DECREASED E-CADHERIN EXPRESSION IN ENDOMETRIAL CARCINOMA IS ASSOCIATED WITH TUMOR DEDIFFERENTIATION AND DEEP MYOMETRIAL INVASION

DECREASED E-CADHERIN EXPRESSION IN ENDOMETRIAL CARCINOMA IS ASSOCIATED WITH TUMOR DEDIFFERENTIATION AND DEEP MYOMETRIAL INVASION
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DOI:
10.1006/gyno.1994.1113
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发表时间:
1994-05-01
影响因子:
4.7
通讯作者:
FUJIMOTO, S
FUJIMOTO, S
中科院分区:
医学2区
文献类型:
--
作者:
SAKURAGI, N;NISHIYA, M;FUJIMOTO, S

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Decreased E-cadherin expression in tumor cells has been suggested to promote tumor invasiveness. We examined E-cadherin expression in 30 cases of endometrial carcinoma by immunohistochemistry using a monoclonal antibody to E-cadherin and investigated its correlation with other histopathologic features of the tumor. We observed that: (1) E-cadherin expression decreased with toss of differentiation (P < 0.05); (2) E-cadherin expression was inversely correlated with depth of myometrial invasion (P < 0.05); (3) decreased E-cadherin expression was correlated with paraaortic node metastasis (P < 0.01); and (4) multivariate analysis comparing the depth of myometrial invasion to the pattern of E-cadherin expression, histologic grade, nuclear grade, and lymph-vascular space invasion showed that the depth of myometrial invasion was most strongly correlated with decreased E-cadherin expression (P < 0.005). These findings seem to be consistent with the concept that the dissociation of cancer cells due to decreased expression of E-cadherin facilitates invasion of tumor celts. (C) 1994 Academic Press, Inc.