Browsing by Subject "Adenocarcinoma"

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Open Access
Constrained Delaunay triangulation for diagnosis and grading of colon cancer
(2009) Erdoğan, Süleyman Tuncer
In our century, the increasing rate of cancer incidents makes it inevitable to employ computerized tools that aim to help pathologists more accurately diagnose and grade cancerous tissues. These mathematical tools offer more stable and objective frameworks, which cause a reduced rate of intra- and inter-observer variability. There has been a large set of studies on the subject of automated cancer diagnosis/grading, especially based on textural and/or structural tissue analysis. Although the previous structural approaches show promising results for different types of tissues, they are still unable to make use of the potential information that is provided by tissue components rather than cell nuclei. However, this additional information is one of the major information sources for the tissue types with differentiated components including luminal regions being useful to describe glands in a colon tissue. This thesis introduces a novel structural approach, a new type of constrained Delaunay triangulation, for the utilization of non-nuclei tissue components. This structural approach first defines two sets of nodes on cell nuclei and luminal regions. It then constructs a constrained Delaunay triangulation on the nucleus nodes with the lumen nodes forming its constraints. Finally, it classifies the tissue samples using the features extracted from this newly introduced constrained Delaunay triangulation. Working with 213 colon tissues taken from 58 patients, our experiments demonstrate that the constrained Delaunay triangulation approach leads to higher accuracies of 87.83 percent and 85.71 percent for the training and test sets, respectively. The experiments also show that the introduction of this new structural representation, which allows definition of new features, provides a more robust graph-based methodology for the examination of cancerous tissues and better performance than its predecessors.
Open Access
Expression of CK-19 and CEA mRNA in peripheral blood of gastric cancer patients
(2010) Kutun, S.; Celik, A.; Cem Kockar, M.; Erkorkmaz, U.; Eroǧlu, A.; Cetin, A.; Erkosar, B.; Yakicier, C.
Aim: To investigate the clinical and pathological relevance of detection of circulating tumor cells (CTC) in the peripheral blood of gastric carcinoma patients before operation. Patients and Methods: Fifty patients with gastric adenocarcinoma were analysed prospectively. Patients were divided into two groups according to the extent of the tumor. Group I (unresectable) consisted of 22, and group II (resectable) consisted of 28 patients. Peripheral blood samples were collected pre-operatively from all 50 patients as well as from ten healthy controls and analyzed for carcinoembryonic antigen (CEA) and cytokeratin-19 (CK-19) messenger ribonucleic acids (mRNAs). Tumor localisation, stage, presence of signet cell formation, nodal metastases, serousal and lymphovascular invasion were recorded for all patients. Results: Expression of CK-19 was detected in 24 (48%), and CEA in 10 (20%) cases. Nine patients (40%) in group I and 15 (53.6%) in group II were positive for CK-19 expression. CEA expression was more frequent among group I patients (6 vs. 4 cases). There was no significant difference between the groups in the expression of CK-19 and CEA mRNA, tumor localisation, presence of signet formation, and presence and extent of nodal metastases. Patients with major vascular invasion (MVI) expressed significantly higher levels of CTC mRNA compared to those without MVI (p = 0.023 for CEA, and p = 0.009 for CK-19). The median 1 and 2-year survival was 9.5 and 10.5 months for group I, and 20 and 28.5 months for group II, respectively (p = 0.001). The mean survival was 6.7 months for patients with MVI, and 30.2 months for those without MVI (p = 0.0001). Conclusions: High levels of CTCs were observed in patients with MVI invasion, rather than other causes of unresectability. It can be suggested that expression of both CEA and CK-19 in the peripheral blood of gastric cancer patients are strong predictors of MVI and significantly worse survival rates. Copyright © Experimental Oncology, 2010.