0.001). AXIN2 and SNAIL expression levels were significantly associated with tumor size (P=0.021 and P=0.044, respectively) and recurrence of cSCC (P=0.017 and P=0.042, respectively). In addition, the results of the Kaplan-Meier curve analysis revealed that recurrence-free survival was significantly associated with tumor size (P=0.025), differentiation status (P
- Published
- 2020
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