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MASAN: a novel staging system for prognosis of patients with oesophageal squamous cell carcinoma.

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机构: [1]The Key Laboratory of Molecular Biology for High Cancer Incidence Coastal Chaoshan Area, Shantou University Medical College, Shantou 515041, China [2]Department ofMathematics, Heilongjiang Institute of Technology, Harbin 150050, China [3]Institute of Oncologic Pathology, Shantou University Medical College, Shantou 515041, China [4]Department of Pathology, Shantou Central Hospital, Affiliated Shantou Hospital of Sun Yat-Sen University, Shantou 515041, China [5]Department of Biochemistry and MolecularBiology, Shantou University Medical College, Shantou 515041, China [6]Department of Medical Informatics, Harbin Medical University-Daqing, Daqing 163319, China and7Department of Thoracic Surgery, West China Hospital of Sichuan University, Chengdu 610041, China
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Oesophageal squamous cell carcinoma (ESCC) is one of the most malignant cancers worldwide. Treatment of ESCC is in progress through accurate staging and risk assessment of patients. The emergence of potential molecular markers inspired us to construct novel staging systems with better accuracy by incorporating molecular markers. We measured H scores of 23 protein markers and analysed eight clinical factors of 77 ESCC patients in a training set, from which we identified an optimal MASAN (MYC, ANO1, SLC52A3, Age and N-stage) signature. We constructed MASAN models using Cox PH models, and created MASAN-staging systems based on k-means clustering and minimum-distance classifier. MASAN was validated in a test set (n = 77) and an independent validation set (n = 150). MASAN possessed high predictive accuracies and stratified ESCC patients into three prognostic groups that were more accurate than the current pTNM-staging system for both overall survival and disease-free survival. To facilitate clinical utilisation, we also constructed MASAN-SI staging systems based on staining indices (SI) of protein markers, which possessed similar prognostic performance as MASAN. MASAN provides a good alternative staging system for ESCC prognosis with a high precision using a simple model.

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出版当年[2018]版:
大类 | 2 区 医学
小类 | 2 区 肿瘤学
最新[2023]版:
大类 | 1 区 医学
小类 | 2 区 肿瘤学
第一作者:
第一作者机构: [1]The Key Laboratory of Molecular Biology for High Cancer Incidence Coastal Chaoshan Area, Shantou University Medical College, Shantou 515041, China [2]Department ofMathematics, Heilongjiang Institute of Technology, Harbin 150050, China
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通讯作者:
通讯机构: [1]The Key Laboratory of Molecular Biology for High Cancer Incidence Coastal Chaoshan Area, Shantou University Medical College, Shantou 515041, China [3]Institute of Oncologic Pathology, Shantou University Medical College, Shantou 515041, China [5]Department of Biochemistry and MolecularBiology, Shantou University Medical College, Shantou 515041, China
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