Diagnostic and clinical significance of KIT(CD117) expression in thymic epithelial tumors in China

Asian Pac J Cancer Prev. 2012;13(6):2745-8. doi: 10.7314/apjcp.2012.13.6.2745.

Abstract

Aims: To study KIT (CD117) expression in thymic epithelial tumors in China, and investigate diagnostic and clinical significance.

Material and methods: Thymic epithelial tumors (TETs) from 102 patients (3 type A, 29 type AB, 5 type B1, 22 type B2, 29 typeB3 and 16 thymic carcinomas) were examined. Immunohistochemical staining with an antic-kit monoclonal antibody was performed on a tissue microarray. Relationships between KIT positive expression and the TET clinical characteristics (WHO histologic classification and Masaoka stage system) were analysed.

Results: The KIT positive expression rate was significantly higher in thymic carcinoma (60%, 9/16) than in thymoma (8%, 7/86), a strong correlation being found with the WHO classification, but not the Masaoka tumor stage. The overall survival for patients with KIT positive lesions was significantly worse.

Conclusions: KIT is a good molecule marker to differentially diagnose thymic carcinoma from thymoma, while also serving as a predictor of prognosis for TETs. Further research into KIT mutations in Chinese TETs should be conducted to assess the efficacy of targeted therapy.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor / biosynthesis
  • Biomarkers, Tumor / genetics
  • China
  • Diagnosis, Differential
  • Female
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Neoplasms, Glandular and Epithelial / diagnosis*
  • Neoplasms, Glandular and Epithelial / metabolism*
  • Neoplasms, Glandular and Epithelial / pathology
  • Prognosis
  • Proto-Oncogene Proteins c-kit / metabolism*
  • Survival Rate
  • Thymoma / diagnosis
  • Thymoma / metabolism
  • Thymoma / pathology
  • Thymus Neoplasms / diagnosis*
  • Thymus Neoplasms / metabolism*
  • Thymus Neoplasms / pathology
  • Young Adult

Substances

  • Biomarkers, Tumor
  • Proto-Oncogene Proteins c-kit

Supplementary concepts

  • Thymic epithelial tumor