Clinicopathologic characteristics and prognosis of Alpha-fetoprotein-producing colorectal carcinoma:analyses of 42 cases
10.13315/j.cnki.cjcep.2024.06.012
- VernacularTitle:产甲胎蛋白结直肠癌42例临床病理特征及预后分析
- Author:
Xinwen ZHANG
1
,
2
;
Xiaoli ZHOU
;
Wenxian GU
;
Gengfang WANG
;
Yuqing CHENG
Author Information
1. 大连医科大学研究生院,大连 116044
2. 南京医科大学附属常州第二人民医院病理科,常州 213003
- Keywords:
colorectal neoplasms;
Alpha-fetoprotein;
progno-sis;
immunohistochemistry;
fluorescence in situ hybridization
- From:
Chinese Journal of Clinical and Experimental Pathology
2024;40(6):621-626
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To investigate the clinicopathological features and prognosis of alpha-fetoprotein-producing colorectal carcinoma(AFPCRC).Methods 42 cases of AFPCRC from 2 012 colorectal carcinomas of preoperative serum AFP detected and surgically resected were identified.The clinicopathological data of AFPCRC and other 42 cases of conventional colorectal carcinoma exactly matched for age,gender,stage were also col-lected.Immunohistochemical EnVision method was performed to detect the expression of HER2,MMR,p53,AFP,Glypican3,and SALL4.Cases presenting HER2 2+were further analyzed by fluorescence in situ hybridization.Elastic staining was per-formed in cases with ambiguous extramural venous invasion.The clinicopathlogical features and prognosis between two groups were compared.Cases with AFPCRC were divided into high-AFP group and low-AFP group.The clinicopathological features and prognosis of the two groups were compared.Results AF-PCRC accounted for 2.1％(42/2 012)of colorectal carcinoma in the same period.The frequency of extramural vascular inva-sion and moderate/high grade of tumor budding of AFPCRC was 35.7％and 61.9％,while that of control group was 14.3％and 40.5％respectively.The 5-year survival rate of AFPCRC and control group was 66.8％and 85.1％respectively.The differ-ence of aforementioned clinicopathological features between 2 groups was significant(P＜0.05).The proportion of tumor in rectum in the high-AFP group was significantly higher than that in the low-AFP group(61.9％vs 23.8％,P＜0.05).Conclu-sion AFPCRC is a rare subset of colorectal carcinoma,which has a propensity for extramural vessel invasion,moderate-or high-grade of tumor budding and poor prognosis.
