Skip to main content

Advertisement

Log in

Comparative analysis of basaloid and conventional squamous cell carcinomas of the esophagus: prognostic relevance of clinicopathological features and protein expression

  • Original Article
  • Published:
Tumor Biology

Abstract

Basaloid squamous cell carcinoma (BSCC), a variant of squamous cell carcinoma (SCC), is a rare and aggressive epithelial malignancy which has been reported in only 0.1–11 % of primary esophageal carcinomas. In this study, a comparison of clinicopathological features and protein expression between esophageal BSCC (EBSCC) and conventional esophageal SCC (ESCC) cases from Brazil was performed in order to find factors that can be relevant to better characterize EBSCC. The expression of HER2, epidermal growth factor receptor (EGFR), Ki-67, and cyclins (A, B1, and D1) in 111 cases (95 ESCC and 16 EBSCC) was evaluated by immunohistochemistry using tissue microarray. When the clinicopathological data were compared, no significant difference was found between the two histological types. Although the difference is not significant (p = 0.055), the EGFR expression was more frequent in the conventional ESCC than in the EBSCC group. Our results indicate that the clinicopathological profiles of conventional ESCC and EBSCC are similar and provide no indicators for differences in prognosis between these two groups.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Fujita H, Kakegawa T, Yamana H, Shima I, Toh Y, Tomita Y, et al. Mortality and morbidity rates, postoperative course, quality of life, and prognosis after extended radical lymphadenectomy for esophageal cancer. Comparison of three-field lymphadenectomy with two-field lymphadenectomy. Ann Surg. 1995;222:654–62.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Nakagawa S, Kanda T, Kosugi S, Ohashi M, Suzuki T, Hatakeyama K. Recurrence pattern of squamous cell carcinoma of the thoracic esophagus after extended radical esophagectomy with three-field lymphadenectomy. J Am Coll Surg. 2004;198:205–11.

    Article  PubMed  Google Scholar 

  3. Tachibana M, Kinugasa S, Yoshimura H, Shibakita M, Tonomoto Y, Dhar DK, et al. Clinical outcomes of extended esophagectomy with three-field lymph node dissection for esophageal squamous cell carcinoma. Am J Surg. 2005;189:98–109.

    Article  PubMed  Google Scholar 

  4. Wain SL, Kier R, Vollmer RT, Bossen EH. Basaloid-squamous carcinoma of the tongue, hypopharynx, and larynx: report of 10 cases. Hum Pathol. 1986;17:1158–66.

    Article  CAS  PubMed  Google Scholar 

  5. Cho KJ, Jang JJ, Lee SS, Zo JI. Basaloid squamous carcinoma of the oesophagus: a distinct neoplasm with multipotential differentiation. Histopathology. 2000;36:331–40.

    Article  CAS  PubMed  Google Scholar 

  6. Bellizzi AM, Woodford RL, Moskaluk CA, Jones DR, Kozower BD, Stelow EB. Basaloid squamous cell carcinoma of the esophagus: assessment for high-risk human papillomavirus and related molecular markers. Am J Surg Pathol. 2009;33:1608–14.

    Article  PubMed  Google Scholar 

  7. Chen S-B, Weng H-R, Wang G, Yang J-S, Yang W-P, Li H, et al. Basaloid squamous cell carcinoma of the esophagus. J Cancer Res Clin Oncol. 2012;138:1165–71.

    Article  PubMed  Google Scholar 

  8. Kobayashi Y, Nakanishi Y, Taniguchi H, Sekine S, Igaki H, Tachimori Y, et al. Histological diversity in basaloid squamous cell carcinoma of the esophagus. Dis Esophagus Off J Int Soc Dis Esophagus ISDE. 2009;22:231–8.

    Article  CAS  Google Scholar 

  9. Zhang B-H, Cheng G-Y, Xue Q, Gao S-G, Sun K-L, Wang Y-G, et al. Clinical outcomes of basaloid squamous cell carcinoma of the esophagus: a retrospective analysis of 142 cases. Asian Pac J Cancer Prev APJCP. 2013;14:1889–94.

    Article  PubMed  Google Scholar 

  10. Nishimura W, Naomoto Y, Hamaya K, Toda S, Miyagi K, Tanaka N. Basaloid-squamous cell carcinoma of the esophagus: diagnosis based on immunohistochemical analysis. J Gastroenterol Hepatol. 2001;16:586–90.

    Article  CAS  PubMed  Google Scholar 

  11. Noguchi H, Naomoto Y, Haisa M, Yamatsuji T, Shigemitsu K, Shirakawa Y, et al. Two cases of superficial basaloid squamous carcinoma of the esophagus. Dis Esophagus Off J Int Soc Dis Esophagus ISDE. 2003;16:342–5.

    Article  CAS  Google Scholar 

  12. Shibata Y, Baba E, Ariyama H, Miki R, Ogami N, Arita S, et al. Metastatic basaloid-squamous cell carcinoma of the esophagus treated by 5-fluorouracil and cisplatin. World J Gastroenterol WJG. 2007;13:3634–7.

    Article  PubMed  Google Scholar 

  13. Akagi I, Miyashita M, Makino H, Nomura T, Ohkawa K, Tajiri T. Basaloid squamous cell carcinoma of the esophagus: report of two cases. J Nippon Med Sch Nippon Ika Daigaku Zasshi. 2008;75:354–60.

