Clinical usefulness of microsatellite instability for the prediction of gastric adenoma or adenocarcinoma in patients with chronic gastritis
2000

Microsatellite Instability and Gastric Cancer Risk

Sample size: 55 publication Evidence: moderate

Author Information

Author(s): Kashiwagi K, Watanabe M, Ezaki T, Kanai T, Ishii H, Mukai M, Hibi T

Primary Institution: Keio University

Hypothesis

Can microsatellite instability (MSI) in patients with chronic gastritis predict the development of gastric adenoma or adenocarcinoma?

Conclusion

MSI in biopsy specimens from patients with chronic gastritis may indicate a risk for developing gastric adenoma and well-differentiated adenocarcinoma.

Supporting Evidence

  • Only one of 55 patients with chronic gastritis revealed MSI-H phenotype.
  • In six of 17 patients with gastric adenoma or well-differentiated adenocarcinoma, MSI-positive phenotypes were demonstrated.
  • All six patients showing MSI had already revealed MSI at the stage of chronic gastritis.

Takeaway

If doctors find certain changes in stomach tissue from patients with chronic gastritis, it might mean those patients are more likely to get stomach cancer later.

Methodology

The study analyzed mutations of five microsatellite loci in patients with chronic gastritis, adenoma, and adenocarcinoma.

Participant Demographics

Patients with chronic gastritis, gastric adenoma, and adenocarcinoma.

Digital Object Identifier (DOI)

10.1054/bjoc.1999.1154

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