Abstract
Aim-Background
Colorectal adenocarcinoma is one of the most common malignancies in humans. Consequently, several studies attempt to determine prognosis and clarify a better potential therapeutic utility in therapy-resistant tumours. Epidermal growth factor receptor (EGFR) is implicated in tumorigenesis and has an important role in cell proliferation, angiogenesis and metastatic spread. It is also a therapeutic target for many malignancies. This study aimed to investigate the expression of EGFR in colorectal cancer (CRC) and its correlation with lymph node metastases.
Methods
Seventy-six paraffin-embedded tissue blocks were used from colectomies due to colorectal adenocarcinomas. The immunohistochemical expression of EGFR was statistically correlated with the presence of lymph node metastases using the Pearson Chi-Square test.
Results
EGFR expression was positive in 55 of the 76 cases, in 38 of which lymph node metastases were observed as opposed to the remaining 17 cases. Respectively, EGFR was negative in 21 cases, in six of which lymph node metastases were observed, while in the remaining 15, there was no such evidence.
Conclusion
A statistically significant correlation (p=0,002) was revealed between EGFR expression and the presence of lymph node metastases. This result is consistent with most of the international literature.
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References
Dahabreh IJ, Terasawa T, Castaldi PJ, Trikalinos TA. Systematic review: anti–epidermal growth factor receptor treatment effect modification by KRAS mutations. Ann Intern Med 2011;154:37–49.
Behl AS, Goddard KAB, Flottemesch TJ, et al. Cost-effectiveness analysis of screening for KRAS and BRAF mutations in metastatic colorectal cancer. J Natl Cancer Inst 2012;104:1785–95.
Douillard JY, Oliner KS, Siena S, et al. Panitumumab-FOLFOX4 treatment and RAS mutations in colorectal cancer. N Engl J Med 2013;369:1023–34.
Adelstein B-A, Dobbins TA, Harris CA, et al. A systematic review and meta-analysis of KRAS status as the determinant of response to anti-EGFR antibodies and the impact of partner chemotherapy in metastatic colorectal cancer. Eur J Cancer 2011;47:1343–54.
Vale CL, Tierney JF, Fisher D, et al. Does anti-EGFR therapy improve outcome in advanced colorectal cancer? A systematic review and meta-analysis. Cancer Treat Rev 2012;38:618–25.
Grothey A, Lenz H-J. Explaining the unexplainable: EGFR antibodies in colorectal cancer. J Clin Oncol 2012;30:1735–7.
Mokhtari M, Ardestani MM, Movahedipour M. An immunohistochemical study of EGFR expression in colorectal cancer and its correlation with lymph nodes status and tumor grade. J Res Med Sci 2012;17:741–4.
Lu Y, Jingyan G, Baorong S, Peng J, Xu Y, Cai S. Expression of EGFR, Her2 predict lymph node metastasis (LNM)-associated metastasis in colorectal cancer. Cancer Biomark 2012;11:219–26.
Deng Y, Kurland BF, Wang J, et al. High epidermal growth factor receptor expression in metastatic colorectal cancer lymph nodes may be more prognostic of poor survival than in primary tumor. Am J Clin Oncol 2009;32:245–52.
McKay JA, Murray LJ, Curran S, et al. Evaluation of the epidermal growth factor receptor (EGFR) in colorectal tumors and lymph node metastases. Eur J Cancer 2002;38:2258–64. http://www.cancerresearchuk.org
András C, Tóth L, Molnár C, et al. Correlations between clinicopathological parameters and molecular signatures of primary tumors for patients with stage T3n0 colorectal adenocarcinomas: a single center retrospective study on 100 cases. Hepatogastroenterology. 2012;59:1091–97
Deng Y, Kurland BF, Wang J, et al. High epidermal growth factor receptor expression in metastatic colorectal cancer lymph nodes may be more prognostic of poor survival than in primary tumor. Am J Clin Oncol 2009;32:245–52.
Theodoropoulos GE, Karafoka E, Papailiou JG, et al. P53 and EGFR expression in colorectal cancer: a reappraisal of 'old' tissue markers in patients with long follow-up. Anticancer Res 2009;29:785–91.
Kluftinger AM, Robinson BW, Quenville NF, Finley RJ, Davis NL. Correlation of epidermal growth factor receptor and c-erbB2 oncogene product to known prognostic indicators of colorectal cancer. Surgical Oncology 1992;1:97–105.
Steele RJ, Kelly P, Ellul B, Eremin O. Br Immunohistochemical detection of epidermal growth factor receptors on human colonic carcinomas. J Cancer 1990;61:325–6.
Heinemann V, Stintzing S, Kirchner T, Boeck S, Jung A. Clinical relevance of EGFR-and KRAS-status in colorectal cancer patients treated with monoclonal antibodies directed against the EGFR. Cancer Treat Rev 2009;35:262–71.
Fakih M, Wong R. Efficacy of the monoclonal antibody EGFR inhibitors for the treatment of metastatic colorectal cancer. Curr Oncol 2010;17(Suppl 1):S3–17.
Venook AP. Epidermal growth factor receptor-targeted treatment for advanced colorectal carcinoma. Cancer 2005;103:2435–46.
Bibeau F, Boissiere-Michot F, Sabourin JC, et al. Assessment of epidermal growth factor receptor (EGFR) expression in primary colorectal carcinomas and their related metastases on tissue sections and tissue microarray. Virchows Arch 2006;449:281–7.
Zlobec I, Vuong T, Hayashi S, et al. A simple and reproducible scoring system for EGFR in colorectal cancer: application to prognosis and prediction of response to preoperative brachytherapy. Br J Cancer 2007;96:793–800.
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Kapogiannatos, G., Margaritis, D., Alevizou, R. et al. Immunohistochemical expression of EGFR in colorectal adenocarcinoma and its correlation with the presence of lymph node metastases. Hellenic J Surg 87, 364–367 (2015). https://doi.org/10.1007/s13126-015-0242-1
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DOI: https://doi.org/10.1007/s13126-015-0242-1