The relationship of immunohistochemical SOX-2 staining with histopathological diagnosis in patients with abnormal colposcopic findings

This study aimed to analyze immunohistochemical staining and pathological data in cervical intraepithelial neoplasia (CIN) and squamous cell cervical carcinoma (SCC) with abnormal colposcopic findings. A histopathological evaluation of 45 low-grade squamous lesions (LSILs), 177 high-grade squamous l...

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Veröffentlicht in:Histochemistry and cell biology 2023-12, Vol.160 (6), p.555-561
Hauptverfasser: Atıgan, Ayhan, Kılıç, Derya, Karakaya, Yeliz Arman, Gök, Soner, Güler, Ömer Tolga
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container_issue 6
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creator Atıgan, Ayhan
Kılıç, Derya
Karakaya, Yeliz Arman
Gök, Soner
Güler, Ömer Tolga
description This study aimed to analyze immunohistochemical staining and pathological data in cervical intraepithelial neoplasia (CIN) and squamous cell cervical carcinoma (SCC) with abnormal colposcopic findings. A histopathological evaluation of 45 low-grade squamous lesions (LSILs), 177 high-grade squamous lesions (HSILs) and 16 SCC biopsy materials from existing slides was obtained from blocks obtained from the archive. In addition, SOX-2 immunohistochemical staining was evaluated. The mean age of the HSIL group was 43.20 ± 8.97 years, younger than the mean age of the LSIL group of 51.62 ± 9.64 years ( p  = 0.000). There was no difference between the groups regarding the method of biopsy ( p  > 0.05). Endocervical gland involvement was not observed in the LSIL group, but was observed in 66 (37.3%) biopsy materials in the HSIL group ( p  = 0.000). There was a difference between the groups in terms of the level of CIN at the surgical margin ( p  = 0.000). Ki-67, SOX-2 staining percentage and p16INK4a positivity were higher in the HSIL group than in the LSIL group (respectively, 67.57 ± 19.10 vs. 14.62 ± 7.11, p  = 0.000; 27.72 ± 31.56 vs. 10.09 ± 15.38, p  = 0.003; 66 (82.5%) vs. 8 (44.4%), p  = 0.001). While there was no difference in SOX-2 intensity between the HSIL and LSIL groups ( p  > 0.05), it was statistically significantly higher in the SCC group ( p  = 0.000), as was the percentage of SOX-2 ( p  = 0.000). We have shown that p16INK4a and SOX-2 staining is useful, in addition to Ki-67 immunostaining, which is widely used for SCC, which is one of the preventable cancer types. In addition, SOX-2 may provide a glimmer of hope in the development of SCC treatment modalities, especially since it is aggressively elevated in SCC rather than CIN lesions.
doi_str_mv 10.1007/s00418-023-02230-4
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A histopathological evaluation of 45 low-grade squamous lesions (LSILs), 177 high-grade squamous lesions (HSILs) and 16 SCC biopsy materials from existing slides was obtained from blocks obtained from the archive. In addition, SOX-2 immunohistochemical staining was evaluated. The mean age of the HSIL group was 43.20 ± 8.97 years, younger than the mean age of the LSIL group of 51.62 ± 9.64 years ( p  = 0.000). There was no difference between the groups regarding the method of biopsy ( p  &gt; 0.05). Endocervical gland involvement was not observed in the LSIL group, but was observed in 66 (37.3%) biopsy materials in the HSIL group ( p  = 0.000). There was a difference between the groups in terms of the level of CIN at the surgical margin ( p  = 0.000). Ki-67, SOX-2 staining percentage and p16INK4a positivity were higher in the HSIL group than in the LSIL group (respectively, 67.57 ± 19.10 vs. 14.62 ± 7.11, p  = 0.000; 27.72 ± 31.56 vs. 10.09 ± 15.38, p  = 0.003; 66 (82.5%) vs. 8 (44.4%), p  = 0.001). While there was no difference in SOX-2 intensity between the HSIL and LSIL groups ( p  &gt; 0.05), it was statistically significantly higher in the SCC group ( p  = 0.000), as was the percentage of SOX-2 ( p  = 0.000). We have shown that p16INK4a and SOX-2 staining is useful, in addition to Ki-67 immunostaining, which is widely used for SCC, which is one of the preventable cancer types. 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A histopathological evaluation of 45 low-grade squamous lesions (LSILs), 177 high-grade squamous lesions (HSILs) and 16 SCC biopsy materials from existing slides was obtained from blocks obtained from the archive. In addition, SOX-2 immunohistochemical staining was evaluated. The mean age of the HSIL group was 43.20 ± 8.97 years, younger than the mean age of the LSIL group of 51.62 ± 9.64 years ( p  = 0.000). There was no difference between the groups regarding the method of biopsy ( p  &gt; 0.05). Endocervical gland involvement was not observed in the LSIL group, but was observed in 66 (37.3%) biopsy materials in the HSIL group ( p  = 0.000). There was a difference between the groups in terms of the level of CIN at the surgical margin ( p  = 0.000). Ki-67, SOX-2 staining percentage and p16INK4a positivity were higher in the HSIL group than in the LSIL group (respectively, 67.57 ± 19.10 vs. 14.62 ± 7.11, p  = 0.000; 27.72 ± 31.56 vs. 10.09 ± 15.38, p  = 0.003; 66 (82.5%) vs. 8 (44.4%), p  = 0.001). While there was no difference in SOX-2 intensity between the HSIL and LSIL groups ( p  &gt; 0.05), it was statistically significantly higher in the SCC group ( p  = 0.000), as was the percentage of SOX-2 ( p  = 0.000). We have shown that p16INK4a and SOX-2 staining is useful, in addition to Ki-67 immunostaining, which is widely used for SCC, which is one of the preventable cancer types. In addition, SOX-2 may provide a glimmer of hope in the development of SCC treatment modalities, especially since it is aggressively elevated in SCC rather than CIN lesions.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37558931</pmid><doi>10.1007/s00418-023-02230-4</doi><tpages>7</tpages></addata></record>
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subjects Adult
Biochemistry
Biomarkers
Biomedical and Life Sciences
Biomedicine
Biopsy
Carcinoma, Squamous Cell - pathology
Cell Biology
Cervical cancer
Cervical carcinoma
Colonoscopy
Developmental Biology
Female
Humans
Immunohistochemistry
INK4a protein
Ki-67 Antigen
Lesions
Medical diagnosis
Middle Aged
Original Paper
p16 Protein
Squamous cell carcinoma
Staining and Labeling
Uterine Cervical Dysplasia - diagnosis
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - metabolism
Vaginal Smears - methods
title The relationship of immunohistochemical SOX-2 staining with histopathological diagnosis in patients with abnormal colposcopic findings
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