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Yusuf M, Pradana YPA, Rahmawati R, Farhat F, Kusumastuti EH, Ekoputro JW. N-Cadherin Expression with Metastasis of Neck Lymph Nodes in Patients with Nasopharyngeal Carcinoma. Int J Gen Med 2023; 16:1029-1037. [PMID: 36974062 PMCID: PMC10039623 DOI: 10.2147/ijgm.s393863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 03/14/2023] [Indexed: 03/29/2023] Open
Abstract
Background Lymph node (LN) metastases were one characteristic of negative progress of NPC patient despite its advanced therapeutic approaches. One mechanism for the occurrence of epithelial to mesenchymal transition (EMT)-mediated metastases is by increasing N-cadherin expression. The purpose of this research is to determine investigating N-cadherin expression against metastatic LN in NPC cases. Methods Samples were taken by unproportionate stratified random sampling. N-cadherin expression was examined using immunohistochemistry methods. N-cadherin expression was assessed visually by binocular light microscopy. We analyzed these data using Mann-Whitney U-test to examine N-cadherin expression and lymph node metastases. Results A strong expression was found in N3 group by 63.6%; 27.3% in the N2 group and 9.1% in the N1 group. In patients with NPC N0 or without lymph node metastases, N-cadherin expression is 0%. The expression of N-cadherin is indeed an indicator of the occurrence of lymph node metastases in NPC with a statistically significant analysis of p = 0.026 (p < 0.05). Conclusion There were correlations between N-cadherin expression and lymph node metastasis on NPC patients.
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Affiliation(s)
- Muhtarum Yusuf
- Department of Otorhinolaryngology, Head, and Neck Surgery, Airlangga University, Surabaya, East Java, Indonesia
- Department of Otorhinolaryngology, Head, and Neck Surgery, Dr. Soetomo General Teaching Hospital, Surabaya, East Java, Indonesia
- Correspondence: Muhtarum Yusuf, Department of Otorhinolaryngology, Head, and Neck Surgery, Airlangga University, Jl. Mayjend Prof. Dr. Moestopo No. 6-8, Surabaya, Jawa Timur, 60285, 60286, Indonesia, Tel +62 031 5501078, Email
| | - Yogi Putra Adhi Pradana
- Department of Otorhinolaryngology, Head, and Neck Surgery, Airlangga University, Surabaya, East Java, Indonesia
- Department of Otorhinolaryngology, Head, and Neck Surgery, Dr. Soetomo General Teaching Hospital, Surabaya, East Java, Indonesia
| | - Rosydiah Rahmawati
- Department of Otorhinolaryngology, Head, and Neck Surgery, Airlangga University, Surabaya, East Java, Indonesia
- Department of Otorhinolaryngology, Head, and Neck Surgery, Dr. Soetomo General Teaching Hospital, Surabaya, East Java, Indonesia
| | - Farhat Farhat
- Department of Otorhinolaryngology, Head, and Neck Surgery, Sumatera Utara University, Medan, North Sumatera, Indonesia
| | - Etty Hary Kusumastuti
- Department of Otorhinolaryngology, Head, and Neck Surgery, Dr. Soetomo General Teaching Hospital, Surabaya, East Java, Indonesia
- Department of Pathology Anatomy, Airlangga University, Surabaya, East Java, Indonesia
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