Published online Oct 15, 1998. doi: 10.3748/wjg.v4.iSuppl2.87
Revised: July 23, 1998
Accepted: August 14, 1998
Published online: October 15, 1998
AIM: To explore the relationship between gallbladder carcinoma and polypoid.
METHODS: The expression of p53, bcl-2, EGFR protein were examined by immunohistochemistry in benign lesions and carcinomas in gallbladder.
RESULTS: The study revealed that overexpression of p53, bcl-2, EGFR protein were detected in 0, 4, 3 in 21 cases of chronic calculus cholecystits , 1, 5, 3, in 20 cases of adenomyomatosis, 7, 11, 7 in 23 cases of adenomas and 16, 14, 11 in 25 cases of adenocarcinomas of the gallbladder respectably. There were significant differences in single or multiple oncogene expression rates between groups but not in chronic cholecystits to adenomyomatosis or in mixed double oncogene expression rate between adenomas and adenocarcinomas.
CONCLUSION: These results suggested that oncogenic changes of p53, bcl-2, EGFR may play a role in tumorigenesis of gallbladder carcinoma, adenomyomatosis is not an important precancerous lesion of gallbladder carcinogenesis but adenomas.