Mitosis count and number of cancer cells in cases of primary pulmonary adenocarcinoma: Correlations among phosphorylated histone 3, number of cancer cells, nuclear grade, pathologic features and prognosis

Immunohistochemistry findings for the phosphorylated form of histone 3 (pHH3) have been shown to be a reliable mitosis‐specific marker. We evaluated the correlation between pHH3‐stained mitotic figures (PHMFs) and clinical outcome, and compared the results with findings for numbers of PHMFs and canc...

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Veröffentlicht in:Pathology international 2018-03, Vol.68 (3), p.159-166
Hauptverfasser: Inoue, Takashi, Nakazato, Yoshimasa, Karube, Yoko, Maeda, Sumiko, Kobayashi, Satoru, Chida, Masayuki
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container_end_page 166
container_issue 3
container_start_page 159
container_title Pathology international
container_volume 68
creator Inoue, Takashi
Nakazato, Yoshimasa
Karube, Yoko
Maeda, Sumiko
Kobayashi, Satoru
Chida, Masayuki
description Immunohistochemistry findings for the phosphorylated form of histone 3 (pHH3) have been shown to be a reliable mitosis‐specific marker. We evaluated the correlation between pHH3‐stained mitotic figures (PHMFs) and clinical outcome, and compared the results with findings for numbers of PHMFs and cancer cells. The primary tumor was obtained from 113 patients with pulmonary adenocarcinomas (≤2 cm maximum dimension). All specimens were stained with pHH3, then the number of cancer cells in each was determined. Cases with a cancer‐cell index ≥1000 showed worse recurrence‐free survival as compared to those with a value
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We evaluated the correlation between pHH3‐stained mitotic figures (PHMFs) and clinical outcome, and compared the results with findings for numbers of PHMFs and cancer cells. The primary tumor was obtained from 113 patients with pulmonary adenocarcinomas (≤2 cm maximum dimension). All specimens were stained with pHH3, then the number of cancer cells in each was determined. Cases with a cancer‐cell index ≥1000 showed worse recurrence‐free survival as compared to those with a value &lt;1000 (P &lt; 0.001). Also, cases with a pHH3 index ≥0.27 showed worse recurrence‐free survival as compared to &lt;0.27 (P = 0.001) and cases with a pHH3/cancer‐cell index ≥0.001 showed worse recurrence‐free survival as compared to &lt;0.001 (P = 0.002). Multivariate analysis demonstrated that pHH3/cancer‐cell index was significantly correlated with prognosis, but not Ki‐67 index. The number of cancer cells was also strongly correlated with progression of Noguchi's classification and WHO pathologic type. pHH3/cancer‐cell index was correlated with prognosis, and those were useful for prognostic evaluation of pulmonary adenocarcinoma patients. 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The number of cancer cells was also strongly correlated with progression of Noguchi's classification and WHO pathologic type. pHH3/cancer‐cell index was correlated with prognosis, and those were useful for prognostic evaluation of pulmonary adenocarcinoma patients. Furthermore, cancer cell number was correlated with Noguchi's classification and WHO pathologic type.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29393583</pmid><doi>10.1111/pin.12635</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-8502-1502</orcidid></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adenocarcinoma
Adenocarcinoma - metabolism
Adenocarcinoma - pathology
Adenocarcinoma of Lung
Adult
Aged
Aged, 80 and over
Biomarkers, Tumor - metabolism
Cancer
Cell number
Classification
Female
histological classification
Histones - metabolism
Humans
Immunohistochemistry
Ki-67 Antigen - metabolism
Lung cancer
Lung Neoplasms - metabolism
Lung Neoplasms - pathology
Male
Medical prognosis
Middle Aged
Mitosis
Mitosis - physiology
Mitotic Index - methods
Multivariate analysis
nuclear grading
Patients
phosphorylated histone 3
Phosphorylation
Prognosis
pulmonary adenocarcinoma
Survival
title Mitosis count and number of cancer cells in cases of primary pulmonary adenocarcinoma: Correlations among phosphorylated histone 3, number of cancer cells, nuclear grade, pathologic features and prognosis
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