Cyclooxygenase-2 expression predicts survival in malignant pleural mesothelioma

被引:26
作者
O'Kane, SL
Cawkwell, L
Campbell, A
Lind, MJ
机构
[1] Univ Hull, Postgrad Med Inst, Hull York Med Sch, Kingston Upon Hull HU6 7RX, N Humberside, England
[2] Hull Royal Infirm, Kingston Upon Hull HU3 2JZ, N Humberside, England
关键词
cyclooxygenase; immunohistochemistry; mesothelioma;
D O I
10.1016/j.ejca.2005.04.019
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The expression of cyclooxygenase 2 (COX-2) protein is increased in many tumours and may be associated with a more aggressive phenotype. We aimed to assess COX-2 expression in a large series of archival mesothelioma specimens. Archival tissue was obtained from 86 malignant pleural mesothelioma samples (histological subtype: 42 epithelial, 28 biphasic and 16 sarcomatoid). Overexpression of COX-2 was detected by immunohistochemical analysis. Positive staining was located in the cytoplasm of malignant tumour cells. Overall 51/86 (59%) tumour sections demonstrated COX-2 overexpression. The frequency varied with histological subtype with 31/42 (73%) of epithelial sections, 14/28 (50%) of biphasic sections and 6/16 (37%) of sarcomatoid sections recorded as positive. Kaplan Meier survival analysis indicated that overexpression of COX-2 was significantly related to improved prognosis (P < 0.001) and was an independent prognostic factor in multivariant analysis. Overexpression of COX-2 protein may confer a survival advantage in mesotheliorna patients. (c) 2005 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1645 / 1648
页数:4
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