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. 2009 May;174(5):1588–1593. doi: 10.2353/ajpath.2009.080545

Table 1.

EMT-Like Phenotypes in Human Carcinomas

General tumor type Tumor subtype EMT-like stage
Bladder cancer Transitional cell carcinoma, papillary 3
Transitional cell carcinoma, solid 3
Carcinosarcoma 1
Breast cancer Invasive ductal carcinoma 3
Infiltrating lobular carcinoma 2
Carcinosarcoma 1
Colon and rectal cancer Adenocarcinomas 3a
Carcinosarcoma 1
Anal cancer Epidermoid carcinoma 3
Endometrial cancer Adenocarcinomas 3
Carcinosarcoma 1
Ovarian cancer Serous and mucinous carcinoma 3
Testicular cancer Embryonal carcinoma, teratocarcinoma 1
Gastric cancer Diffuse gastric cancer 2
Intestinal gastric cancer 3
Head and neck cancer Carcinoma (squamous cell carcinoma) 3
Kidney (renal cell) cancer Wilms 2
Renal cell carcinoma 3
Liver cancer Hepatocellular carcinoma 3
Lung cancer Squamous cell carcinomas 3
Adenocarcinoma 3
Small cell lung carcinoma 3b
Spindle-cell carcinoma 2
Carcinosarcoma 1
Pancreatic cancer Adenocarcinomas 3
Prostate cancer Adenocarcinomas 3
Carcinosarcoma 1
Skin cancer Basal cell cancer 3
Squamous cell cancer 3
Spindle cell squamous cell 1
Melanoma 3
Thyroid cancer Adenocarcinoma 3
Anaplastic carcinomas 2
Malignant mesothelioma 1

We selected three functional criteria to define EMT-like phenotypes in human carcinomas, ranging from partial to total EMT-like phenotype: a) state of cell polarization, b) state of cell cohesiveness, and c) intermediate filament expression. Combination of these criteria helped us define the following four EMT-like phenotypes. Phenotype 0: differentiated tumor cells with preserved epithelial structure and cell polarity; phenotype 1: most tumor cells characterized by cellular depolarization; however, they retain cohesive cell-cell contacts and the expression of keratins; phenotype 2: loss of cell-cell adhesion in most tumor cells still expressing keratins; phenotype 3: loss of keratin and substantial expression of vimentin.