2008
DOI: 10.1016/j.canlet.2007.11.027
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Field defects in progression to gastrointestinal tract cancers

Abstract: A field of defective tissue may represent a pre-malignant stage in progression to many cancers. However, field defects are often overlooked in studies of cancer progression through assuming tissue at some distance from the cancer is normal. We indicate, however, the generality of field defects in gastrointestinal cancers, including cancers of the oropharynx, esophagus, stomach, bile duct, pancreas, small intestine and colon/rectum. Common features of these field defects are reduced apoptosis competence, aberra… Show more

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Cited by 57 publications
(49 citation statements)
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“…Molecular abnormalities in colons harboring tumors are frequently widespread, with derangements in normal-appearing mucosa (43). To investigate more generalized “field effects”, we examined mRNA levels of several of the RAS components in distal colonic mucosa.…”
Section: Resultsmentioning
confidence: 99%
“…Molecular abnormalities in colons harboring tumors are frequently widespread, with derangements in normal-appearing mucosa (43). To investigate more generalized “field effects”, we examined mRNA levels of several of the RAS components in distal colonic mucosa.…”
Section: Resultsmentioning
confidence: 99%
“…It has been postulated that BE begins with an initial expansion of metaplastic cells in response to CDKN2A inactivation [18][19][20]. These lesions are diploid or near diploid by flow cytometry and may not progress beyond this metaplastic state [21].…”
Section: Discussionmentioning
confidence: 99%
“…23 Epigenetic changes play a significant role in alteration of homeostasis of the epithelium, characterized by markedly enhanced proliferation, and development of cancer in normal adjacent tissue areas which are morphologically normal. 24 Secreted frizzled-related protein 1 (SFRP1) mRNA expression in normal adjacent tissue samples was higher than that from colorectal cancer samples. 25 When the crypts of normal adjacent tissue near the tumor site, the epithelial SFRP1 protein was decreased because of epigenetic silencing of the SFRP1 gene.…”
Section: Wnt Signalingmentioning
confidence: 99%