CRC is the fourth most common type of cancer in men and the third most common in women worldwide. In Egypt, it contributes 4% of all cancers.

Book Title: Fragile Histidine Triad Protein Expression in Colorectal Adenoma and Carcinoma
Author:
Published on 2017 by
ISBN: /
Total Page:
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Book is About: Carcinoma

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Abstract : Background: Colorectal carcinoma (CRC) is the third most common type of cancer and a major cause of cancer-related morbidity and mortality in the western world. CRC is the fourth most common type of cancer in men and the third most common in women worldwide. In Egypt, it contributes 4% of all cancers. The fragile histidine triad (FHIT) gene is a tumor suppressor gene and is related to normal tissue homeostasis and apoptosis. FHIT is downregulated in various carcinomas, indicating its role in the process of tumorigenesis. Computerized image analysis (CIA) studies of colonic lesions are used for objective assessment of the concentration of positive staining within the microscopic field of interest. Materials and methods: A total of 65 formalin-fixed, paraffin-embedded colorectal adenoma and carcinoma cases were studied for the expression of FHIT protein, and a correlative study was conducted between its expression and different clinicopathological parameters. Moreover, a comparative study was performed between FHIT expression in the studied cases and their CIA. Results: FHIT expression was lower in colorectal adenomas showing high-grade dysplasia than in those with low grade. Moreover, its expression decreases in CRCs than in adenomas. Conclusion: The reduction of FHIT expression occurs with rising grade of dysplasia and malignant colorectal tumors and its low expression is associated with poor prognostic factors such as lymph node metastasis, presence of distant metastasis, vascular and perineural invasion, high grade, and advanced stages. Furthermore, the CIA technique provides a more accurate assessment of the staining patterns and helps to evaluate intensity better than when depending on subjective light microscopy alone.

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