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Cancers (Basel). 2020 Sep 29;12(10). doi: 10.3390/cancers12102803.

Complete Loss of EPCAM Immunoexpression Identifies .

Cancers

Míriam Cuatrecasas, Iñigo Gorostiaga, Cristina Riera, Esteban Saperas, Gemma Llort, Irmgard Costa, Xavier Matias-Guiu, Cristina Carrato, Matilde Navarro, Marta Pineda, Núria Dueñas, Joan Brunet, Vicente Marco, Isabel Trias, José Ignacio Busteros, Gemma Mateu, Francesc Balaguer, María-Teresa Fernández-Figueras, Manel Esteller, Eva Musulén

Affiliations

  1. Department of Pathology, Center of Biomedical Diagnosis (CDB), Hospital Clínic, 08036 Barcelona, Spain.
  2. Universitat de Barcelona (UB), 08007 Barcelona, Spain.
  3. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), 08036 Barcelona, Spain.
  4. Department of Pathology, Hospital Universitario de Araba, 01009 Vitoria-Gasteiz, Spain.
  5. Gastroenterology Department, Hospital Universitari General de Catalunya-Grupo Quirónsalud, Sant Cugat del Valles, 08195 Barcelona, Spain.
  6. Universitat Internacional de Catalunya (UIC), Sant Cugat del Vallès, 08017 Barcelona, Spain.
  7. Oncology Department, Parc Taulí Hospital Universitari, Sabadell, 08208 Barcelona, Spain.
  8. Oncology Department, Consorci Sanitari de Terrassa, Terrassa, 08208 Barcelona, Spain.
  9. Department of Pathology, Parc Taulí Hospital Universitari, Sabadell, 08208 Barcelona, Spain.
  10. Department of Pathology, Hospital Universitari de Bellvitge, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, 08908 Barcelona, Spain.
  11. Department of Pathology, Hospital Universitari Arnau de Vilanova, 25198 Lleida, Spain.
  12. Universitat de Lleida, IRBLLEIDA, 25003 Lleida, Catalonia, Spain.
  13. Centro de Investigación Biomédica en Red Cancer (CIBERONC), 28029 Madrid, Spain.
  14. Department of Pathology, Hospital Universitari Germans Trias i Pujol, 08916 Badalona, Barcelona, Spain.
  15. Hereditary Cancer Program, Catalan Institute of Oncology, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), ONCOBELL Program, Hospitalet de Llobregat, 08908 Barcelona, Spain.
  16. Hereditary Cancer Program, Catalan Institute of Oncology, Institut d'Investigació Biomèdica de Girona (IDIBGI), Universitat de Girona, 17190 Girona, Spain.
  17. Department of Pathology, Hospital Quirónsalud Barcelona, 08023 Barcelona, Spain.
  18. Department of Pathology, Hospital Platón, 08006 Barcelona, Spain.
  19. Department of Pathology, Hospital Universitario Príncipe de Asturias, 28805 Alcalá de Henares, Madrid, Spain.
  20. Department of Pathology, University Hospital Josep Trueta, 17007 Girona, Spain.
  21. Gastroenterology Department, Institut de Malalties Digestives i Metabòliques, Hospital Clínic, 08036 Barcelona, Spain.
  22. Department of Pathology, Hospital Universitari General de Catalunya-Grupo Quirónsalud, Sant Cugat del Vallès, 08190 Barcelona, Spain.
  23. Josep Carreras Leukaemia Research Institute (IJC), 08916 Badalona, Barcelona, Spain.
  24. Institució Catalana de Recerca i Estudis Avançats (ICREA), 08010 Barcelona, Spain.

PMID: 33003511 PMCID: PMC7599495 DOI: 10.3390/cancers12102803

Abstract

The use of epithelial cell adhesion molecule (EPCAM) immunohistochemistry (IHC) is not included in the colorectal cancer (CRC) screening algorithm to detect Lynch syndrome (LS) patients. The aim of the present study was to demonstrate that EPCAM IHC is a useful tool to guide the LS germ-line analysis when a loss of MSH2 expression was present. We retrospectively studied MSH2 and EPCAM IHC in a large series of 190 lesions composed of malignant neoplasms (102), precursor lesions of gastrointestinal (71) and extra-gastrointestinal origin (9), and benign neoplasms (8) from different organs of 71 patients suspicious of being LS due to

Keywords: EPCAM; colon polyps; colorectal cancer; immunohistochemistry; lynch syndrome

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