Source:http://linkedlifedata.com/resource/pubmed/id/17197903
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2007-1-1
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pubmed:abstractText |
Low-grade cervical squamous intraepithelial lesions have a high rate of spontaneous regression but may undergo surgical treatment (cone biopsy) in case of persistence of the lesion or discrepancy between Pap-smear diagnosis and biopsy diagnosis. This may sometimes lead to surgical complications and/or adverse effects on fertility. Thus, the present study was designed to investigate the potential of laminin-5 as a sensitive molecular marker identifying cervical intraepithelial neoplastic lesions (CIN), which are likely to regress and ultimately spare women unnecessary surgical procedures. Cervical punch biopsy samples from 65 women with either a CIN I or a CIN II were evaluated for the expression of laminin-5 by immunohistochemistry. All study subjects agreed to a conservative clinical management and were frequently followed-up (median follow-up time 237 days) to evaluate for changes in the dysplastic lesion. Laminin-5 staining results were correlated with patient's characteristics as well as clinical follow-up data. Laminin-5 expression was detected in 16 of 40 CIN I (40%) lesions, 2 of 21 CIN II (9.5%) lesions and none of 4 reclassified CIN III lesions. Within positive cases, laminin-5 expression was localized to the cytoplasm of the dysplastic cells. The laminin-5 expression was significantly associated with the grade of CIN lesion (p < 0.005). Correlations with patient's characteristics were not statistically significant except for education and ectocervical smear diagnosis. No significant associations were noted between laminin-5 expression and either regression, persistence or progression of the CIN lesions. These data indicate that laminin-5 is not a useful diagnostic adjunct in histopathology for the identification of CIN lesions with progressive capacity.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0277-1691
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
26
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
89-94
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pubmed:meshHeading |
pubmed-meshheading:17197903-Adolescent,
pubmed-meshheading:17197903-Adult,
pubmed-meshheading:17197903-Biopsy,
pubmed-meshheading:17197903-Cell Adhesion Molecules,
pubmed-meshheading:17197903-Cervical Intraepithelial Neoplasia,
pubmed-meshheading:17197903-Female,
pubmed-meshheading:17197903-Follow-Up Studies,
pubmed-meshheading:17197903-Humans,
pubmed-meshheading:17197903-Middle Aged,
pubmed-meshheading:17197903-Neoplasms, Squamous Cell,
pubmed-meshheading:17197903-Prognosis,
pubmed-meshheading:17197903-Tumor Markers, Biological,
pubmed-meshheading:17197903-Vaginal Smears
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pubmed:year |
2007
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pubmed:articleTitle |
The lack of laminin-5 as a prognostic marker in low-grade cervical squamous intraepithelial lesions: correlation with clinical follow-up data.
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pubmed:affiliation |
Department of Obstetrics and Gynecology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.
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pubmed:publicationType |
Journal Article
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