Type IV collagen immunoreactivity in colorectal cancer. Prognostic value of basement membrane deposition

Cancer. 1988 Nov 15;62(10):2207-11. doi: 10.1002/1097-0142(19881115)62:10<2207::aid-cncr2820621023>3.0.co;2-l.

Abstract

Using antibodies to type IV collagen, basement membrane (BM) deposition at the tumor-stromal border was studied in 163 cases of colorectal carcinomas. Immunoreactivity was scored semiquantitatively as moderate/extensive versus limited BM deposition and correlated with Dukes' stages and survival data. Cases with limited BM deposition showed an overall significant shorter survival and were overrepresented in Dukes' Stages C/D. Stratification of the cases, for limited versus moderate/extensive BM deposition and Dukes' Stages A/B and C/D, showed that in Dukes' Stages C/D, cases with moderate/extensive BM deposition reached a plateau phase in the survival curve after 2 years. Cases with limited BM deposition showed a continuous downward course on the survival curve. The results suggest that immunostaining of BM in cases in Dukes' C differentiates tumors with relatively high invasive and metastatic capacity from tumors with low invasive and metastatic capacity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Basement Membrane / ultrastructure*
  • Collagen / analysis*
  • Collagen / immunology
  • Colorectal Neoplasms / pathology*
  • Cross Reactions
  • Follow-Up Studies
  • Humans
  • Immunohistochemistry
  • Neoplasm Staging
  • Prognosis

Substances

  • Collagen