1. p16 is superior to Stathmin-1 and HSP27 in identifying cervical dysplasia.
- Author
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Liou S, Nilforoushan N, Kang Y, and Moatamed NA
- Subjects
- Adenocarcinoma in Situ pathology, Carcinoma, Endometrioid pathology, Diagnosis, Differential, Endometrial Neoplasms pathology, Female, Humans, Neoplasm Grading, Neoplasm Invasiveness, Predictive Value of Tests, Reproducibility of Results, Squamous Intraepithelial Lesions of the Cervix pathology, Uterine Cervical Dysplasia pathology, Uterine Cervical Neoplasms pathology, Adenocarcinoma in Situ chemistry, Biomarkers, Tumor analysis, Carcinoma, Endometrioid chemistry, Cyclin-Dependent Kinase Inhibitor p16 analysis, Endometrial Neoplasms chemistry, Heat-Shock Proteins analysis, Immunohistochemistry, Molecular Chaperones analysis, Squamous Intraepithelial Lesions of the Cervix metabolism, Stathmin analysis, Uterine Cervical Dysplasia metabolism, Uterine Cervical Neoplasms chemistry
- Abstract
Background: The aim of this study was to determine how Stathmin-1 and Heat Shock Protein 27 (HSP27) can be used as adjunctive biomarkers to differentiate high-grade dysplasia from benign/reactive lesions in cervical tissues. In addition, we aimed to see if any of these markers can differentiate endometrial from endocervical adenocarcinomas., Methods: Fifty cases including benign cervical tissue, low-grade squamous intraepithelial lesion (LSIL), high-grade squamous intraepithelial lesion (HSIL), adenocarcinoma in situ of the endocervix, invasive endocervical adenocarcinoma, and endometrial adenocarcinoma were selected. Stathmin-1 and HSP27 immunohistochemistry (IHC) were performed for each case and the results were compared to the previously available p16 IHC stains., Results: p16 stained positively in 100% of HSIL, endocervical adenocarcinoma in situ, and invasive endocervical cases. Stathmin-1 stained positively in 43% of HSIL and 90% of endocervical adenocarcinoma in situ and all invasive endocervical cases. Stathmin-1 and p16 were negative in all benign cervical samples. Stathmin-1, HSP27, and p16 stained 100% of LSIL cases. HSP27 stained indiscriminately, including 100% of benign cervical tissue. 87% of the endometrial adenocarcinomas stained positively for p16, Stathmin-1, and HSP27., Conclusion: p16 remains superior to both Stathmin-1 and HSP27 in differentiating dysplasia from benign, reactive changes of the cervix., (© 2021. The Author(s).)
- Published
- 2021
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