Expression of Ki67 and P53 in primary squamous cell carcinoma of the larynx

We studied a series of untreated laryngeal carcinomas in an attempt to determine the relationship between Ki67 and p53 expression and clinicopathological findings. The relationship between expression of these markers in non-tumoral tissue was also evaluated in order to investigate the possible role...

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Bibliographic Details
Main Authors: Ashraf Mohamad, Maghbul Maryam, Azarpira Negar, Khademi Bighan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-10-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
p53
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2010;volume=53;issue=4;spage=661;epage=665;aulast=Ashraf
Description
Summary:We studied a series of untreated laryngeal carcinomas in an attempt to determine the relationship between Ki67 and p53 expression and clinicopathological findings. The relationship between expression of these markers in non-tumoral tissue was also evaluated in order to investigate the possible role of immunohistochemistry as a diagnostic aid in evaluating laryngeal biopsies. <b>Materials and Methods:</b> Samples from 54 patients with laryngeal squamous cell carcinoma (SCC) were analyzed retrospectively. The uninvolved vocal cord was evaluated as a non-tumoral sample. Paraffin sections of tumors were immunohistochemically stained for p53 and Ki67 expression. <b>Results:</b> Overall, p53 expression was found in 35 (64.8&#x0025;) of the patients. There was a significant correlation among tumoral p53 expression and tumor location, tumor stage and lymph node involvement. Most grade I tumors had a Ki67 labeling index &lt;50&#x0025; and a labeling index &#8805;50 was found mainly in high-grade tumors. Tumoral Ki67 expression correlated significantly with tumor grade and mitotic count. There was no correlation between Ki67 labeling index and tumor region. In non-tumoral tissue, 95&#x0025; of high-grade pre-neoplastic lesions revealed a high expression of Ki67. Non-tumoral p53 expression did not correlate with histological findings. <b>Conclusion:</b> p53 and Ki67 expression in tumoral tissue may be a prognostic marker in patients with laryngeal SCC. Evaluation of the proliferative index in biopsy samples of dysplastic laryngeal mucosa is potentially useful for predicting the progression toward carcinoma.
ISSN:0377-4929
0974-5130