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MKK4 Status Predicts Survival After Resection of Gastric AdenocarcinomaInvited Critique
Russell G. Postier, MD
Arch Surg. 2006;141:1100.
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Cunningham et al have described the results of IHC staining for the MKK4 gene in a group of 124 patients who underwent resection of GA during a 12-year period. The authors have long-term follow-up data for 114 of these patients that represent the basis for the article. They have shown significantly worse survival in patients with MKK4-negative tumors. They believe that MKK4 acts as a tumor suppressor gene and that its mutation results in a more aggressive tumor with a negative effect on survival. MKK4 may prove to be an important predictor of survival in patients with GA, but serious limitations of this study render that conclusion premature. Only 9 of 114 patients had MKK4-negative tumors and form the basis for a broad conclusion backed by complicated statistical analysis on these few tumors. More of the patients with MKK4-positive tumors had more advanced . . . [Full Text of this Article] AUTHOR INFORMATION
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