Lymphocyte homing receptor (CD44) expression is associated with poor prognosis in gastrointestinal lymphoma
1993

CD44 Expression and Prognosis in Gastrointestinal Lymphoma

Sample size: 27 publication Evidence: moderate

Author Information

Author(s): H. Joensuu, R. Ristamaki, P.J. Klemi, S. Jalkanen

Primary Institution: Turku University Central Hospital

Hypothesis

Lymphocyte homing receptor (CD44) expression is associated with poor prognosis in gastrointestinal lymphoma.

Conclusion

Lack of lymphocyte homing receptor expression is common in gastrointestinal lymphoma, and CD44 expression is associated with unfavorable prognosis.

Supporting Evidence

  • Lymphomas lacking or with very weak homing receptor expression had a 57% 10-year survival rate.
  • Only 15% of lymphomas with strong CD44 expression were alive 10 years after diagnosis.
  • The study suggests that CD44 expression may be one of the strongest prognostic factors in gastrointestinal lymphoma.

Takeaway

This study found that patients with gastrointestinal lymphoma who have low levels of a specific protein called CD44 tend to live longer than those with high levels of it.

Methodology

The study analyzed 27 patients with gastrointestinal lymphoma, assessing CD44 expression through immunohistochemistry and following their survival for 8 to 20 years.

Limitations

The study had a small sample size and did not perform multivariate analysis due to this limitation.

Participant Demographics

63% of participants were male, with a median age of 65 years.

Statistical Information

P-Value

0.02

Statistical Significance

p=0.02

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