胃类型宫腺癌的广泛病理侵袭和预后影响:对人类乳头瘤病毒相关的腺癌进行比较分析
Kyosuke Kamijo1,2, Tsutomu Miyamoto1, Shiori Oshima3,4
1Department of Obstetrics and Gynecology, Shinshu University School of Medicine, Matsumoto.
The American journal of surgical pathology
|February 21, 2025
概括
胃类型腺癌 (GAS) 呈现出一个"隐蔽"的入侵模式,边界不清楚,导致更积极的外科手术边缘和较差的结果与HPV相关腺癌相比. 这种独特的特征有助于其侵略性和不完全切除的风险增加.
科学领域:
- 妇科瘤学 妇科瘤学
- 手术病理学手术病理学
- 癌症成像技术 癌症成像技术
背景情况:
- 胃类型腺癌 (GAS) 是最常见的人类乳头瘤病毒 (HPV) 独立的宫腺癌亚型.
- 与HPV相关腺癌 (HPVA) 相比,GAS与预后明显差.
研究的目的:
- 为了比较GAS和HPVA的临床病理特征.
- 确定导致GAS预后不佳的因素.
主要方法:
- 对经过手术的33名GAS和70名HPVA患者 (IB-IVB阶段) 的回顾性分析.
- 使用了粗形态分类和成像分析.
- 进行了卡普兰-梅尔和考克斯多变量分析.
主要成果:
- GAS显示了较高的积极外科边缘率 (21.2%与0%) 和不清楚的瘤边界 (47.8%与8.8%).
- 在T分类中,GAS的差异更频繁 (51.5%与28.6%) 和周围神经侵入 (PNI) 显著增加 (69.7%与10.0%).
- PNI与较差的整体存活率 (P <0.001) 有关.
结论:
- 由于瘤密度低,GAS具有独特的"隐形"入侵模式,导致无法检测的边界和正边缘.
- 这种模式增加了不完全切除的风险,并与HPVA相比,导致GAS的预后较差.
相关概念视频
Tumor Progression
6.2K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
6.2K
Cancer Cell Migration through Invadopodia
2.3K
Invadosome is a broad category of cell surface structures with proteolytic activity that degrades the extracellular matrix (ECM). Invadosomes are present in normal cell types, including macrophages, endothelial cells, and neurons, as well as tumor cells. Although the macrophage podosomes and tumor cell invadopodia are classified as invadosomes, they have different structures, molecular pathways, and functions. Podosomes are short structures that last for a few minutes. However,...
2.3K
Gastritis-I: Introduction and Types
236
Gastritis, defined by the inflammation or irritation of the stomach lining or gastric mucosa, manifests in several distinct forms: acute, chronic, reactive, and a specific subtype known as autoimmune metaplastic atrophic gastritis.
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
236


