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

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International Journal of Colorectal Disease Aims and scope Submit manuscript

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.

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Authors and Affiliations

  1. Division of Colon and Rectal Surgery, Shizuoka Cancer Center Hospital, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan

    M. Ishii, M. Ota, S. Saito, Y. Kinugasa & S. Akamoto

  2. Division of Pathology, Shizuoka Cancer Center Hospital, Shizuoka, Japan

    I. Ito

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  1. M. Ishii
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  2. M. Ota
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  3. S. Saito
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  4. Y. Kinugasa
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  5. S. Akamoto
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  6. I. Ito
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Correspondence to M. Ishii.

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Ishii, M., Ota, M., Saito, S. et al. Lymphatic vessel invasion detected by monoclonal antibody D2-40 as a predictor of lymph node metastasis in T1 colorectal cancer. Int J Colorectal Dis 24, 1069–1074 (2009). https://doi.org/10.1007/s00384-009-0699-x

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  • DOI: https://doi.org/10.1007/s00384-009-0699-x

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