RT Journal Article SR Electronic T1 Frequent and Specific Involvement of Changes of the p16–RB Pathway in Esophageal Neuroendocrine Carcinoma JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 1927 OP 1934 DO 10.21873/anticanres.13302 VO 39 IS 4 A1 FUJIMASA, KOICHIRO A1 OHIKE, NOBUYUKI A1 NOROSE, TOMOKO A1 ISOBE, TOMOHIDE A1 KIKUCHI, KAZUO A1 OTSUKA, KOJI A1 MURAKAMI, MASAHIKO A1 TAKIMOTO, MASAFUMI YR 2019 UL http://ar.iiarjournals.org/content/39/4/1927.abstract AB Aim: This study investigated the immunohistochemical expression of retinoblastoma (RB) protein and p16 protein in 10 neuroendocrine carcinomas (NECs), in comparison to two mixed-type NECs; 28 squamous cell carcinomas (SCCs), and 12 carcinosarcomas (CSs) from patients with esophageal cancer. Materials and Methods: Immunohistochemical staining was performed using the avidin-biotin complex detection method. The staining was evaluated as diffusely positive, heterogeneous (in 5-95% of tumor cells), or diffusely negative. Results: The combination of a diffuse loss of RB and the diffuse overexpression of p16, which is found in highly aggressive malignant tumors and is considered to convincingly suggest changes in the p16–RB pathway, was found in all NECs (10/10). In contrast no mixed-type NECs, one SCC and one CS showed this finding. Coexisting intraepithelial carcinoma was detected in seven NECs and only one lesion showed the combination of diffuse RB loss and p16 overexpression. Conclusion: These data suggest that changes in the p16–RB pathway were universally and specifically involved in the development and invasion of esophageal NECs and that it may be a useful diagnostic marker and a potential therapeutic target.