Perineural invasion in nearby tissue adjacent to colorectal carcinoma with CD166 stem cell marker expression
Curr Issues Pharm Med Sci., Vol. 36, No. 3, 136-139
Mustafa Mohammed Ibraheem1, Nawal Mustafa Abdullah2*, Sawsan Salih Alharoon3
1 Anatomy, Histology and Embryology, Al Mustansiriyah College of Medicine, Baghdad, Iraq
2 Human Anatomy, University of Basrah, Al Zahraa College of Medicine, Iraq
3 Pathology and Forensic Medicine, University of Basrah, Basrah Medical College, Iraq
10.2478/cipms-2023-0023
© 2023 Author(s). This is an open access article distributed under the Creative Commons Attribution-NonComercial-No Derivs licence (http://creativecommons.org/licenses/by-nc-nd/3.0/)
Abstract
Pathological evaluation of colorectal cancer resection samples play a vital role in management and prognosis of postoperative cancer patients. Difficulties exist in the assessment and outcomes of these specimens for therapy protocol. PNI is a perineural invasion associated with increased mortality in many malignancies including colon cancer. In colorectal cancer (CRC) and nearby tissue, PNI evaluation as a potential prognostic indicator with the use of CD 166 stem cell marker remains to be clearly defined for providing a convenient information for future management and prognosis. The incidence and significance of histological neural invasion in nearby tissue was conducted in 52 patients with colorectal carcinoma operated on for the period from June 2017 to June 2020 retrospectively. Tumors were subjected to histopathological and immunohistochemical study (IHC) with CD166 stem cell marker for PNI in tissue adjacent to CRC. Data collected and analyzed, histopathological pictures was obtained and studied.
Outcomes showed that neural invasion was expressed by Cd166 stem cell marker as strong and severe in patients with stage B and C in tissues nearby tumor which reveals bad prognostic features.
Conclusions: Neurogenesis appeared to have a critical role in colorectal cancer progression. furthermore, current results indicated that neurogenesis functions as an independent predictor of outcomes for therapy protocol.
Full Text
Keywords
perineural invasion, colorectal carcinoma, CD166 stem cell marker.
References
- Albo D, Akay CL, Marshall CL, Wilks JA, Verstovsek G, Liu H, et al. Neurogenesis in colorectal cancer is a marker of aggressive tumor behavior and poor outcomes. Cancer. 2011;117(21):4834-45.
- Seifert P, Spitznas M. Tumours may be innervated. Virchows Arch. 2001;438:228-31.
- Ries LAG, Young JL, Keel GE, Eisner MP, Lin YD, Horner M-J. SEER Survival Monograph: Cancer Survival Among Adults: U.S. SEER Program, 1988-2001, Patient and Tumor Characteristics. National Cancer Institute, SEER Program. NIH Pub. No. 07-6215. Bethesda; 2007.
- Beard CJ, Chen MH, Cote K, Loffredo M, Renshaw AA, Hurwitz M, et al. Perineural invasion is associated with increased relapse after external beam radiotherapy for men with low-risk prostate cancer and may be a marker for occult, high-grade cancer. Int J Radiat Oncol Biol Phys. 2004;58:19-24.
- Dawson MD, Kirsch R, Messenger D, Driman D. A review of current challenges in colorectal cancer reporting heather. Arch Pathol Lab Med. 1992;143(7):869-882.
- Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69-90.
- Rozen P, Fireman Z. Early detection of colorectal tumors in high risk groups(Abstr). Harefuah. 1981;5:214.
- Levin TG, Powell AE, Davies PS, Silk AD, Dismuke AD, Anderson EC, et al. Characterization of the intestinal cancer stem cell marker CD166 in the human and mouse gastrointestinal tract. Gastroenterology. 2010;139:2072-82.
- Liebig C, Ayala G, Wilks J, Verstovsek G, Liu H, Agarwal N, et al. Perineural invasion is an independent predictor of outcome in colorectal cancer. J Clin Oncol. 2009;27(31):5131-7.
- Yang Y, Huang X, Sun J, Gao P, Song Y, Chen X, et al. Prognostic value of perinrural invasion in CRC: a meta-analysis. J Gastrointest Surg. 2015;19(6):1113-22.
- Krasna MJ, Flancbaum L, Cody RP, Shneibaum S, Ben Ari G. Vascular and neural invasion in colorectal carcinoma. Incidence and prognostic significance. Cancer. 1988;61:1018-23.
- Knijn N, Mogk SC, Teerenstra S, Nagtegaal ID. Perineural invasion is a strong prognostic factor in colorectal cancer: A systematic review. Am J Surg Pathol. 2016;40(1):103-12.
- Rawla P, Sunkara T, Barsouk A. Epidemiology of colorectal cancer: incidence, mortality, survival, and risk factors. Prze Gastroenterol. 2019;14(2):89-103.
