We investigated the p53 protein expression in gastrointestinal lymphom
as (GIL). Paraffin-embedded samples of 52 patients were examined for t
his purpose. The avidin-biotin Complex method was used for immunostain
ing. Nine of the 52 samples (17.3%) showed p53 staining. There was no
relationship between the p53 protein expression and clinical character
istics, such as stage, disease localization and tumor burden. Complete
remission was higher in patients not expressing this protein, and the
p53 protein was more frequently expressed in intermediate and high gr
ade histopathology than low grade lymphomas? but there was no statisti
cally significant difference between the two groups (p = 0.008). Inter
estingly, patients expressing the p53 protein were younger than the on
es not expressing it (30.7 +/- 14.1 vs. 43.6 +/- 15.7 years). We concl
ude that the p53 protein expression in GILs may be a poor prognostic i
ndicator due to a lower response rate to chemotherapy.