Gastric Carcinoma
Conditions
Brief summary
The goal of this cross-sectional study is to evaluate epigenetic modifications in gastric carcinogenesis, mainly in H. pylori gastritis vs gastric carcinoma. The main question\[s\] it aims to answer are: * How does H. pylori infection cause gastric cancer? * Can DNA methylation and other epigenetic changes predict and affect the development of gastric cancer? Formalin-fixed-paraffin-embedded tissue specimens will be obtained and reviewed for comparison between epigenetic changes in H. pylori gastritis and gastric adenocarcinoma.
Interventions
Immunohistochemical staining for DNMT1 and EZH2 using rabbit monoclonal/polycolonal antibodies with immunoperoxidase staining will be used as a visualization method. Antibodies dilutions, antigen retrieval methods, and incubation time will all be conducted according to the manufacturer's instructions.
Sponsors
Study design
Eligibility
Inclusion criteria
* Resected specimens and endoscopic guided biopsies of intestinal type gastric carcinoma, H. Pylori associated gastritis, and non-H. Pylori gastritis with: * Available full clinical data: (age, sex, complaint, findings in clinical examination). * Full data of previous endoscopy and radiology.
Exclusion criteria
* Cases of diffuse type gastric carcinoma. * Any case of gastric cancer, H. Pylori associated gastritis, non-H. Pylori gastritis, benign gastric lesions with missing clinical, endoscopic, radiologic or follow-up data. * Cases with no available H&E stained slides or formalin fixed paraffin embedded block.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in DNMT1 and EZH2 expression. | two years | Histopathological evaluation of routine H&E slides and immunohistochemical markers to compare the intensity and extent of epigenetic changes in both H. Pylori associated gastritis and gastric carcinoma. |
Countries
Egypt