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. 2023 Aug 14;15(16):4087.
doi: 10.3390/cancers15164087.

IMP3 Expression as a Potential Tumour Marker in High-Risk Localisations of Cutaneous Squamous Cell Carcinoma: IMP3 in Metastatic cSCC

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IMP3 Expression as a Potential Tumour Marker in High-Risk Localisations of Cutaneous Squamous Cell Carcinoma: IMP3 in Metastatic cSCC

Maurice Klein et al. Cancers (Basel). .

Abstract

Background: High IMP3 expression is correlated with a worse outcome. Until now, there have been no data about IMP3 expression and clinical outcome for high-risk localisation of squamous cell carcinoma of the skin (cSCC).

Methods: One-hundred twenty-two patients with cSCC of the lip and ear were included, and IMP3 expression in the tumours was immunohistochemically assessed in different evaluation approaches. Subsequently, subgroups were analysed in a matched pair approach and correlated with clinical pathologic parameters. In the following, different IMP3 analysis methods were tested for clinical suitability.

Results: We found a significant correlation between IMP3 expression and risk for lymph node metastasis, local relapse, and progression-free survival.

Conclusions: On basis of our data, we suggest a prognostic benefit cutoff value for high (>50%) and low (<50%) IMP3 expression. Thus, IMP3 expression has a high scientific potential for further studies and could potentially be used as a prognostic marker in diagnostic and therapeutic decision-making.

Keywords: HNSCC; IMP3; ear cancer; lip cancer; skin cancer; squamous cell carcinoma.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
(Left side) IMP3 expression correlates positively with nodal status (N+/N−) in high-risk localisation of squamous cell carcinoma of the ear (ECSCC) and lip (LSCC) (p < 0.001). (Right side) The subgroups analysis of LSCC N+/N− and ECSCC N+/N− and IMP3 expression show each a significant correlation with nodal status (p < 0.001). *** p < 0.001.
Figure 2
Figure 2
The progression-free survival was shortened depending on the IMP3 expression ranges (IMP3 Analysis Category I; <25%, 25–50%, 50–75%, >75%). A higher IMP3 expression of >50% was correlated with a less progression-free survival.
Figure 3
Figure 3
The disease-specific survival tended to be reduced (p = 0.092) from an IMP3 expression of >50% (IMP3 Analysis Category II).
Figure 4
Figure 4
The IMP3 expression range >50%, <50% (IMP3 Analysis Category II) showed a significantly (p < 0.001) reduced progression-free survival with an IMP3 expression of >50%.

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