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The Ki-67 labeling index is not a useful predictor for the follow-up of cervical intraepithelial neoplasia 1.
MedLine Citation:
PMID:  15874879     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Our aim was to determine whether the Ki-67 immunostaining pattern, present on diagnosis of cervical intraepithelial neoplasia (CIN), predicts the change from low-grade to high-grade CIN over a 2-year period after diagnosis. MATERIALS AND METHODS: Of 59 cervical biopsy samples from 59 patients diagnosed as having cervical CIN, 35 were diagnosed as CIN 1 and 24 were diagnosed as CIN 2 or CIN 3. The Ki-67 immunostain showed immunopositive cells in the upper two thirds of the epithelium in all specimens. Two hundred nuclei were counted in 25 high-power fields in each specimen, including all of the epithelial layers, to determine the mean number of Ki-67-positive cells. In situ hybridization was used to demonstrate and type human papillomavirus. The chi test, Fisher exact test, Student t test, one-way analysis of variance, and Tukey test were used for statistical analysis, with significance set at p < .05. RESULTS: The mean Ki-67 labeling index for CIN 1, CIN 2, CIN 3, and CIN 2,3 were, respectively, 32.5%, 43.2%, 53.2%, and 47.8%. The statistical study showed significant differences between CIN 1 versus CIN 2, CIN 1 versus CIN 3, and CIN 1 versus CIN 2,3. For CIN 1, the mean Ki-67 labeling index was 32.8% when the lesion disappeared and was 34.6% for persisting lesions. There was no statistically significant difference. CONCLUSIONS: Ki-67 labeling index did not predict persisting CIN 1.
Authors:
F Alameda; P Fuste; S Boluda; L Ferrer; T Baro; L Mariñoso; G Mancebo; R Carreras; S Serrano
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of lower genital tract disease     Volume:  8     ISSN:  1089-2591     ISO Abbreviation:  J Low Genit Tract Dis     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2005-05-05     Completed Date:  2005-05-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9704963     Medline TA:  J Low Genit Tract Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  313-6     Citation Subset:  -    
Affiliation:
Department of Pathology, Hospital Del Mar, Universitat Autonoma de Barcelona, Barcelona, Spain. 86780@imas.imim.es
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