1. Osteopontin, <scp>GLUT1</scp> and Ki‐67 expression in malignant peritoneal mesothelioma: prognostic implications
- Author
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Dongliang Yang, Liang Tian, Yufei Liang, Hui Song, Xiaozhong Guo, Guoqi Zheng, and Ying-ying Liu
- Subjects
Mesothelioma ,medicine.medical_specialty ,osteopontin ,030204 cardiovascular system & hematology ,survival ,Gastroenterology ,03 medical and health sciences ,Peritoneal Neoplasm ,0302 clinical medicine ,peritoneal mesothelioma ,Internal medicine ,Biomarkers, Tumor ,Internal Medicine ,Humans ,Medicine ,030212 general & internal medicine ,Ki‐67 ,Peritoneal Neoplasms ,Neoplasm Staging ,Retrospective Studies ,Glucose Transporter Type 1 ,biology ,business.industry ,Proportional hazards model ,Hazard ratio ,Retrospective cohort study ,Original Articles ,Prognosis ,medicine.disease ,Confidence interval ,Ki-67 Antigen ,Ki-67 ,immunohistochemistry ,Conventional PCI ,Peritoneal mesothelioma ,biology.protein ,Original Article ,business ,GLUT1 - Abstract
Background Malignant peritoneal mesothelioma is the most common primary peritoneal neoplasm. The only universally recognised pathological prognostic factor is histopathological subtype. Prognostic markers based on patient features and clinical stages have been disappointing. Aims To assess the prognostic role of several clinicopathological features in a retrospective cohort of 60 patients diagnosed with peritoneal mesothelioma. Methods Sixty patients were centrally collected and were immunohistochemically analysed for the expression of osteopontin (OPN), GLUT1 and Ki‐67. Labelling was assessed by two pathologists. Complete clinical information and follow‐up were obtained from patients' records. Results OPN expression was identified in 52 (86.6%) of 60 specimens, and GLUT1 in 39 (65%) of 60 specimens. Univariate Cox regression analysis showed that a lower peritoneal carcinomatosis index (PCI), tumour‐directed treatment (chemotherapy or surgery alone or in any combination), lower Ki‐67, GLUT1 and lower OPN expression had a statistically significant positive effect on overall survival (OS). PCI (hazard ratio (HR) = 1.032 (95% confidence interval (CI): 1.000–1.067); P = 0.054) and tumour‐directed treatment (HR = 0.211 (95% CI: 0.104–0.430); P
- Published
- 2021
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