Prognostic Significance of Tumor Budding in Ampullary Carcinomas

被引:0
作者
Akar, Kadriye Ebru [1 ]
Bagci, Pelin [1 ]
机构
[1] Marmara Univ, Sch Med, Dept Pathol, Fevzi Cakmak Muhsin Yazicioglu St 10, TR-34899 Pendik, Istanbul, Turkiye
关键词
ampulla of Vater; carcinoma; adenocarcinoma; pancreas; tumor budding; VATER; CANCER; PANCREATICODUODENECTOMY; CLASSIFICATION; PREDICTORS; RECURRENCE; RESECTION; PAPILLA;
D O I
10.1177/10668969241308204
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Objective. The presence of high tumor budding in colorectal carcinomas is a significant pathological feature indicative of a high potential for lymph node metastasis. Our aim was to investigate the prognostic impact of tumor budding in ampullary carcinomas. Materials and methods. We conducted a cohort of 101 consecutive ampullary carcinoma resections to evaluate tumor budding, macroscopic and microscopic subtypes, lymphatic/vascular/perineural invasions, and other histopathological parameters. Results. High tumor budding was observed in 49 (49%) of the tumors, and multivariate survival analysis evaluating the overall survival of these patients found tumor budding to be an independent poor prognostic indicator (p = 0.013). Conclusion. Tumor budding should be reported in ampullary carcinomas as it serves as an independent predictor of a poor outcome.
引用
收藏
页码:1135 / 1141
页数:7
相关论文
共 30 条
[1]   Whipple Made Simple For Surgical Pathologists Orientation, Dissection, and Sampling of Pancreaticoduodenectomy Specimens For a More Practical and Accurate Evaluation of Pancreatic, Distal Common Bile Duct, and Ampullary Tumors [J].
Adsay, N. Volkan ;
Basturk, Olca ;
Saka, Burcu ;
Bagci, Pelin ;
Ozdemir, Denizhan ;
Balci, Serdar ;
Sarmiento, Juan M. ;
Kooby, David A. ;
Staley, Charles ;
Maithel, Shishir K. ;
Everett, Rhonda ;
Cheng, Jeanette D. ;
Thirabanjasak, Duangpeng ;
Weaver, Donald W. .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2014, 38 (04) :480-493
[2]   Pathologic staging of pancreatic, ampullary, biliary, and gallbladder cancers: pitfalls and practical limitations of the current AJCC/UICC TNM staging system and opportunities for improvement [J].
Adsay, N. Volkan ;
Bagci, Pelin ;
Tajiri, Takuma ;
Oliva, Irma ;
Ohike, Nobuyuki ;
Balci, Serdar ;
Gonzalez, Raul S. ;
Basturk, Olca ;
Jang, Kee-Taek ;
Roa, Juan Carlos .
SEMINARS IN DIAGNOSTIC PATHOLOGY, 2012, 29 (03) :127-141
[3]   Ampullary Region Carcinomas Definition and Site Specific Classification With Delineation of Four Clinicopathologically and Prognostically Distinct Subsets in an Analysis of 249 Cases [J].
Adsay, Volkan ;
Ohik, Nobuyuki ;
Tajiri, Takuma ;
Kim, Grace E. ;
Krasinskas, Alyssa ;
Balci, Serdar ;
Bagci, Pelin ;
Basturk, Olca ;
Bandyopadhyay, Sudeshna ;
Jang, Kee-Taek ;
Kooby, David A. ;
Maithel, Shishir K. ;
Sarmiento, Juan ;
Staley, Charles A. ;
Gonzalez, Raul S. ;
Kong, So Yeon ;
Goodman, Michael .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2012, 36 (11) :1592-1608
[4]   Cancers of the Ampulla of Vater: Demographics, Morphology, and Survival Based on 5,625 Cases From the SEER Program [J].
Albores-Saavedra, Jorge ;
Schwartz, Arnold M. ;
Batich, Kristen ;
Henson, Donald E. .
JOURNAL OF SURGICAL ONCOLOGY, 2009, 100 (07) :598-605
[5]   RESULTS OF PANCREATICODUODENECTOMY FOR AMPULLARY CARCINOMA AND ANALYSIS OF PROGNOSTIC FACTORS FOR SURVIVAL [J].
ALLEMA, JH ;
REINDERS, ME ;
VANGULIK, TM ;
VANLEEUWEN, DJ ;
VERBEEK, PCM ;
DEWIT, LT ;
GOUMA, DJ .
SURGERY, 1995, 117 (03) :247-253
[6]   The Eighth Edition AJCC Cancer Staging Manual: Continuing to build a bridge from a population-based to a more "personalized" approach to cancer staging [J].
Amin, Mahul B. ;
Greene, Frederick L. ;
Edge, Stephen B. ;
Compton, Carolyn C. ;
Gershenwald, Jeffrey E. ;
Brookland, Robert K. ;
Meyer, Laura ;
Gress, Donna M. ;
Byrd, David R. ;
Winchester, David P. .
CA-A CANCER JOURNAL FOR CLINICIANS, 2017, 67 (02) :93-99
[7]   Intestinal-type of differentiation predicts favourable overall survival: confirmatory clinicopathological analysis of 198 periampullary adenocarcinomas of pancreatic, biliary, ampullary and duodenal origin [J].
Bronsert, Peter ;
Kohler, Ilona ;
Werner, Martin ;
Makowiec, Frank ;
Kuesters, Simon ;
Hoeppner, Jens ;
Hopt, Ulrich Theodor ;
Keck, Tobias ;
Bausch, Dirk ;
Wellner, Ulrich Friedrich .
BMC CANCER, 2013, 13
[8]   Tumors of the ampulla of Vater: Histopathologic classification and predictors of survival [J].
Carter, Jonathan T. ;
Grenert, James P. ;
Rubenstein, Laura ;
Stewart, Lygia ;
Way, Lawrence W. .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2008, 207 (02) :210-218
[9]   A population-based study on incidence, treatment, and survival in ampullary cancer in the Netherlands [J].
de Jong, Evelien J. M. ;
Geurts, Sandra M. E. ;
van der Geest, Lydia G. ;
Besselink, Marc G. ;
Bouwense, Stefan A. W. ;
Buijsen, Jeroen ;
Dejong, Cornelis H. C. ;
Heij, Lara R. ;
Koerkamp, Bas Groot ;
de Hingh, Ignace H. J. T. ;
Hoge, Chantal ;
Kazemier, Geert ;
van Laarhoven, Hanneke W. M. ;
de Meijer, Vincent E. ;
Mohammad, Nadia Haj ;
Strijker, Marin ;
Timmermans, Karin C. A. A. ;
Valkenburg-van Iersel, Liselot B. J. ;
Wilmink, Johanna W. ;
Tjan-Heijnen, Vivianne C. G. ;
de Vos-Geelen, Judith .
EJSO, 2021, 47 (07) :1742-1749
[10]   Pathogenesis of carcinoma of the papilla of Vater [J].
Fischer, HP ;
Zhou, H .
JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY, 2004, 11 (05) :301-309