Aberrant p53 Expression in Gastric Biopsies and Resection Specimens Following Neoadjuvant Chemoradiation: A Diagnostic Pitfall.


Journal

International journal of surgical pathology
ISSN: 1940-2465
Titre abrégé: Int J Surg Pathol
Pays: United States
ID NLM: 9314927

Informations de publication

Date de publication:
Dec 2023
Historique:
medline: 31 10 2023
pubmed: 28 2 2023
entrez: 27 2 2023
Statut: ppublish

Résumé

Gastric mucosal biopsies and resections from patients treated with neoadjuvant radiation and/or chemotherapy are frequently encountered. These samples may show histologic features related to therapy including inflammation, ulceration, and epithelial atypia. In some cases, epithelial atypia may be marked, prompting the use of adjunct p53 immunohistochemistry. We examined p53 expression by immunohistochemistry in gastric mucosa following therapy. We evaluated the histology and p53 immunohistochemical expression in gastric mucosa from 5 We identified histomorphologic features of therapy-related epithelial changes in 50 of 60 cases (83%). Abnormal p53 expression was present at least focally in nearly half the cases (27 of 60 cases; 45%), all of which showed morphologic evidence of therapy-related epithelial changes Our results demonstrate that abnormal p53 expression is relatively common in gastric mucosal samples following radiation and/or chemotherapy and suggest that p53 expression should be avoided when distinguishing therapy

Identifiants

pubmed: 36843539
doi: 10.1177/10668969231157304
pmc: PMC10460459
mid: NIHMS1916730
doi:

Substances chimiques

Tumor Suppressor Protein p53 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1458-1465

Subventions

Organisme : NCI NIH HHS
ID : T32 CA193145
Pays : United States

Déclaration de conflit d'intérêts

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Auteurs

Danielle A Hutchings (DA)

Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Kevan J Salimian (KJ)

Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Kevin M Waters (KM)

Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Jacqueline E Birkness-Gartman (JE)

Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Lysandra Voltaggio (L)

Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Naziheh Assarzadegan (N)

Department of Pathology, University of Michigan, Ann Arbor, MI, USA.

Jialing Huang (J)

Department of Pathology, Thomas Jefferson University, Philadelphia, PA, USA.

Ming-Tseh Lin (MT)

Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Aatur D Singhi (AD)

Department of Pathology, University of Pittsburgh, Pittsburgh, PA, USA.

Elizabeth A Montgomery (EA)

Department of Pathology, University of Miami Miller School of Medicine, Miami, FL, USA.

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