Ren YX, Xu GM, Li ZS, Song YG. Detection of point mutation in K-ras oncogene at codon 12 in pancreatic diseases. World J Gastroenterol 2004; 10(6): 881-884 [PMID: 15040037 DOI: 10.3748/wjg.v10.i6.881]
Corresponding Author of This Article
Dr Yue-Xin Ren, Department of Gastroenterology, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China. yzxu@fimmu.com
Article-Type of This Article
Basic Research
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World J Gastroenterol. Mar 15, 2004; 10(6): 881-884 Published online Mar 15, 2004. doi: 10.3748/wjg.v10.i6.881
Table 1 Relative frequency of K-ras mutation in ductal lesions with pancreatic diseases
Ductal lesion
n
K-ras(-)
K-ras(+)
Positivepercentage (%)
Pancreatic ductal
24
5
19
79.2
adenocarcinoma
Peritumoral ductal
19
15
14
73.6
atypical hyperplasia
Peritumoral ductal
58
38
20
34.5
hyperplasia
Normal duct at the tumor
16
16
0
0
free resection margin
Chronic pancreatitis
24
16
8
33.3
Normal pancreas
7
7
0
0
Table 2 K-ras mutation pattern of ductal lesions and the cor-responding primary pancreatic carcinoma
Ductal lesion
Nucleotide sequenceof K-ras12 codon
GAT
GTT
CGT
Pancreatic ductal adenocarcinoma
8
4
7
Peritumoral ductal atypical hyperplasia
7
2
3
Peritumoral ductal hyperplasia
10
3
7
Chronic pancreatitis
4
2
2
Table 3 Relationship between K-ras gene mutation and location, histologicalal grade and clinical stage of pancreatic carcinomas
Pathologic factor
n
Positive rate (%)
Tumor location
Head
18
55.6
Tail/Corpus
6
66.7
Histological grade
G1
6
66. 7
G2
10
50
G3
8
62.5
Clinical stage
I
1
100
II
3
66.7
III
9
66.7
IV
11
45.5
Table 4 Clinical and morphologic data on 24 patients with chronic pancteatitis
K-ras positive cases (n = 8)
K-ras negative cases (n = 16)
Mean age of patients (yrs)
39.9 ± 15.5(19 - 68)
51 ± 14.9(23 - 67)
Gender ratio (M:F)
6:2
10:6
Mean duration of CP (yrs)
6.7 ± 3.2(2 - 27)
5.7 ± 4.5(3 - 25)
Mass-CP of pancreatic head
5 cases
10 cases
Weight loss (> 10 kg)
3 cases
7 cases
Diabetes (insulin dependent)
4 cases
7 cases
Nicotine(> 20 cigarettes/day, > 5 yrs)
5 cases
8 cases
Citation: Ren YX, Xu GM, Li ZS, Song YG. Detection of point mutation in K-ras oncogene at codon 12 in pancreatic diseases. World J Gastroenterol 2004; 10(6): 881-884