Epstein-Barr virus and carcinomas: rare association of the virus with gastric adenocarcinomas
1993

Epstein-Barr Virus and Gastric Adenocarcinomas

Sample size: 174 publication Evidence: moderate

Author Information

Author(s): D.C. Rowlands, M. Ito, D.C. Mangham, G. Reynolds, H. Herbst, M.T. Hallissey, J.W.L. Fielding, K.M. Newbold, E.L. Jones, L.S. Young, G. Niedobitek

Primary Institution: University of Birmingham

Hypothesis

Is there an association between Epstein-Barr virus (EBV) and gastric adenocarcinomas?

Conclusion

The study found a rare association of EBV with gastric adenocarcinomas, particularly in undifferentiated types.

Supporting Evidence

  • EBV was found in all six undifferentiated gastric carcinomas with prominent lymphoid stroma.
  • Only three out of 168 typical gastric adenocarcinomas (1.8%) were EBV-positive.
  • EBV infection likely occurs early in the neoplastic process in virus-associated tumours.

Takeaway

This study looked at stomach cancers to see if a virus called EBV was involved. They found it mostly in a specific type of cancer, but not in most others.

Methodology

The study analyzed 174 gastric carcinoma samples for EBV presence using in situ hybridization for EBER transcripts.

Limitations

The study's sample size for EBV-positive gastric adenocarcinomas was small, limiting the ability to draw firm conclusions.

Participant Demographics

The UK cases had a mean age of 66 years and a male-to-female ratio of 2.03; the Japanese cases had a mean age of 63 years and a male-to-female ratio of 1.17.

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