Document Detail


Cell proliferation in skin tumors with ductal differentiation: patterns and diagnostic applications.
MedLine Citation:
PMID:  10885405     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The kinetic features of skin tumors with ductal differentiation (TDD) remain mainly unknown. We selected 88 skin TDD (D-PAS-positive cuticles) classified according to Murphy and Elder's criteria. Tumors studied included 13 poromas, 12 nodular hidradenomas, 10 cylindromas, 6 spiradenomas, 9 syringomas, 9 chondroid syringomas, 7 porocarcinomas, 15 malignant nodular hidradenomas, and 7 not otherwise specified carcinomas. The same tumor areas were evaluated for mitotic figure counting (MFC) and proliferation rate (PR = MIB-1 index), screening 10 consecutive high-power fields (HPFs) in the most cellular areas. Results were recorded by HPF and tumor cellularity, considering both average and standard deviation. Differences were analyzed by Student's t-test and analysis of variance (ANOVA) and considered significant if p<0.05. PR was significantly higher in malignant (23.29 +/- 12.49) than in benign tumors (3.86 +/- 4.44) and in poromanodular hidradenoma (4.99 +/- 3.34) than in spiradenoma-cylindroma-syringoma (1.91 +/- 1.67), but not by malignant tumor type. MFC was significantly higher in malignant (25.52 +/- 4.10) than in benign tumors (1.57 +/- 0.38), showing porocarcinomas the biggest MFC/10 HPF and malignant nodular hidradenomas the highest MFC/1000 cells. PR and MFC are useful malignancy criteria in skin TDD and should be evaluated by tumor cellularity to avoid potential misinterpretations related with tumor heterogeneity.
Authors:
L Pozo; F Camacho; J J Rios-Martin; S J Diaz-Cano
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cutaneous pathology     Volume:  27     ISSN:  0303-6987     ISO Abbreviation:  J. Cutan. Pathol.     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-10-18     Completed Date:  2000-10-25     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0425124     Medline TA:  J Cutan Pathol     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  292-7     Citation Subset:  IM    
Affiliation:
Department of Dermatology, The Royal London Hospital, UK.
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MeSH Terms
Descriptor/Qualifier:
Acrospiroma / chemistry,  pathology*
Adenoma, Sweat Gland / chemistry,  pathology*
Adolescent
Adult
Aged
Aged, 80 and over
Antibodies, Monoclonal
Antigens, Nuclear
Cell Division
Female
Humans
Ki-67 Antigen / analysis
Male
Middle Aged
Mitotic Index
Nuclear Proteins / analysis
Sweat Gland Neoplasms / chemistry,  pathology*
Syringoma / chemistry,  pathology*
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/Antigens, Nuclear; 0/Ki-67 Antigen; 0/Nuclear Proteins

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