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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1999-3-31
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pubmed:abstractText |
Conventional histological evaluation and subclassification of childhood ependymomas poorly predict their biological behaviour. The Ki-67 labelling index (Ki-67 LI), a measure of growth fraction, correlates with the biological behaviour of several neoplasms, and this retrospective study tested the hypothesis that Ki-67 LI is a prognostic indicator in childhood posterior fossa ependymomas. Immunocytochemistry using an antibody to Ki-67 was undertaken on 5 microns sections of formalin-fixed, paraffin-embedded tissue from 74 cases of childhood (age < 16 years.) posterior fossa ependymoma. A Ki-67 LI was established by counting the proportion of labelled nuclei in more than 1000 cells from several histological fields. Several clinical and histological variables (including Ki-67 LI) potentially associated with survival were entered into univariate and multivariate analyses using a Cox proportional hazards model. Variables that showed a significant and independent association with survival were Ki-67 LI (P < 0.002), whether total surgical resection had been achieved according to operation records (P < 0.03), and whether no adjuvant therapy had been given (P < 0.01). Age, sex, and the presence of necrosis or microvascular proliferation did not correlate with survival. In our defined population of patients with ependymomas, Ki-67 LI is a strong prognostic indicator. We recommend that Ki-67 LI is used in the histological evaluation of childhood posterior fossa ependymomas during trials of novel adjunctive therapies.
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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 |
Dec
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pubmed:issn |
0305-1846
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
24
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
434-40
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9888153-Adolescent,
pubmed-meshheading:9888153-Child,
pubmed-meshheading:9888153-Child, Preschool,
pubmed-meshheading:9888153-Cranial Fossa, Posterior,
pubmed-meshheading:9888153-Ependymoma,
pubmed-meshheading:9888153-Female,
pubmed-meshheading:9888153-Humans,
pubmed-meshheading:9888153-Immunohistochemistry,
pubmed-meshheading:9888153-Infant,
pubmed-meshheading:9888153-Ki-67 Antigen,
pubmed-meshheading:9888153-Male,
pubmed-meshheading:9888153-Prognosis,
pubmed-meshheading:9888153-Proportional Hazards Models,
pubmed-meshheading:9888153-Retrospective Studies,
pubmed-meshheading:9888153-Skull Base Neoplasms,
pubmed-meshheading:9888153-Survival Rate
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pubmed:year |
1998
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pubmed:articleTitle |
Ki-67 immunolabelling index is a prognostic indicator in childhood posterior fossa ependymomas.
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pubmed:affiliation |
Department of Pathology, Southampton General Hospital, UK.
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pubmed:publicationType |
Journal Article
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