p53 expression in squamous dysplasia associated with carcinoma of the oesophagus: evidence for field carcinogenesis
2000

p53 Expression in Oesophageal Dysplasia and Cancer

Sample size: 179 publication Evidence: moderate

Author Information

Author(s): Yasuda M, Kuwano H, Watanabe M, Toh Y, Ohno S, Sugimachi K

Primary Institution: Fukuoka Dental College Hospital

Hypothesis

The study investigates the significance of p53 expression in dysplastic lesions associated with oesophageal carcinoma.

Conclusion

The study found that p53 expression is prevalent in dysplastic lesions contiguous to p53-positive carcinomas, supporting the concept of field carcinogenesis in the oesophagus.

Supporting Evidence

  • p53 mutations are commonly identified in oesophageal cancer and dysplasia.
  • 46.5% of invasive carcinoma lesions expressed p53.
  • 51.0% of carcinoma in situ lesions expressed p53.
  • 51.4% of dysplastic lesions expressed p53.
  • 94.8% of dysplasias contiguous to p53-positive carcinomas expressed p53.

Takeaway

The study shows that certain changes in cells that can lead to cancer are often found together, suggesting that these changes happen in groups rather than just in isolated spots.

Methodology

Immunostaining for p53 was performed on resected human oesophagus samples to assess expression in cancerous and precancerous lesions.

Limitations

No significant correlations were found between p53 staining and clinicopathological features or prognosis.

Statistical Information

P-Value

<0.0001

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1443

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication