01.09.2009 | Original Article | Ausgabe 9/2009

Lymphatic vessel invasion detected by monoclonal antibody D2-40 as a predictor of lymph node metastasis in T1 colorectal cancer

Zeitschrift:: International Journal of Colorectal Disease > Ausgabe 9/2009

Autoren:: M. Ishii, M. Ota, S. Saito, Y. Kinugasa, S. Akamoto, I. Ito

Abstract

Objective

When selecting patients who are at high risk for lymph node metastasis, the detection of lymphatic vessel invasion (LVI) is important. We investigated LVI detected by D2-40 staining as a predictor of lymph node metastasis in T1 colorectal cancer.

Materials and methods

Clinicopathological factors including LVI were investigated in 136 patients who underwent colectomy with lymph node dissection for T1 colorectal cancer. We used immunostaining with monoclonal antibody D2-40 to detect LVI.

Results

Lymph node metastases were found in 18 patients (13.2%), and LVI were detected in 45 (33%); lymph node metastasis was more frequently observed in LVI-positive groups (13/45 vs 5/91, p < 0.001). Both univariate and multivariate analyses revealed that LVI detected by D2-40 and a poorly differentiated histology at the invasion front were independent risk factors of lymph node metastasis.

Conclusion

LVI detected by D2-40 is important for the prediction of lymph node metastasis.

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Titel: Lymphatic vessel invasion detected by monoclonal antibody D2-40 as a predictor of lymph node metastasis in T1 colorectal cancer
Autoren:: M. Ishii
M. Ota
S. Saito
Y. Kinugasa
S. Akamoto
I. Ito
Publikationsdatum: 01.09.2009
DOI: https://doi.org/10.1007/s00384-009-0699-x
Verlag: Springer-Verlag
Zeitschrift: International Journal of Colorectal Disease Clinical and Molecular Gastroenterology and Surgery
Ausgabe 9/2009
Print ISSN: 0179-1958
Elektronische ISSN: 1432-1262

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Lymphatic vessel invasion detected by monoclonal antibody D2-40 as a predictor of lymph node metastasis in T1 colorectal cancer

Abstract

Objective

Materials and methods

Results

Conclusion

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Abstract

Objective

Materials and methods

Results

Conclusion

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