Epstein-Barr virus-associated gastric adenocarcinoma among Japanese Americans in Hawaii.
This study confirms the observation that some gastric adenocarcinomas contain Epstein-Barr viral (EBV) sequences in their carcinoma cells. EBV sequences were detected by polymerase chain reaction and in situ hybridization in the tumors of 19 of 187 (10.2%) Japanese-American men and women living in Hawaii. The EBV-associated gastric cancers were more frequently present in men than in women: 14 of 99 (14.3%) men versus 5 of 88 (5.7%) women (P = 0.046). EBV type A was found in 17 of the 19 EBV-associated cancers, a finding consistent with the type A predominance in Japanese populations. Intestinal and diffuse-type tumors were both EBV-positive, and moderate to marked inflammation was usually present. The virus was not found in adjacent normal nonneoplastic mucosal cells or in mucosa showing intestinal metaplasia. EBV-associated tumors were found at stages 1 or 2 in 53% of cases, compared with 36% of the EBV-negative cancers (P = 0.13). The presence of EBV did not appear to influence survival. The relatively high incidence of gastric cancer compared to other EBV-associated tumors makes EBV-associated gastric cancer potentially one of the most common EBV-related tumors in the United States.
Department of Pathology, Los Angeles County-University of Southern California Medical Center 90033.
D
D
Shibata
D
D
Hawes
G N
GN
Stemmermann
L M
LM
Weiss
D000230:Adenocarcinoma / Q000150:complications* / Q000453:epidemiology / Q000473:pathology; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006254:Hawaii / Q000453:epidemiology; D004854:Herpesvirus 4, Human; D006801:Humans; D017403:In Situ Hybridization; D015994:Incidence; D007564:Japan / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D016133:Polymerase Chain Reaction; D013274:Stomach Neoplasms / Q000150:complications* / Q000453:epidemiology / Q000208:ethnology / Q000473:pathology; D015996:Survival Rate; D014412:Tumor Virus Infections / Q000150:complications* / Q000453:epidemiology / Q000208:ethnology / Q000473:pathology