BackgroundGallbladder carcinoma presents a dismal prognosis. Choice treatment is surgical
resection that is associated a high levels of both morbidity and mortality. Best
knowledgement of prognostic factors may result a better selection of patients
either for surgical or multimodal treatment.AimTo evaluate tecidual immunoexpression of P53, E-cadherin, Cox-2, and EGFR proteins
and to correlate these findings with resected gallbladder adenocarcinoma
survival.MethodsClinical, laboratorial, surgical, and anatomopathological reports of a series of
gallbladder adenocarcinoma patients were collected by individualized questionary.
Total sample was 42 patients. Median of age was 72 years (35-87). There were seven
men and 35 women. Lesion distribuition in according TNM state was the following:
T1 (n=2), T2 (n=5), T3 (n=31), T4 (n=4). Twenty-three patients underwent radical
resection (R0), while 19 palliative surgery (R1-R2). A block of tissue microarray
with neoplasic tissue of each patient was confected. It was performed evaluation
of P53, E-Caderine, COX-2, and EGFR proteins imunoexpression. These findings were
correlated with overall survival.ResultsFive-year survival was 28%. The median of global survival was eight months. Only
immunoexpression of EGFR protein was considered independent variable at
multivariated analysis.ConclusionFinal prognosis was influenced by over-expression of EGFR protein in tumoral
tissue.