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Original Article
The Relatioships Between Tumor-related Gene Expression and Tumor Budding, Tumor Nodule and Lymph Node Extracapsular Extension in Colorectal Cancer.
Kang, Hyun Jong , Cho, Hang Joo , Kang, Gi Chang , Kim, Kee Hwan , Kang, Won Kyung , Kim, Ji Il , Park, Jong Kyung , Oh, Seungtack , Kim, Jeong Soo , An, Chang Hyeok
Journal of the Korean Society of Coloproctology 2009;25(1):1-7
DOI: https://doi.org/10.3393/jksc.2009.25.1.1
Department of Surgery, Catholic University Medical College, Seoul, Korea. achcolo@catholic.ac.kr
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PURPOSE
Despite the similar lymph node metastasis observed in patients with advanced colorectal cancer (CRC), there was a different clinical outcome. The relationships between tumor-related gene expression and prognostic factors such as tumor budding, tumor nodule and extracapsular extension (ECE) of lymph nodes in patients with CRC remain unclear yet. The purpose of this study was to evaluate the relationship between expression of molecular markers such as vascular endothelial growth factor (VEGF), epidermal growth factor (EGF), matrix metalloproteinases (MMPs) and E-cadherin and the tumor budding, tumor nodule and ECE of lymph nodes in patients with stage III CRC.
METHODS
The tissue of 87 patients with stage III CRC were investigated for expressions of molecular markers using immunohistochemical methods.
RESULTS
VEGF and MMP-9 expression in tumor tissue were positively associated with the colorectal cancer prognostic factors such as tumor budding, tumor nodule and extracapsular lymph node extension (P<0.05). But, MMP-2, EGF and E-cadherin expression were of no value with regard to them.
CONCLUSION
Our results suggest that molecular markers, in particular VEGF and MMP-9, may provide additional prognostic information regarding tumor budding, ECE and tumor nodule.

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