Tp53 Expression and Ki-67 Proliferation Index in Surface Epithelial-Stromal Tumors of the Ovary and Their Relationship with the Histopathological Prognostic Parameters

Objective: To investigate TP53 and Ki-67 expressions in malignant, borderline and benign epithelial ovarian tumors; correlate results with histopathological parameters; compare TP53 and Ki-67 expressions and discuss ovarian carcinogenesis.Material and Methods: Standard immunohistochemistry was perfo...

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Main Authors: Sevgiye Kaçar Özkara, Deniz Filinte
Format: Article
Language:English
Published: Galenos Publishing House 2011-11-01
Series:Balkan Medical Journal
Subjects:
Online Access:http://balkanmedicaljournal.org/text.php3?id=802
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author Sevgiye Kaçar Özkara
Deniz Filinte
author_facet Sevgiye Kaçar Özkara
Deniz Filinte
author_sort Sevgiye Kaçar Özkara
collection DOAJ
description Objective: To investigate TP53 and Ki-67 expressions in malignant, borderline and benign epithelial ovarian tumors; correlate results with histopathological parameters; compare TP53 and Ki-67 expressions and discuss ovarian carcinogenesis.Material and Methods: Standard immunohistochemistry was performed in 100 malignant, 27 borderline and 31 benign tumors and 42 non-tumoral ovarian epithelia.Results: TP53 overexpression was higher in malignant (61.0%) than in borderline tumors (40.7%); in malignant cases above 50 years-of-age, with high grade and in undifferentiated and serous subtypes. Carcinomas with solid architecture in serous, high mitosis in non-serous and high pleomorphism in both subtypes; lymph node involvement, and advanced stage also showed higher expressions of TP53 (p<0.05). The mean Ki-67 index was 41.3% in malignant and 17.2% in borderline tumors. Ki-67 index tended to increase with increasing grade, and decrease with lymph node involvement. The coexpression of proteins according to grade, lymph node involvement and stage in different subtypes, showed significant differences and correlations.Conclusion: Our findings support the role of TP53 overexpression in development of “borderline” and malignant epithelial ovarian tumors. The degree of TP53 expression differed in terms of histopathological parameters; and was correlated with Ki-67 index. Especially in early stages, these biological factors could provide additional information to stratify patients for case specific therapies.
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spelling doaj.art-3466af2eaec344a39b86e86228bd14922023-02-15T16:07:52ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312011-11-012804394408Tp53 Expression and Ki-67 Proliferation Index in Surface Epithelial-Stromal Tumors of the Ovary and Their Relationship with the Histopathological Prognostic ParametersSevgiye Kaçar ÖzkaraDeniz FilinteObjective: To investigate TP53 and Ki-67 expressions in malignant, borderline and benign epithelial ovarian tumors; correlate results with histopathological parameters; compare TP53 and Ki-67 expressions and discuss ovarian carcinogenesis.Material and Methods: Standard immunohistochemistry was performed in 100 malignant, 27 borderline and 31 benign tumors and 42 non-tumoral ovarian epithelia.Results: TP53 overexpression was higher in malignant (61.0%) than in borderline tumors (40.7%); in malignant cases above 50 years-of-age, with high grade and in undifferentiated and serous subtypes. Carcinomas with solid architecture in serous, high mitosis in non-serous and high pleomorphism in both subtypes; lymph node involvement, and advanced stage also showed higher expressions of TP53 (p<0.05). The mean Ki-67 index was 41.3% in malignant and 17.2% in borderline tumors. Ki-67 index tended to increase with increasing grade, and decrease with lymph node involvement. The coexpression of proteins according to grade, lymph node involvement and stage in different subtypes, showed significant differences and correlations.Conclusion: Our findings support the role of TP53 overexpression in development of “borderline” and malignant epithelial ovarian tumors. The degree of TP53 expression differed in terms of histopathological parameters; and was correlated with Ki-67 index. Especially in early stages, these biological factors could provide additional information to stratify patients for case specific therapies.http://balkanmedicaljournal.org/text.php3?id=802Ovarian tumorsp53Ki-67
spellingShingle Sevgiye Kaçar Özkara
Deniz Filinte
Tp53 Expression and Ki-67 Proliferation Index in Surface Epithelial-Stromal Tumors of the Ovary and Their Relationship with the Histopathological Prognostic Parameters
Balkan Medical Journal
Ovarian tumors
p53
Ki-67
title Tp53 Expression and Ki-67 Proliferation Index in Surface Epithelial-Stromal Tumors of the Ovary and Their Relationship with the Histopathological Prognostic Parameters
title_full Tp53 Expression and Ki-67 Proliferation Index in Surface Epithelial-Stromal Tumors of the Ovary and Their Relationship with the Histopathological Prognostic Parameters
title_fullStr Tp53 Expression and Ki-67 Proliferation Index in Surface Epithelial-Stromal Tumors of the Ovary and Their Relationship with the Histopathological Prognostic Parameters
title_full_unstemmed Tp53 Expression and Ki-67 Proliferation Index in Surface Epithelial-Stromal Tumors of the Ovary and Their Relationship with the Histopathological Prognostic Parameters
title_short Tp53 Expression and Ki-67 Proliferation Index in Surface Epithelial-Stromal Tumors of the Ovary and Their Relationship with the Histopathological Prognostic Parameters
title_sort tp53 expression and ki 67 proliferation index in surface epithelial stromal tumors of the ovary and their relationship with the histopathological prognostic parameters
topic Ovarian tumors
p53
Ki-67
url http://balkanmedicaljournal.org/text.php3?id=802
work_keys_str_mv AT sevgiyekacarozkara tp53expressionandki67proliferationindexinsurfaceepithelialstromaltumorsoftheovaryandtheirrelationshipwiththehistopathologicalprognosticparameters
AT denizfilinte tp53expressionandki67proliferationindexinsurfaceepithelialstromaltumorsoftheovaryandtheirrelationshipwiththehistopathologicalprognosticparameters