Expression of nuclear Ki-67 antigen in prostatic high grade intraepithelial neoplasia and prostatic carcinoma

Background/Aim. Prostatic intraepithelial high grade neoplasia (PINHG) is accepted as preneoplastic lesion in prostatic carcinoma. One of the fundamental events in early oncogenesis is the disruption of proliferative activity. One of the numerous regulatory proteins is Ki-67 expressed in all prolife...

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Main Authors: Janković-Veličković Ljubinka, Đorđević Biljana, Rančić Gorana, Marjanović Goran
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2007-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2007/0042-84500705325J.pdf
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author Janković-Veličković Ljubinka
Đorđević Biljana
Rančić Gorana
Marjanović Goran
author_facet Janković-Veličković Ljubinka
Đorđević Biljana
Rančić Gorana
Marjanović Goran
author_sort Janković-Veličković Ljubinka
collection DOAJ
description Background/Aim. Prostatic intraepithelial high grade neoplasia (PINHG) is accepted as preneoplastic lesion in prostatic carcinoma. One of the fundamental events in early oncogenesis is the disruption of proliferative activity. One of the numerous regulatory proteins is Ki-67 expressed in all proliferating cells. Index Ki-67 is considered to have prognostic significance. The aim of the study was to compare the level of proliferation in hyperplastic epithelium, prostatic carcinoma (Gleason score > 6) and PINHG. Methods. Micromorphological examination was done in 85 patients. Pathohistological analysis was performed on standard histologic specimens with the estimation of Gleason score and the presence of PINHG in its surroundings. Nuclear proliferative activity was analyzed immunohistochemically in 19 cases, using a monoclonal anti-Ki-67 antibody. Results. PINHG was found in prostatic carcinoma surrounding in 30% of the patients. In hyperplastic epithelia Ki-67 proliferative activity was 1,08, in PINHG 2,25 (p < 0,05), while in prostatic cancer, Ki-67 index was 17,64. Proliferative activity in prostatic carcinoma was significantly higher than in PINHG (p < 0,001) and hyperplasia (p < 0,001). Conclusion. This study confirmed that high grade PIN lesion predominately appears in the surrounding of poor or moderately differentiated prostate carcinoma, and that it represents progressive disorder of proliferation in preneoplastic and neoplastic prostatic epithelium. .
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spelling doaj.art-5ed0277fbf3b4a46a279f2396282e2032022-12-21T23:57:38ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502007-01-0164532533010.2298/VSP0705325JExpression of nuclear Ki-67 antigen in prostatic high grade intraepithelial neoplasia and prostatic carcinomaJanković-Veličković LjubinkaĐorđević BiljanaRančić GoranaMarjanović GoranBackground/Aim. Prostatic intraepithelial high grade neoplasia (PINHG) is accepted as preneoplastic lesion in prostatic carcinoma. One of the fundamental events in early oncogenesis is the disruption of proliferative activity. One of the numerous regulatory proteins is Ki-67 expressed in all proliferating cells. Index Ki-67 is considered to have prognostic significance. The aim of the study was to compare the level of proliferation in hyperplastic epithelium, prostatic carcinoma (Gleason score > 6) and PINHG. Methods. Micromorphological examination was done in 85 patients. Pathohistological analysis was performed on standard histologic specimens with the estimation of Gleason score and the presence of PINHG in its surroundings. Nuclear proliferative activity was analyzed immunohistochemically in 19 cases, using a monoclonal anti-Ki-67 antibody. Results. PINHG was found in prostatic carcinoma surrounding in 30% of the patients. In hyperplastic epithelia Ki-67 proliferative activity was 1,08, in PINHG 2,25 (p < 0,05), while in prostatic cancer, Ki-67 index was 17,64. Proliferative activity in prostatic carcinoma was significantly higher than in PINHG (p < 0,001) and hyperplasia (p < 0,001). Conclusion. This study confirmed that high grade PIN lesion predominately appears in the surrounding of poor or moderately differentiated prostate carcinoma, and that it represents progressive disorder of proliferation in preneoplastic and neoplastic prostatic epithelium. .http://www.doiserbia.nb.rs/img/doi/0042-8450/2007/0042-84500705325J.pdfprostatic neoplasmsprecancerous conditionsgene expressionKi-67 antigenhistologyimmunohistochemistry
spellingShingle Janković-Veličković Ljubinka
Đorđević Biljana
Rančić Gorana
Marjanović Goran
Expression of nuclear Ki-67 antigen in prostatic high grade intraepithelial neoplasia and prostatic carcinoma
Vojnosanitetski Pregled
prostatic neoplasms
precancerous conditions
gene expression
Ki-67 antigen
histology
immunohistochemistry
title Expression of nuclear Ki-67 antigen in prostatic high grade intraepithelial neoplasia and prostatic carcinoma
title_full Expression of nuclear Ki-67 antigen in prostatic high grade intraepithelial neoplasia and prostatic carcinoma
title_fullStr Expression of nuclear Ki-67 antigen in prostatic high grade intraepithelial neoplasia and prostatic carcinoma
title_full_unstemmed Expression of nuclear Ki-67 antigen in prostatic high grade intraepithelial neoplasia and prostatic carcinoma
title_short Expression of nuclear Ki-67 antigen in prostatic high grade intraepithelial neoplasia and prostatic carcinoma
title_sort expression of nuclear ki 67 antigen in prostatic high grade intraepithelial neoplasia and prostatic carcinoma
topic prostatic neoplasms
precancerous conditions
gene expression
Ki-67 antigen
histology
immunohistochemistry
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2007/0042-84500705325J.pdf
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