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A clinicopathological analysis of primary mucosal malignant melanoma

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Abstract

Purposes

Primary mucosal malignant melanoma (PMMM) is a rare and highly lethal neoplasm associated with a poor prognosis. CXC chemokine receptor 4 (CXCR4) is expressed on various tumor cells, including malignant melanoma. Recent data indicate that CXCL12 and CXCR4 play a critical role in the behavior of cancer cells and in the survival of cancer patients. However, there has been no study that has addressed the expression and function of CXCR4/CXCL12 signaling in PMMM.

Methods

Immunohistochemical staining for CXCL12 and Ki67 in biopsy tissues from 10 cases of PMMM was performed. We analyzed the correlations between the clinicopathological features and expression levels of CXCL12 and Ki67.

Results

Six cases showed a high level of CXCL12 expression, while four cases had a low level of expression. High expression of CXCL12 correlated with a poor prognosis, although statistical significance was not reached (p = 0.054). Ki67 was highly expressed in five cases, while the expression in the other five cases was low. There was no correlation between the Ki67 expression and prognosis.

Conclusions

The findings of this study suggest that CXCL12 expression may play an important role in the biological behavior of PMMM and may be associated with a poor prognosis of PMMM patients.

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Conflict of interest

Daisuke Izumi, Hideo Baba and all other co-authors have no conflicts of interest to declare in association with this study.

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Correspondence to Hideo Baba.

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Izumi, D., Ishimoto, T., Yoshida, N. et al. A clinicopathological analysis of primary mucosal malignant melanoma. Surg Today 45, 886–891 (2015). https://doi.org/10.1007/s00595-014-1041-y

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  • DOI: https://doi.org/10.1007/s00595-014-1041-y

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