Evidence map›Paper›PMID 28416958›Full record

ArticleTuberculosis and respiratory diseases2017

Keratinization of Lung Squamous Cell Carcinoma Is Associated with Poor Clinical Outcome.

Hye Jung Park, Yoon-Jin Cha, Seong Han Kim, Arum Kim, Eun Young Kim, Yoon Soo Chang

Abstract read
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Article in Tuberculosis and respiratory diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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  10. Prognostic Value of Selected Histologic Features for Lung Squamous Cell Carcinoma.Exploratory research and hypothesis in medicine · 2022
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hye Jung ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Yoon-Jin ChaDepartment of Pathology, Yonsei University College of Medicine, Seoul, Korea.
Seong Han KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Arum KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Eun Young KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Yoon Soo ChangDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the World Health Organization (WHO) classification of lung squamous cell carcinoma (SCC) was revised in 2015, its clinical implications for lung SCC subsets remain unclear. We investigated whether the morphologic characteristics of lung SCC, including keratinization, were associated with clinical parameters and clinical outcome of patients.

methodsA total of 81 patients who underwent curative surgical resection of diagnosed lung SCC, were enrolled in this study. Attributes such as keratinization, tumor budding, single cell invasion, and nuclear size within the tumor, as well as immunohistochemistry of Bcl-xL and pS6 expressions, were evaluated.

resultsThe keratinizing and nonkeratinizing subtypes did not differ with respect to age, sex, TNM stage, and morphologic parameters such as nuclear diameter, tumor budding, and single cell invasion at the tumor edge. Most patients with the keratinizing subtype (98.0%) had a history of smoking, whereas the nonkeratinizing group had a relatively higher proportion of never-smokers relative to the keratinizing group (24.0% vs. 2.0%; p=0.008, chi-square test). Expression of pS6 (a surrogate marker of mammalian target of rapamycin complex 1 [mTORC1] signaling that regulates keratinocyte differentiation), and Bcl-xL (a key anti-apoptotic molecule that may inhibit keratinization), did not correlate significantly with the presence of keratinization. Patients with the keratinizing subtype had a significantly shorter overall survival (85.2 months vs. 135.7 months, p=0.010, log-rank test), and a multivariate analysis showed that keratinization was an independent, poor prognostic factor (hazard ratio, 2.389; 95% confidence interval, 1.090-5.233; p=0.030).

conclusionIn lung SCC, keratinization is associated with a poor prognosis, and might be associated with smoking.

Indexed as

Bcl-X ProteinCarcinoma, Squamous CellLung

Identifiers

PMID28416958
PMCPMC5392489

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.