Abstract
Background: Metastasis associated protein-1 (MTA1) has been a recently identified as a unique gene playing important role in tumorigenesis and progression of cancer cells. Objective:To evaluate MTA1 expression and its predictive value in determining histologic grade of salivary mucoepidermoid carcinoma (MEC). Patients and Methods: MTA1 expression was evaluated by immunohistochemistry in paraffin-embedded tumor specimens blocks from 22 patients. Assessment of MTA1 immunostaining was achieved by counting the proportion of positively-stained tumor cells in 5 high power microscopic fields; and staining was analyzed in relation to clinicopathological variables. Results: MTA1 show nuclear and cytoplasmic expression in varying intensity in 95% of cases. No significant correlation was found between MTA1expression and age, gender, site of the tumor (p>0.05). However, statistically significant correlation was found between MTA1expression and clinical stage, nodal involvement (p=0.009 and 0.007; respectively). Regarding histologic grade, high MTA1 level was significantly associated with grade of tumors categorized by Auclair and Brandwein systems (<0.001 and 0.009; respectively). Conclusion:MTA1 expression significantly correlates with tumor grade and progression, and has a potential role in diagnosis and prediction of behavior in salivary MEC.
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