Mucinous colorectal carcinoma: immunopathology and prognosis

Pathology. 1980 Jul;12(3):439-47. doi: 10.3109/00313028009077107.

Abstract

A total of 519 colorectal carcinomas were examined for the presence or absence of mucinous differentiation by means of microscopical morphometry. Of these, 28% had objectively measurable amounts of mucinous tumour epithelium. Tumours with > 50% mucinous areas (14%) had significantly poorer prognosis than non-mucinous in stages A and C, while mucinous differentiation did not correlate with prognosis in stages B and D. Lymph nodes regional to mucinous tumours had significantly less paracortical response, and those with < 50% mucinous differentiation, significantly less perivascular lymphocyte cuffing at the tumour margins. These lymph node and stromal compartments are putative T-lymphocyte areas, and hence our findings suggest that mucinous tumours are either less stimulatory or perhaps inhibitory of cell-mediated immunity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenocarcinoma, Mucinous / immunology
  • Adenocarcinoma, Mucinous / pathology*
  • Colonic Neoplasms / immunology
  • Colonic Neoplasms / pathology*
  • Female
  • Humans
  • Lymph Nodes / cytology*
  • Lymph Nodes / immunology
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Prognosis
  • Rectal Neoplasms / immunology
  • Rectal Neoplasms / pathology*