2012 ©
             Publication
Journal Publication
Title of Article Clinicopathological Significance of Osteopontin in Cholangiocarcinoma Cases 
Date of Acceptance 6 November 2015 
Journal
     Title of Journal Asian Pacific journal of cancer prevention 
     Standard SCOPUS 
     Institute of Journal Dr. Alireza Mosavi-Jarrahi Dept. of Social Medicine, medical School, shahid Beheshti University of Medical Sciences Evin Tehran Phone:+989121145572 
     ISBN/ISSN http://dx.doi.org/10.7314/APJCP.2016.17.1.201 
     Volume 17 
     Issue
     Month January
     Year of Publication 2017 
     Page 201-205 
     Abstract Cholangiocarcinoma (CCA) is generally a rare primary liver tumor of the bile duct with extremely poor clinical outcomes due to late diagnosis. Osteopontin (OPN) is the most abundant expressed gene in intrahepatic CCA and its involvement in tumor aggressiveness suggests it could be a useful prognostic biomarker. However, the prognostic significance of OPN expression in CCA is still controversial. We therefore immunohistochemically studied OPN expression in 354 resected CCAs and correlated the results with patient clinicopathological parameters. OPN expression was separately scored according to the percentage of cancer cells or degree of stromal tissue staining and classified as low (score 0-1) and high (score 2-3). OPN expression in CCA cells was found in 177 out of 354 patients (56.5%), whereas stroma was positive in 185 out of 354 patients (52.3%). Univariate analysis with several of the aforementioned parameters revealed that stromal but not cancer cell OPN expression was significantly associated with tumor size, tumor direct invasion into normal liver parenchyma, regional lymph node metastasis and higher staging. The combination of cancer cell and stromal OPN expression demonstrated a positive trend for linkage with lymph node metastasis. Multivariate analysis identified gender, the presence of lymphatic permeation and lymph node metastasis, but not OPN expression, as independent prognostic factors. This study confirms the presence of stromal OPN expression in tumor aggressiveness but not survival in CCA patients. 
     Keyword cholangiocarcinoma; Osteopontin; biomarker; prognostic marker; Immunohistochemistry 
Author
537070003-9 Mr. MARUT LAOHAVIROJ [Main Author]
Medicine Doctoral Degree

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Level of Publication นานาชาติ 
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