    Article  PubMed  Google Scholar 

  14. Nakamura M, Nishikawa J, Suenaga S, Okamoto T, Okamoto F, Miura O, et al. A case of EMRC for basaloid squamous carcinoma of the cervical esophagus. World J Gastrointest Endosc. 2012;4:373–5.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Sarbia M, Verreet P, Bittinger F, Dutkowski P, Heep H, Willers R, et al. Basaloid squamous cell carcinoma of the esophagus: diagnosis and prognosis. Cancer. 1997;79:1871–8.

    Article  CAS  PubMed  Google Scholar 

  16. Zhang X-H, Sun G-Q, Zhou X-J, Guo H-F, Zhang T-H. Basaloid squamous carcinoma of esophagus:a clinicopathological, immunohistochemical and electron microscopic study of sixteen cases. World J Gastroenterol WJG. 1998;4:397–403.

    Article  PubMed  Google Scholar 

  17. Sarbia M, Loberg C, Wolter M, Arjumand J, Heep H, Reifenberger G, et al. Expression of Bcl-2 and amplification of c-myc are frequent in basaloid squamous cell carcinomas of the esophagus. Am J Pathol. 1999;155:1027–32.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Huang Z, Shen Y, Liang Y, Wu X. Basaloid squamous cell carcinoma of the esophagus: an immunohistochemical study of 8 cases. Chin Med J (Engl). 2001;114:1084–8.

    CAS  Google Scholar 

  19. Ohashi K, Horiguchi S, Moriyama S, Hishima T, Hayashi Y, Momma K, et al. Superficial basaloid squamous carcinoma of the esophagus. A clinicopathological and immunohistochemical study of 12 cases. Pathol Res Pract. 2003;199:713–21.

    PubMed  Google Scholar 

  20. Owonikoko T, Loberg C, Gabbert HE, Sarbia M. Comparative analysis of basaloid and typical squamous cell carcinoma of the oesophagus: a molecular biological and immunohistochemical study. J Pathol. 2001;193:155–61.

    Article  CAS  PubMed  Google Scholar 

  21. Koide N, Nishio A, Kono T, Hiraguri M, Watanabe H, Igarashi J, et al. Histochemical study of angiogenesis in basaloid squamous carcinoma of the esophagus. Dis Esophagus Off J Int Soc Dis Esophagus ISDE. 2000;13:142–7.

    Article  CAS  Google Scholar 

  22. Imamhasan A, Mitomi H, Saito T, Hayashi T, Takahashi M, Kajiyama Y, et al. Immunohistochemical and oncogenetic analyses of the esophageal basaloid squamous cell carcinoma in comparison with conventional squamous cell carcinomas. Hum Pathol. 2012;43:2012–23.

    Article  CAS  PubMed  Google Scholar 

  23. Andl CD, Mizushima T, Nakagawa H, Oyama K, Harada H, Chruma K, et al. Epidermal growth factor receptor mediates increased cell proliferation, migration, and aggregation in esophageal keratinocytes in vitro and in vivo. J Biol Chem. 2003;278:1824–30.

    Article  CAS  PubMed  Google Scholar 

  24. Normanno N, De Luca A, Bianco C, Strizzi L, Mancino M, Maiello MR, et al. Epidermal growth factor receptor (EGFR) signaling in cancer. Gene. 2006;366:2–16.

    Article  CAS  PubMed  Google Scholar 

  25. Rowinsky EK. Signal events: cell signal transduction and its inhibition in cancer. Oncologist. 2003;8 Suppl 3:5–17.

    Article  CAS  PubMed  Google Scholar 

  26. Yam CH, Fung TK, Poon RY. Cyclin A in cell cycle control and cancer. Cell Mol Life Sci. 2002;59:1317–26.

    Article  CAS  PubMed  Google Scholar 

  27. Coqueret O. Linking cyclins to transcriptional control. Gene. 2002;299:35.

    Article  CAS  PubMed  Google Scholar 

  28. Wasch R, Engelbert D. Anaphase-promoting complex-dependent proteolysis of cell cycle regulators and genomic instability of cancer cells. Oncogene. 2005;24:1–10.

    Article  PubMed  Google Scholar 

  29. Fu M, Wang C, Li Z, Sakamaki T, Pestell RG. Minireview: Cyclin D1: normal and abnormal functions. Endocrinology. 2004;145:5439–47.

    Article  CAS  PubMed  Google Scholar 

  30. Deshpande A, Sicinski P, Hinds PW. Cyclins and cdks in development and cancer: a perspective. Oncogene. 2005;24:2909–15.

    Article  CAS  PubMed  Google Scholar 

  31. Murray AW. Recycling the cell cycle: cyclins revisited. Cell. 2004;116:221.

    Article  CAS  PubMed  Google Scholar 

  32. Endl E, Gerdes J. The Ki-67 protein: fascinating forms and an unknown function. Exp Cell Res. 2000;257:231–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors thank Carlos Ferreira Nascimento and Severino Ferreira da Silva for providing technical assistance. This study was supported by grants from the Fundação de Apoio a Pesquisa do Estado de São Paulo (FAPESP).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yukie Sato-Kuwabara.

Ethics declarations

Funding

This study was supported by grants from the Fundação de Apoio a Pesquisa do Estado de São Paulo (FAPESP 2010/19572-6).

Conflicts of interest

None

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary Table S1

(DOCX 55 kb)

Supplementary Table S2

(DOCX 58 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sato-Kuwabara, Y., Fregnani, J.H.T.G., Jampietro, J. et al. Comparative analysis of basaloid and conventional squamous cell carcinomas of the esophagus: prognostic relevance of clinicopathological features and protein expression. Tumor Biol. 37, 6691–6699 (2016). https://doi.org/10.1007/s13277-015-4551-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13277-015-4551-3

Keywords

Navigation