Table 2.
Histological and immunohistochemical characteristics of pyloric gland adenomas in familial adenomatous polyposis.
| Patient | Dx | Dysplasia | Size (mm) | location | Parietal cells | β-catenin | P53 | Ki67 | MUC2 | MUC5 | MUC6 | CDX2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | PGA1* | LGD | U | U | None | M | np | mild increase | np | surface pos | failed | neg |
| 1 | PGA2 | LGD | 17 | corpus | scattered | M | np | not increased | neg | surface pos | focal pos | focal pos |
| 2 | PGA3 | Focal HGD | 15 | corpus or fundus | Many | Focal nuclear in HGD | WT | Increased in HGD | neg | surface pos | pos | focal pos |
| 2 | PGA4 | LGD | 8 | corpus | scattered | M | WT | Focally increased | neg | surface pos | pos | focal pos |
| 3 | PGA5 | LGD | 40 | corpus | Scattered and focally abundant | M | WT | not increased | neg | surface pos | focal pos | neg |
| 3 | PGA6 | LGD | 13 | corpus | scattered | np | np | np | np | surface pos | pos | np |
| 3 | PGA7 | LGD | U | corpus or fundus | scattered | np | np | np | np | surface pos | pos | np |
Dx: diagnosis; PGA: pyloric gland adenoma; LGD: low-grade dysplasia; IGD: intermediate grade dysplasia; HGD: high-grade dysplasia; M: membranous β-catenin expression; WT: wild-type expression of p53; neg: negative staining; pos: positive staining; np: not performed; U: unknown.
This was a very small biopsy of a PGA and therefore suboptimal for histopathological assessment.