International Journal of Colorectal Disease

, Volume 24, Issue 9, pp 1069–1074

Lymphatic vessel invasion detected by monoclonal antibody D2-40 as a predictor of lymph node metastasis in T1 colorectal cancer

  • M. Ishii
  • M. Ota
  • S. Saito
  • Y. Kinugasa
  • S. Akamoto
  • I. Ito
Original Article

DOI: 10.1007/s00384-009-0699-x

Cite this article as:
Ishii, M., Ota, M., Saito, S. et al. Int J Colorectal Dis (2009) 24: 1069. doi:10.1007/s00384-009-0699-x

Abstract

Objective

When selecting patients who are at high risk for lymph node metastasis, the detection of lymphatic vessel invasion (LVI) is important. We investigated LVI detected by D2-40 staining as a predictor of lymph node metastasis in T1 colorectal cancer.

Materials and methods

Clinicopathological factors including LVI were investigated in 136 patients who underwent colectomy with lymph node dissection for T1 colorectal cancer. We used immunostaining with monoclonal antibody D2-40 to detect LVI.

Results

Lymph node metastases were found in 18 patients (13.2%), and LVI were detected in 45 (33%); lymph node metastasis was more frequently observed in LVI-positive groups (13/45 vs 5/91, p < 0.001). Both univariate and multivariate analyses revealed that LVI detected by D2-40 and a poorly differentiated histology at the invasion front were independent risk factors of lymph node metastasis.

Conclusion

LVI detected by D2-40 is important for the prediction of lymph node metastasis.

Keywords

Lymphatic vessel invasion D2-40 Lymph node metastasis T1 colorectal cancer 

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • M. Ishii
    • 1
  • M. Ota
    • 1
  • S. Saito
    • 1
  • Y. Kinugasa
    • 1
  • S. Akamoto
    • 1
  • I. Ito
    • 2
  1. 1.Division of Colon and Rectal SurgeryShizuoka Cancer Center HospitalShizuokaJapan
  2. 2.Division of PathologyShizuoka Cancer Center HospitalShizuokaJapan

Personalised recommendations