Ontology highlight
ABSTRACT: Background
Inositol polyphosphate 5-phosphatase (INPP5A) has been shown to play a role in development and progression of cutaneous squamous cell carcinoma (cSCC). The goal of the current study was to explore the prognostic value of INPP5A expression in cSCC.Methods
A total of 189 cases of actinic keratosis and SCC in 174 patients were identified; clinical and outcome data were abstracted, histopathology was rereviewed, and immunohistochemical staining and interpretation was performed for INPP5A.Results
The majority of tumors (89.4%) had an INPP5A score of 2 or 3. No patients had complete loss of INPP5A. Tumors with an INPP5A score of 1 were more likely to be intermediate- to high-risk tumors (Brigham and Women's Hospital stage ≥T2a 85.0% vs 23.7% [P < .0001]) characterized by a larger diameter (2.4 cm vs 1.3 cm [P = .0004]), moderate-to-poor differentiation (86.7% vs 17.6% [P < .0001]), and perineural invasion (37.5% vs 5.3%, [P < .0001]). An INPP5A score of 1 was associated with a worse 3-year survival (a rate of 42.3% [hazard ratio, 2.81, P = .0006]) and a local metastasis rate of 48.0% (hazard ratio, 4.71; P < .0001).Conclusions
Low INPP5A scores are predictive of aggressive tumors and may be a useful adjunct to guide clinical management of cSCC.
SUBMITTER: Cumsky HJL
PROVIDER: S-EPMC10577667 | biostudies-literature | 2019 Mar
REPOSITORIES: biostudies-literature
Cumsky Helen J L HJL Costello Collin M CM Zhang Nan N Butterfield Richard R Buras Matthew R MR Schmidt Jessica E JE Drenner Kevin K Nelson Steven A SA Ochoa Shari A SA Baum Christian L CL Pittelkow Mark R MR DiCaudo David J DJ Sekulic Aleksandar A Mangold Aaron R AR
Journal of the American Academy of Dermatology 20181022 3
<h4>Background</h4>Inositol polyphosphate 5-phosphatase (INPP5A) has been shown to play a role in development and progression of cutaneous squamous cell carcinoma (cSCC). The goal of the current study was to explore the prognostic value of INPP5A expression in cSCC.<h4>Methods</h4>A total of 189 cases of actinic keratosis and SCC in 174 patients were identified; clinical and outcome data were abstracted, histopathology was rereviewed, and immunohistochemical staining and interpretation was perfo ...[more]