High CD10 expression in lymph node metastases from surgically treated prostate cancer independently predicts early death.
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High CD10 expression in lymph node metastases from surgically treated prostate cancer independently predicts early death. / Fleischmann, Achim; Rocha, Carla; Saxer-Sekulic, Nikolina; Zlobec, Inti; Sauter, Guido; Thalmann, George N.
in: VIRCHOWS ARCH, Jahrgang 458, Nr. 6, 6, 2011, S. 741-748.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - High CD10 expression in lymph node metastases from surgically treated prostate cancer independently predicts early death.
AU - Fleischmann, Achim
AU - Rocha, Carla
AU - Saxer-Sekulic, Nikolina
AU - Zlobec, Inti
AU - Sauter, Guido
AU - Thalmann, George N
PY - 2011
Y1 - 2011
N2 - Patients with nodal positive prostate cancers are an important cohort with poorly defined risk factors. CD10 is a cell surface metallopeptidase that has been suggested to play a role in prostate cancer progression. CD10 expression was evaluated in 119 nodal positive prostate cancer patients using tissue microarrays constructed from primary tumors and lymph node metastases. All patients underwent radical prostatectomy and standardized extended lymphadenectomy. They had no neoadjuvant therapy and received deferred androgen deprivation. In the primary tumor, high CD10 expression was significantly associated with earlier death from disease when compared with low CD10 expression (5-year survival 73.7% vs. 91.8%; p?=?0.043). In the metastases, a high CD10 expression was significantly associated with larger total size of metastases (median 11.4 vs. 6.5 mm; p?=?0.015), earlier death of disease (5-year survival 71.5% vs. 87.3%; p?=?0.017), and death of any cause (5-year survival 70.0% vs. 87.2%; p?=?0.001) when compared with low CD10 expression. CD10 expression in the metastases added independent prognostic information for overall survival (p?=?0.029) after adjustment for Gleason score of the primary tumor, nodal tumor burden, and resection margins. In conclusion, a high CD10 expression in prostate cancer predicts early death. This information is inherent in the primary tumors and in the lymph node metastases and might help to personalize patient management.
AB - Patients with nodal positive prostate cancers are an important cohort with poorly defined risk factors. CD10 is a cell surface metallopeptidase that has been suggested to play a role in prostate cancer progression. CD10 expression was evaluated in 119 nodal positive prostate cancer patients using tissue microarrays constructed from primary tumors and lymph node metastases. All patients underwent radical prostatectomy and standardized extended lymphadenectomy. They had no neoadjuvant therapy and received deferred androgen deprivation. In the primary tumor, high CD10 expression was significantly associated with earlier death from disease when compared with low CD10 expression (5-year survival 73.7% vs. 91.8%; p?=?0.043). In the metastases, a high CD10 expression was significantly associated with larger total size of metastases (median 11.4 vs. 6.5 mm; p?=?0.015), earlier death of disease (5-year survival 71.5% vs. 87.3%; p?=?0.017), and death of any cause (5-year survival 70.0% vs. 87.2%; p?=?0.001) when compared with low CD10 expression. CD10 expression in the metastases added independent prognostic information for overall survival (p?=?0.029) after adjustment for Gleason score of the primary tumor, nodal tumor burden, and resection margins. In conclusion, a high CD10 expression in prostate cancer predicts early death. This information is inherent in the primary tumors and in the lymph node metastases and might help to personalize patient management.
KW - Humans
KW - Male
KW - Aged
KW - Middle Aged
KW - Lymphatic Metastasis
KW - Predictive Value of Tests
KW - Prognosis
KW - Survival Rate
KW - Retrospective Studies
KW - Lymph Node Excision
KW - Prostatectomy
KW - Tumor Markers, Biological/metabolism
KW - Neprilysin/metabolism
KW - Prostatic Neoplasms/metabolism/mortality/surgery
KW - Humans
KW - Male
KW - Aged
KW - Middle Aged
KW - Lymphatic Metastasis
KW - Predictive Value of Tests
KW - Prognosis
KW - Survival Rate
KW - Retrospective Studies
KW - Lymph Node Excision
KW - Prostatectomy
KW - Tumor Markers, Biological/metabolism
KW - Neprilysin/metabolism
KW - Prostatic Neoplasms/metabolism/mortality/surgery
M3 - SCORING: Journal article
VL - 458
SP - 741
EP - 748
JO - VIRCHOWS ARCH
JF - VIRCHOWS ARCH
SN - 0945-6317
IS - 6
M1 - 6
ER -