Prognostic significance of bcl-2 expression in leiomyosarcoma of the uterus
1999

Bcl-2 Expression and Prognosis in Uterine Leiomyosarcoma

Sample size: 21 publication Evidence: moderate

Author Information

Author(s): Zhai Y-L, Nikaido T, Toki T, Shiozawa A, Orii A, Fujii S

Primary Institution: Shinshu University School of Medicine

Hypothesis

Does bcl-2 expression influence prognosis in patients with uterine leiomyosarcomas?

Conclusion

Bcl-2 expression may correlate with a favorable prognosis in patients with uterine leiomyosarcoma.

Supporting Evidence

  • Bcl-2 protein was expressed in nearly all benign smooth muscle tumors but in only 57% of leiomyosarcomas.
  • 76% of leiomyosarcomas were positive for p53 protein.
  • A significant positive correlation was observed between p53 mutation and p53 expression.
  • Univariate survival analysis revealed that bcl-2 expression and clinical stage showed a significant correlation with prognosis.
  • Positive bcl-2 expression and stage 1 disease were independent predictors of a favorable prognosis.

Takeaway

This study found that a protein called bcl-2 is often present in certain tumors and might help predict how well patients with a specific type of cancer will do.

Methodology

The study examined bcl-2 and p53 expression and mutation in human uterine smooth muscle tumors to assess their influence on prognosis.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690578

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