Khursheed Soffia, Ali Tayyaba, Mushtaq Mehreen, Humayun Saba, Khan Adnan, Akbar Amna, Khan Marriam, Ali Hasnain
Histopathology, Pakistan Kidney and Liver Institute (PKLI), Rawalpindi, PAK.
Pathology, Islamabad Diagnostic Center, Islamabad, PAK.
Cureus. 2024 Dec 22;16(12):e76172. doi: 10.7759/cureus.76172. eCollection 2024 Dec.
The role of p53 expression in colorectal cancer (CRC) was investigated in this immunohistochemical analysis of 110 CRC patients. The study aimed to explore the relationship between p53 expression and clinicopathological features, such as tumor grade, size, lymph node involvement, and molecular subtypes. The mean age of patients was 52.6 years, with a higher prevalence in men (60.7%). Tumor grades were balanced, with 12.9% in grade 1, 13.6% in grade 2, and 12.9% in grade 3. The majority of patients exhibited low to moderate p53 expression, with a mean of 32.58%. Higher p53 expression correlated with larger tumor size and more advanced stages. Notably, p53 overexpression was associated with lymph node involvement, suggesting its role in metastasis. The study also examined molecular markers, such as BRAF and KRAS mutations, and found their association with p53 expression. Microsatellite instability was present in 21.4% of cases, with implications for treatment decisions. The findings highlight p53 as a key marker in CRC progression, with potential prognostic value for personalized treatment strategies. Further studies, including survival analysis, are necessary to fully understand the clinical impact of p53 expression in CRC.
在这项对110例结直肠癌(CRC)患者的免疫组织化学分析中,研究了p53表达在结直肠癌中的作用。该研究旨在探讨p53表达与肿瘤分级、大小、淋巴结受累情况及分子亚型等临床病理特征之间的关系。患者的平均年龄为52.6岁,男性患病率较高(60.7%)。肿瘤分级分布均衡,1级占12.9%,2级占13.6%,3级占12.9%。大多数患者表现出低至中度的p53表达,平均为32.58%。较高的p53表达与更大的肿瘤大小和更晚期阶段相关。值得注意的是,p53过表达与淋巴结受累有关,提示其在转移中的作用。该研究还检测了BRAF和KRAS突变等分子标志物,并发现它们与p53表达有关。21.4%的病例存在微卫星不稳定性,这对治疗决策有影响。这些发现突出了p53作为结直肠癌进展的关键标志物,对个性化治疗策略具有潜在的预后价值。有必要进行包括生存分析在内的进一步研究,以全面了解p53表达在结直肠癌中的临床影响。