- Zlobec I, Steele R, Terracciano L, et alSelecting immuno-histochemical cut-off scores for novel biomarkers of progression and survival in colorectal cancer. J Clin Pathol. 2007;60:1112-6.
- Brown CE, Warren S. Visceral metastasis from rectal carcinoma. Surg Gynecol Obstet. 1938;66:611-21.
- Bums FJ, Pfaff J. Vascular invasion in carcinoma of the colon and rectum. Am J Surg. 1956;92(5):704-9.
- Cancer Facts & Figures 2008. American Cancer Society, Atlanta; 2008.
- Bentzen SM, Balslev I, Pedersen M, Teglbjaerg PS, Hanberg-Sørensen F, Bone J, et al. Time to loco-regional recurrence after resection of Dukes' B and C colorectal cancer with or without adjuvant postoperative radiotherapy. A multivariate regression analysis. Br J Cancer. 1992;65(1):102-7.
- Seefeld PH, Bargen JH. The spread of cancer of the rectum: Invasion of the lymphatics, veins and nerves. Ann Surg. 1943;1(18):76-89.
- Fagan JJ, Collins B, Barnes L, D’Amico F, Myers EN, Johnson JT. Perineural invasion in squamous cell carcinoma of the head and neck. Arch Otolaryngol Head Neck Surg. 1998;124:637-40.
- Goepfert H, Dichtel WJ, Medina JE, Lindberg RD, Luna MD. Perineural invasion in squamous cell skin carcinoma of the head and neck. Am J Surg. 1984;148:542-7.
- O'brien CJ, Lahr CJ, Soong S-J, Gandour MJ, Jones JM, Urist MM, et al. Surgical treatment of early-stage carcinoma of the oral tongue – would adjuvant treatment be beneficial? Head Neck. 1986;8:401-8.
- Beard CJ, Chen MH, Cote K, Loffredo M, Renshaw AA, Hurwitz M, D'Amico AV. Perineural invasion is associated with increased relapse after external beam radiotherapy for men with low-risk prostate cancer and may be a marker for occult, high-grade cancer. Int J Radiat Oncol Biol Phys. 2004;58:19-24.
- Ichiro H, Wataru K, Koichiro O, Shun K, Koichi S, Hiroshi K, et al. Perineural invasion in pancreatic cancer. Pancreas. 2002;24(1):15-25.
- Takahashi T, Ishikura H, Motohara T, Okushiba S, Dohke M, Katoh H. Perineural invasion by ductal adenocarcinoma of the pancreas. J Surg Oncol. 1997;65:164-70.
- Okada Y, Eibl G, Guha S, Duffy JP, Reber HA, Hines OJ. Nerve growth factor stimulates MMP-2 expression and activity and increases invasion by human pancreatic cancer cells. Clin Exp Metastasis. 2004;21:285-92.
- Chedotal A, Kerjan G, Moreau-Fauvarque C. The brain within the tumor: New roles for axon guidance molecules in cancers. Cell Death Differ. 2005;12:1044-56.
- Cornell RJ, Rowley D, Wheeler T, Ali N, Ayala G. Neuroepithelial interactions in prostate cancer enhanced in the presence of prostatic stroma. Urology. 2003;61(4):870-5.
- Ayala GE, Wheeler TM, Shine HD, Schmelz M, Frolov A, Chakraborty S, et al. In vitro dorsal root ganglia and human prostate cell line interaction: Redefining perineural invasion in prostate cancer. Prostate. 2001;49:213-23.
- Liebig C, Ayala G, Wilks JA, Berger DH, Albo D. Perineural invasion in cancer. Cancer. 2009;115:3379-91.
- Kurtz KA, Hoffman HT, Zimmerman MB, Robinson RA. Perineural and vascular invasion in oral cavity squamous carcinoma: Increased incidence on re-review of slides and by using immunohistochemical enhancement. Arch Pathol Lab Med. 2005;129(3):354-9.
- Rubin MA, Mucci NR, Manley S, Sanda M, Cushenberry E, Strawderman M, et al. Predictors of Gleason pattern 4/5 prostate cancer on prostatectomy specimens: Can high grade tumor be predicted preoperatively? J Urol. 2001;165(1):114-8.
- de la Taille A, Katz A, Bagiella E, Olsson C, O'toole K, Rubin M.et al. Perineural invasion on prostate needle biopsy: An independent predictor of final pathologic stage. Urology. 1999;54:1039-43.
- Soo KC, Carter RL, O’Brien CJ, Bar L, Bliss JM, Shaw HJ. Prognostic implications of perineural spread in squamous carcinomas of the head and neck. Laryngoscope. 1986;96(10):1145-8.
- Visioli A, Giani F, Trivieri N, Pracella R, Miccinilli E, Cariglia MG, et al. Stemness underpinning all steps of human colorectal carcinoma defines the core of effective therapeutic strategies. EBio Medicine. 2019;44:346-60.