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EphB1 and Ephrin-B, New Potential Biomarkers for Squamous Cell/adenosquamous Carcinomas and Adenocarcinomas of the Gallbladder

  • Yuan, Yuan (Department of Pathology, Third Xiangya Hospital, Central South University) ;
  • Yang, Zhu-Lin (Research Laboratory of Hepatobiliary Diseases, Second Xiangya Hospital, Central South University) ;
  • Miao, Xiong-Ying (Research Laboratory of Hepatobiliary Diseases, Second Xiangya Hospital, Central South University) ;
  • Liu, Zi-Ru (Research Laboratory of Hepatobiliary Diseases, Second Xiangya Hospital, Central South University) ;
  • Li, Dai-Qiang (Department of Pathology, Second Xiangya Hospital, Central South University) ;
  • Zou, Qiong (Department of Pathology, Third Xiangya Hospital, Central South University) ;
  • Li, Jing-He (Department of Pathology, Basic School of Medicine, Central South University) ;
  • Liang, Lu-Feng (Department of Hepatobiliary and Pancreatic Surgery, Hunan Provincial People's Hospital) ;
  • Zeng, Gui-Xiang (Department of Pathology, Loudi Central Hospital) ;
  • Chen, Sen-Lin (Department of Pathology, Hunan Provincial Tumor Hospital)
  • Published : 2014.02.01

Abstract

Squamous cell/adenosquamous carcinoma (SC/ASC) of the gallbladder are rare tumors and there are few clinical reports in the literature. Herein we report our clinical experience with 46 patients with SC/ASC and 80 with adenocarcinoma (AC). Expression of EphB1 and Ephrin-B in each tumor was determined using immunohistochemical methods for determination of correlations with prognosis. There was no difference in EphB1 and Ephrin-B expression between SC/ASC and AC tumors (P>0.05), but greater expression in those less than 3 cm in diameter, stage I or II (TNM stage), with no lymph node metastases, with no local invasion and treated with radical resection was apparent. Expression of EphB1 (P<0.05) and Ephrin-B (P<0.01) was higher in well differentiated than in poorly differentiated AC tumors. Kaplan-Meier survival analysis indicated that degree of differentiation, tumor diameter, lymph node metastases, local invasion, surgical approach and expression rate of EphB1 and Ephrin-B were closely related to the survival of SC/ASC (P<0.05) and AC patients (P<0.01). Patients with tumors that positive expressed EphB1 and Ephrin-B, whether it is SC/ASC ($P_{SC/ASC}$ =0.000) or AC ($P_{AC}$ =0.000 or $P_{AC}$ =0.002) had longer survival than those negative expression. Cox multivariate analysis indicated a negative correlation between expression of EphB1 or Ephrin-B and overall survival. Hence, EphB1 and Ephrin-B could be regarded as independent good prognostic factorsand important biological markers for SC/ASC and AC of gallbladder.

Keywords

References

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