Background and ObjectivesOnly recently the percentage of signet ring cells (SRCs) in gastric cancer (GC) has been proposed as an independent predictor of survival. High amounts of SRCs have been related to lower recurrence and mortality rates, better prognosis, and favorable clinicopathological features in a poorly cohesive histotype. It is not known what the effect of SRC percentage in mixed-type GC is. We investigate the role of SRCs as a prognostic marker in mixed-histotype GC. MethodsA retrospective analysis was performed through a prospectively maintained database of patients with diagnosed "mixed-type" gastric carcinoma, defined according to 2019 WHO classification. These patients underwent surgery between 1995 and 2016, and their tissue samples were stored in a tissue bank. All slides were analyzed, and patients were divided into three groups according to the percentage of SRCs: "Group 1" (displaying <= 10% of SRCs), "Group 2" (displaying 10% of SRCs), and "Group 3" (displaying >= 90% of SRCs). We compared clinical and pathological features as well as prognostic factors between the different groups. ResultsAmong 164 enrolled patients, 68.9% were male and 31.1% were female (p = 0.612). The mean (+/- SD) age at diagnosis was 71.4 +/- 9.6 years. Ninety-eight (59.7%) patients were classified as "Group 1", 66 (40.3%) as "Group 2", and none as "Group 3". Five-year overall survival was remarkably higher in Group 2 (73.8%) in comparison to Group 1 (35.4%), p < 0.001. Mortality risk was three times higher in patients with <= 10% SRC pattern compared to those with >10% [HR 2.70 (95% CI 1.72-4.24)]. After adjusting according to potential confounding factors, SRC percentage was still an independent predictor of survival. ConclusionsThe proportion of SRCs is inversely related to aggressive behavior and poor prognosis in mixed-type GCs, highlighting the role of SRC amount as an independent predictor of survival.

Marano, L., Ambrosio, M.R., Resca, L., Carbone, L., Carpineto Samorani, O., Petrioli, R., et al. (2022). The percentage of signet ring cells is inversely related to aggressive behavior and poor prognosis in mixed-type gastric cancer. FRONTIERS IN ONCOLOGY, 12 [10.3389/fonc.2022.897218].

The percentage of signet ring cells is inversely related to aggressive behavior and poor prognosis in mixed-type gastric cancer

Marano, Luigi;Ambrosio, Maria Raffaella;Resca, Luca;Carbone, Ludovico;Carpineto Samorani, Osvaldo;Petrioli, Roberto;Savelli, Vinno;Costantini, Maurizio;Malaspina, Lara;Polom, Karol;Marrelli, Daniele;Roviello, Franco
2022-01-01

Abstract

Background and ObjectivesOnly recently the percentage of signet ring cells (SRCs) in gastric cancer (GC) has been proposed as an independent predictor of survival. High amounts of SRCs have been related to lower recurrence and mortality rates, better prognosis, and favorable clinicopathological features in a poorly cohesive histotype. It is not known what the effect of SRC percentage in mixed-type GC is. We investigate the role of SRCs as a prognostic marker in mixed-histotype GC. MethodsA retrospective analysis was performed through a prospectively maintained database of patients with diagnosed "mixed-type" gastric carcinoma, defined according to 2019 WHO classification. These patients underwent surgery between 1995 and 2016, and their tissue samples were stored in a tissue bank. All slides were analyzed, and patients were divided into three groups according to the percentage of SRCs: "Group 1" (displaying <= 10% of SRCs), "Group 2" (displaying 10% of SRCs), and "Group 3" (displaying >= 90% of SRCs). We compared clinical and pathological features as well as prognostic factors between the different groups. ResultsAmong 164 enrolled patients, 68.9% were male and 31.1% were female (p = 0.612). The mean (+/- SD) age at diagnosis was 71.4 +/- 9.6 years. Ninety-eight (59.7%) patients were classified as "Group 1", 66 (40.3%) as "Group 2", and none as "Group 3". Five-year overall survival was remarkably higher in Group 2 (73.8%) in comparison to Group 1 (35.4%), p < 0.001. Mortality risk was three times higher in patients with <= 10% SRC pattern compared to those with >10% [HR 2.70 (95% CI 1.72-4.24)]. After adjusting according to potential confounding factors, SRC percentage was still an independent predictor of survival. ConclusionsThe proportion of SRCs is inversely related to aggressive behavior and poor prognosis in mixed-type GCs, highlighting the role of SRC amount as an independent predictor of survival.
2022
Marano, L., Ambrosio, M.R., Resca, L., Carbone, L., Carpineto Samorani, O., Petrioli, R., et al. (2022). The percentage of signet ring cells is inversely related to aggressive behavior and poor prognosis in mixed-type gastric cancer. FRONTIERS IN ONCOLOGY, 12 [10.3389/fonc.2022.897218].
File in questo prodotto:
File Dimensione Formato  
Marrelli - The percentage of SRC (3).pdf

accesso aperto

Descrizione: Articolo
Tipologia: PDF editoriale
Licenza: Creative commons
Dimensione 2.92 MB
Formato Adobe PDF
2.92 MB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11365/1220598