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Second Department of Surgery, Hiroshima University Faculty of Medicine, Hiroshima, Japan 734-8551
The molecular basis of carcinogenesis in gastrointestinal carcinoid tumors is not well understood. To clarify the contribution of the Wnt/ß-catenin signaling to this type of carcinogenesis, we investigated 72 cases of gastrointestinal carcinoid tumor both immunohistochemically and by direct sequencing of ß-catenin. Accumulation of ß-catenin in the cytoplasm and/or nucleus was observed in 57 cases (79.2%). We also detected mutations in exon 3 of ß-catenin in 27 cases (37.5%) and one mutation in APC (1.4%). Our results suggest that alterations in the Wnt/ß-catenin signaling pathway may be involved in the development of gastrointestinal carcinoid tumors.
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