Phenotypic markers for a spectrum of colonic polyps and cancers. The malignancy potential ratio

Dis Colon Rectum. 1988 Nov;31(11):857-63. doi: 10.1007/BF02554849.

Abstract

The purpose of this study was to determine if a panel of monoclonal antibodies could define phenotypic markers that could be used in risk assessment of a spectrum of colonic polyps and colon cancers. Using the ABC immunoperoxidase technique on formalin-fixed sections of surgical specimens, the following results were obtained: 1) Mab B72.3 demonstrated increased reactivity in villous lesions and cancers compared with hyperplastic polyps and tubular adenomas; 2) Mab anti-CAA demonstrated increased reactivity in polyps compared with colon cancers; and 3) using the two antibodies (Mab B72.3 and Mab anti-CAA), a malignancy ratio was obtained that determined malignancy risk for individual polyps. No hyperplastic polyp gave a positive ratio, but about 30 percent of villous lesions were positive. Over 50 percent of villous lesions greater than 2 cm in size had a positive ratio. The malignancy potential ratio may be a valuable marker in assessing risk of malignancy in an individual case.

MeSH terms

  • Adenomatous Polyposis Coli / immunology
  • Adenomatous Polyposis Coli / pathology
  • Antibodies, Monoclonal
  • Antigens, Differentiation / analysis*
  • Biomarkers, Tumor / analysis*
  • Cell Transformation, Neoplastic*
  • Colonic Neoplasms / immunology
  • Colonic Neoplasms / pathology*
  • Colonic Polyps / immunology
  • Colonic Polyps / pathology*
  • Humans
  • Immunoenzyme Techniques
  • Phenotype
  • Risk Factors

Substances

  • Antibodies, Monoclonal
  • Antigens, Differentiation
  • Biomarkers, Tumor