Turkish Journal of Oncology Turkish Society for Radiation Oncology
Article Open Access Volume 22 · Issue 2 · 2007 pp. 069–073

Prognostic significance of NF-κB in resectable gastric cancer treated with concomittant chemoradiotherapy

Oğuz Galip YILDIZ1
1 Erciyes Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Kayseri
2 Erciyes Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, Kayseri
3 Erciyes Üniversitesi Tıp Fakültesi, Medikal Onkoloji Bilim Dalı, Kayseri
Published: 2007 Pubmed: 69550 Article ID: 633
Abstract
OBJECTIVES

The aim of this study is to determine the prognostic value of transcription factor nucleer factor kappa B ( N F -κB) in resectable gastric cancer patients treated with concurrent chemoradiotherapy.


METHODS

Forty-nine (35 males, 14 females; median age 55; range 2273 years) resectable gastric cancer patients treated with gastrectomy and adjuvant concurrent chemoradiotherapy were enrolled in this study. All patients received weekly 250 mg/ m2 5-FU chemotherapy and radiotherapy concomittantly after gastrectomy. Then patients received 4 cycles i.v bolus FUFA chemotherapy sequentialy as consolidation treatment 2-4 week after chemoradiotherapy. Immunohistochemistry staining was performed on paraffin embedded tissue. NF-κB monoclonal antibodies were used for the staining.


RESULTS

The progression free surv ival and overall surv ival dif er e nce were anal ised between NF-κB pos it ive and neg at ive groups. For NF-kB a specimen was judged posit ive if more than 10% of the total cancer cells in a single field of view showed a response.


CONCLUSION

In patients who NF-κB was stained more than 10%, the overall survival was worse and there was statistically significant difference between groups. But in two groups, no statistically significant difference due to disease free survival.

Keywords: Chemoradiotherapy; gastric cancer/patoloji; immunohistochemistry; NF-kappa B; prognostic factor; survival rate

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