Evidence map›Paper›PMID 30140949›Full record

ArticleVirchows Archiv : an international journal of pathology2018

Immunohistochemical classification of gastric cancer based on new molecular biomarkers: a potential predictor of survival.

Cristina Díaz Del Arco, Lourdes Estrada Muñoz, Elena Molina Roldán, Mª Ángeles Cerón Nieto, Luis Ortega Medina, Soledad García Gómez de Las Heras, Mª Jesús Fernández Aceñero

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Article in Virchows Archiv : an international journal of pathology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. [Bioinformatics analysis of expression and function of EXD3 gene in gastric cancer].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Cristina Díaz Del ArcoDepartment of Surgical Pathology, Hospital Clínico San Carlos, 28040, Madrid, Spain. crisdelarco@gmail.com.ORCID http://orcid.org/0000-0002-6100-4967
Lourdes Estrada MuñozDepartment of Surgical Pathology, Hospital Rey Juan Carlos, Madrid, Spain.
Elena Molina RoldánDepartment of Surgical Pathology, Hospital Clínico San Carlos, 28040, Madrid, Spain.
Mª Ángeles Cerón NietoDepartment of Surgical Pathology, Hospital Clínico San Carlos, 28040, Madrid, Spain.
Luis Ortega MedinaDepartment of Surgical Pathology, Hospital Clínico San Carlos, 28040, Madrid, Spain.
Soledad García Gómez de Las HerasRey Juan Carlos University, Alcorcón, Madrid, Spain.
Mª Jesús Fernández AceñeroDepartment of Surgical Pathology, Hospital Clínico San Carlos, 28040, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several classification systems have been described for stratifying patients with gastric carcinoma (GC). However, their prognostic value is low, and there is an urgent need for identification of molecular markers and development of new classifications. Retrospective study of 206 cases of GC diagnosed and surgically resected in our hospital between 2000 and 2017. Clinicopathological features of all cases were assessed and tissue microarrays were constructed for immunohistochemical (IHC) study. Patients were stratified based on IHC results. Mean patient age was 71 years and most patients were male (54.6%). Most tumors were located in the gastric antrum and body, and they were mostly fungoid or ulcerative lesions. GC were mainly intestinal-type tumors and 60.3% were diagnosed at pT3. 56.2% of patients showed recurrences and 29.4% died due to GC. According to our IHC classification, 23.5% of tumors showed microsatellite instability, 6% were E-cadherin negative, 53.5% were stable-p53 not overexpressed, and 17% were stable with p53 overexpression. IHC classification was significantly correlated with patient gender, gross morphology, Laurén classification, tumor necrosis, perineural infiltration, type of leading edge, and patient outcome. Multivariate analysis showed that IHC subtype was significantly and independently associated with overall survival, together with clinical symptoms, signet cell phenotype, tumor grade and vessel invasion. The application of IHC classifications based on molecular biomarkers in clinical practice can aid in the stratification of GC patients. More studies are needed to evaluate the reproducibility and clinical significance of these classifications.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorFemaleHumansImmunohistochemistryKaplan-Meier EstimateMaleMiddle AgedPrognosisProgression-Free SurvivalProportional Hazards ModelsRetrospective StudiesStomach NeoplasmsBiomarkers, TumorClassificationGastricImmunohistochemistryMolecularPrognosis

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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.