Gumurdulu D, Erdogan S, Kayaselcuk F, Seydaoglu G, Parsak CK, Demircan O, Tuncer I. Expression of COX-2, PCNA, Ki-67 and p53 in gastrointestinal stromal tumors and its relationship with histopathological parameters. World J Gastroenterol 2007; 13(3): 426-431 [PMID: 17230613 DOI: 10.3748/wjg.v13.i3.426]
Corresponding Author of This Article
Dr. Derya Gumurdulu, Department of Pathology, Faculty of Medicine, Cukurova University, Adana 01330, Turkey. gumurdulu@yahoo.com
Article-Type of This Article
Rapid Communication
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World J Gastroenterol. Jan 21, 2007; 13(3): 426-431 Published online Jan 21, 2007. doi: 10.3748/wjg.v13.i3.426
Table 1 Risk categories in GISTs
Size
Mitotic count
Very low risk
< 2 cm
< 5/50 HPF
Low risk
2-5 cm
< 5/50 HPF
Intermediate risk
< 5 cm
6-10/50 HPF
5-10 cm
< 5/50 HPF
High risk
> 5 cm
> 5/50 HPF
> 10 cm
Any mitotic rate
Any size
> 10/50 HPF
Table 2 Clinicopathological features of 25 patients with GISTs
Variables
Cases n (%)
Sex
Male
16 (64)
Female
9 (36)
Site
Stomach
11 (44)
Small intestine
11 (44)
Large intestine
3 (12)
Tumor size (cm)
< 2 cm
0 (0)
2-5 cm
4 (16)
5-10 cm
16 (64)
> 10 cm
5 (20)
Mitosis
< 5
11 (44)
≥ 5
14 (56)
Diagnosis
Very low risk
0 (0)
Low risk
3 (12)
Intermediate risk
6 (24)
High risk
16 (64)
Table 3 Immunostaining results of 25 cases of GISTs
Site of origin
c-kit
COX-2
CD34
SMA +
SMA +
SMA -
SMA -
+
+
+
S-100 +
S-100 -
S-100 +
S-100 -
Stomach (n = 11)
Low risk
2
1
2
-
-
1
1
Intermediate risk
4
4
3
-
-
2
2
High risk
5
3
4
2
-
1
2
Small intestine
(n = 11)
Low risk
1
1
1
-
1
-
-
Intermediate risk
2
1
2
1
-
1
-
High risk
7
6
6
2
2
4
-
Large intestine
(n = 3)
High risk
2
3
3
2
-
-
1
Total n (%)
23 (92)
19 (76)
21 (84)
7 (28)
3 (12)
9 (36)
6 (24)
Table 4 The results of immunohistochemical staining for p53
p53 index
0
1
2
3
4
Low risk
1
1
1
0
0
Intermediate risk
0
2
1
1
2
High risk
6
6
2
2
0
Total
7
9
4
3
2
Citation: Gumurdulu D, Erdogan S, Kayaselcuk F, Seydaoglu G, Parsak CK, Demircan O, Tuncer I. Expression of COX-2, PCNA, Ki-67 and p53 in gastrointestinal stromal tumors and its relationship with histopathological parameters. World J Gastroenterol 2007; 13(3): 426-431