Overexpression of epithelial cell adhesion molecule protein is associated with favorable prognosis in an unselected cohort of ovarian cancer patients
Autor: | Sina Jakobi, Marcus Schmidt, Veronika Weyer, Georgios‑Marios Makris, Marco Johannes Battista, Isabel Sicking, Joscha Steetskamp, Cristina Cotarelo |
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Rok vydání: | 2014 |
Předmět: |
Oncology
Cancer Research medicine.medical_specialty medicine.medical_treatment Cohort Studies chemistry.chemical_compound Antigens Neoplasm Internal medicine Humans Medicine Aged Ovarian Neoplasms Chemotherapy Hematology business.industry Proportional hazards model Hazard ratio Epithelial cell adhesion molecule General Medicine Middle Aged Epithelial Cell Adhesion Molecule Prognosis medicine.disease Adenocarcinoma Mucinous Survival Analysis Confidence interval Cystadenocarcinoma Serous Up-Regulation chemistry Cohort Female business Ovarian cancer Cell Adhesion Molecules |
Zdroj: | Journal of Cancer Research and Clinical Oncology. 140:1097-1102 |
ISSN: | 1432-1335 0171-5216 |
DOI: | 10.1007/s00432-014-1672-9 |
Popis: | The aim of this study was to evaluate the prognostic influence of epithelial cell adhesion molecule (EpCAM) in an unselected cohort of ovarian cancer (OC) patients. Expression of EpCAM was determined by immunohistochemistry in an unselected cohort of 117 patients with OC. Univariable and multivariable Cox regression analyses adjusted for age, tumor stage, histological grading, histological subtype, postoperative tumor burden and completeness of chemotherapy were performed in order to determine the prognostic influence of EpCAM. The Kaplan–Meier method is used to estimate survival rates. Univariable Cox regression analysis showed that overexpression of EpCAM is associated with favorable prognosis in terms of progression-free survival (PFS) (p = 0.011) and disease-specific survival (DSS) (p = 0.003). In multivariable Cox regression analysis, overexpression of EpCAM retains its significance independent of established prognostic factors for longer PFS [hazard ratios (HR) 0.408, 95 % confidence interval (CI) 0.197–0.846, p = 0.003] but not for PFS (HR 0.666, 95 % CI 0.366–1.212, p = 0.183). Kaplan–Meier plots demonstrate an influence on 5-year PFS rates (0 vs. 27.6 %, p = 0.048) and DSS rates (11.8 vs. 54.0 %, p = 0.018). These findings support the hypothesis that the expression of EpCAM is associated with favorable prognosis in OC. |
Databáze: | OpenAIRE |
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