Significance of Silver-stained Nucleolar Organizer Regions in Early Diagnosis and Prognosis of Oral Squamous Cell Carcinoma: A Multivariate Analysis

Argyrophilic nucleolar organizer regions (AgNORs) appear to be of diagnostic and prognostic significance in different types of human tumour. The present study examined the AgNOR counts in normal, premalignant and malignant oral mucosa to evaluate their potential as a biological marker for tumour pro...

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Veröffentlicht in:In vivo (Athens) 2005-07, Vol.19 (4), p.807-812
Hauptverfasser: Pillai, K Raveendran, Kannan, S, Sujathan, K, Madhavan, Jayaprakash, Abraham, Elizabeth K
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container_issue 4
container_start_page 807
container_title In vivo (Athens)
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creator Pillai, K Raveendran
Kannan, S
Sujathan, K
Madhavan, Jayaprakash
Abraham, Elizabeth K
description Argyrophilic nucleolar organizer regions (AgNORs) appear to be of diagnostic and prognostic significance in different types of human tumour. The present study examined the AgNOR counts in normal, premalignant and malignant oral mucosa to evaluate their potential as a biological marker for tumour progression and a prognostic predictor for treatment outcome in oral carcinomas. The Spearmann's rank correlation analysis between AgNOR counts and various stages of tumour progression in oral mucosa exhibited a highly significant positive coefficient (r s =0.7969; p≤0.001), thus indicating the role of AgNORs in the early diagnosis of potentially malignant oral leukoplakia. When analyzing the prognostic significance of AgNOR in oral carcinomas, mean count >2.8 concurred with poor prognosis in both univariate and multivariate analysis. Along with AgNOR counts, the T-status of disease was also found to be an independent predictor for treatment outcome in multivariate analysis. Thus T3 and T4 tumours, with mean AgNOR counts more than 2.8, are aggressive and may exhibit resistance to current treatment protocols.
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source MEDLINE; Free E-Journal (出版社公開部分のみ)
subjects Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - secondary
Disease Progression
Early Diagnosis
Humans
Leukoplakia, Oral - pathology
Mouth Mucosa - pathology
Mouth Neoplasms - diagnosis
Mouth Neoplasms - pathology
Multivariate Analysis
Neoplasm Staging
Nucleolus Organizer Region - pathology
Prognosis
Silver Staining - methods
title Significance of Silver-stained Nucleolar Organizer Regions in Early Diagnosis and Prognosis of Oral Squamous Cell Carcinoma: A Multivariate Analysis
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