1. A comparative study of the expression of cyclin D1, COX-2, and KI-67 in odontogenic keratocyst vs. ameloblastoma vs. orthokeratinized odontogenic cyst
- Author
-
Mario Martínez-López, Julián Campo-Trapero, Fátima Martín-Hernán, Claudio Ballestín-Carcavilla, Rosa García-Martín, and Jorge Cano-Sánchez
- Subjects
Pathology ,medicine.medical_specialty ,biology ,business.industry ,H&E stain ,medicine.disease ,Pathology and Forensic Medicine ,Odontogenic ,Ameloblastoma ,Cross-Sectional Studies ,Ki-67 Antigen ,Cyclin D1 ,Cyclooxygenase 2 ,Ki-67 ,Odontogenic Cysts ,medicine ,biology.protein ,Humans ,Neoplasm ,Keratocyst ,medicine.symptom ,Differential diagnosis ,business - Abstract
Odontogenic keratocysts (OKCs) and orthokeratinized odontogenic Cysts (OOCs) are distinct clinicopathological entities. OKC appears to behave in a way more similar to that of a neoplasm, such as ameloblastoma (AB). The aim of this study is to compare the influence of Ki-67, Cyclin D1 and COX-2 in the diagnosis and pathogenesis of OKC, OOC and AB.A cross-sectional observational study of 41 samples was organized into 3 groups: (1) OKC n=22; (2) AB n=13 and (3) OOC n=6. Paraffin blocks were sectioned and stained with hematoxylin and eosin (HE). Immunohistochemical study using Bond Polymer Refine Red Detection Kit, Leica, Wetzlar, Germany, was performed for the following antibodies: Ki-67, Cyclin D1 and COX-2. Double blind immunostaining was quantified subjectively. Staining: nuclear or cytoplasmic; nuclear (Ki-67 and Cyclin D15% positive) and cytoplasmic (COX-2; 1; 1-30 cytoplasm: 2; 31-60 cytoplasm; 3; 61-100 cytoplasm). Considering positive stained 61-100 cytoplasms.The expression of Ki-67 was higher in the OKC group than in the AB group (p0.05). Cyclin D1 showed a higher expression in OKC vs. OOC and OKC vs. AB (p0.05). Finally, expression of COX-2 was higher in OKC vs AB (p0.05).COX-2, Ki-67 and Cyclin D1 show statistically significant differences between the groups, suggesting that they could be useful tools in the differential diagnosis between OKCs and OOC and a predictive indicator for their biologic behaviour. The higher expressions of these 3 markers of OKC vs AB highlight once more the aggressive behaviour of this now re-considered cystic lesion. These markers could prove useful in the choice of more aggressive surgical treatment in OKCs as their behaviour appears to be similar to that of a neoplasm.
- Published
- 2022
- Full Text
- View/download PDF