Relationship between H.Pylori infection and clinicopathological features and prognosis of gastric cancer

BMC Cancer. 2010 Jul 17:10:374. doi: 10.1186/1471-2407-10-374.

Abstract

Background: Aimed to assess the relationship between H.Pylori and the clinicopathological features and prognosis of gastric cancer by quantitative detection of H.Pylori.

Methods: 157 patients were enrolled, all patients had a record of clinicopathological parameters. Specimens including the tumor and non-neoplastic were detected for H.Pylori by Real-Time PCR and analyzed clinical data retrospectively. Variables independently affecting prognosis were investigated by means of multivariate analysis using the Cox proportional hazards model.

Results: H.Pylori infection was greater in non-neoplastic tissue than the tumor tissue (p < 0.05), H.Pylori infection and its copies were related to the tumor site and N staging (p < 0.05). Overall survival (OS) in all 157 patients has no correlation with the H.Pylori infection status (p = 0.715). As to the patients who underwent a curative surgery, relapse-free survival (RFS) has no correlation with the H.Pylori infection status (p = 0.639). Among the H.Pylori positive patients, OS and RFS of those with higher copies were longer than in patients with low copies, but there was no significant statistical difference.

Conclusions: H.Pylori infection status and its copies were related to N staging. The OS and RFS in patients with positive H.Pylori status has no significant difference from the patients with negative H.Pylori status.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Carcinoma, Signet Ring Cell / complications
  • Carcinoma, Signet Ring Cell / microbiology*
  • Carcinoma, Signet Ring Cell / pathology
  • DNA, Viral / genetics
  • Female
  • Follow-Up Studies
  • Helicobacter Infections / complications
  • Helicobacter Infections / microbiology*
  • Helicobacter Infections / pathology
  • Helicobacter pylori / genetics
  • Humans
  • Male
  • Middle Aged
  • Mucous Membrane / microbiology*
  • Mucous Membrane / pathology
  • Neoplasm Recurrence, Local / complications
  • Neoplasm Recurrence, Local / microbiology*
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Staging
  • Polymerase Chain Reaction
  • Prognosis
  • Retrospective Studies
  • Stomach Neoplasms / complications
  • Stomach Neoplasms / microbiology*
  • Stomach Neoplasms / pathology
  • Survival Rate

Substances

  • DNA, Viral