Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2007-6-11
pubmed:abstractText
Diagnosing and grading cervical cancer precursors is challenging. This study investigates the presence of HPV infection, the expression of p16, and any correlation between these two findings. H&E-stained slides of cervical loop excision materials diagnosed as LSIL and HSIL were reviewed. An immunohistochemical panel consisting of p16 as well as of all HPV types and HR-HPV types was applied. Staining of p16 was evaluated according to distribution extent and degree of intensity. All HSIL cases and 80% of LSIL cases were positive for p16. In HSIL cases, the staining distribution was as follows: 50% full thickness, 45% basal, and 5% rare. The staining intensity for the same cases was strong in 70%, variable in 20%, and weak in 10% accordingly. In LSIL cases, staining distribution was basal in 58.3% and rare in 41.7%. None of the LSIL cases showed full thickness of p16 positivity. The staining intensity of the same cases was strong in 25%, variable in 16.7%, and weak in 58.3%. Of all cases, 48.6% were positive for screening kit (all HPV types), and 31.4% of all cases were positive for HR-HPV. The distribution of this positivity was 35% for HSIL and 26.6% for LSIL cases. The total HPV-type positivity rate was 48.6%, the distribution being 50% for HSIL and 46.6% for LSIL cases. p16 is a highly sensitive marker for cervical epithelial dysplasia. Strong and full thickness staining of p16 in the cervix epithelium is highly supportive of HSIL, while weak and basal/rare staining favors LSIL. All HPV-positive cases were also p16-positive, but no statistically significant relationship between HPV infection positivity and the intensity and distribution of p16 was found. HPV is not helpful in the grading of SIL, as an unignorable rate of HR-HPV positivity (26.6%) was detected in LSIL group.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0344-0338
pubmed:author
pubmed:issnType
Print
pubmed:volume
203
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
445-9
pubmed:meshHeading
pubmed-meshheading:17543474-Cervical Intraepithelial Neoplasia, pubmed-meshheading:17543474-Cervix Uteri, pubmed-meshheading:17543474-Cyclin-Dependent Kinase Inhibitor p16, pubmed-meshheading:17543474-Female, pubmed-meshheading:17543474-Humans, pubmed-meshheading:17543474-Immunohistochemistry, pubmed-meshheading:17543474-Neoplasms, Squamous Cell, pubmed-meshheading:17543474-Papillomaviridae, pubmed-meshheading:17543474-Papillomavirus Infections, pubmed-meshheading:17543474-Predictive Value of Tests, pubmed-meshheading:17543474-Reproducibility of Results, pubmed-meshheading:17543474-Sensitivity and Specificity, pubmed-meshheading:17543474-Severity of Illness Index, pubmed-meshheading:17543474-Tumor Markers, Biological, pubmed-meshheading:17543474-Uterine Cervical Dysplasia, pubmed-meshheading:17543474-Uterine Cervical Neoplasms
pubmed:year
2007
pubmed:articleTitle
Efficiency of immunohistochemical p16 expression and HPV typing in cervical squamous intraepithelial lesion grading and review of the p16 literature.
pubmed:affiliation
Hacettepe Faculty of Medicine, Department of Pathology, Ankara, Turkey. isilzennure@gmail.com
pubmed:publicationType
Journal Article, Review