Cyclin D1 and retinoblastoma protein in vulvar cancer and adjacent lesions

Abnormalities in the cell cycle are associated with tumorigenesis but have not yet been identified in squamous cell carcinoma (SCC) of the vulva or in adjacent vulvar lesions. The purpose of this study was to identify cell cycle protein expression (cyclin D1 and retinoblastoma protein [pRb]) in vulv...

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Veröffentlicht in:International journal of gynecological cancer 2001-09, Vol.11 (5), p.381-386
Hauptverfasser: Rolfe, K. J., Crow, J. C., Benjamin, E., Reid, W. M. N., Maclean, A. B., Perrett, C. W.
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container_end_page 386
container_issue 5
container_start_page 381
container_title International journal of gynecological cancer
container_volume 11
creator Rolfe, K. J.
Crow, J. C.
Benjamin, E.
Reid, W. M. N.
Maclean, A. B.
Perrett, C. W.
description Abnormalities in the cell cycle are associated with tumorigenesis but have not yet been identified in squamous cell carcinoma (SCC) of the vulva or in adjacent vulvar lesions. The purpose of this study was to identify cell cycle protein expression (cyclin D1 and retinoblastoma protein [pRb]) in vulvar SCC and in adjacent potentially premalignant lesions: lichen sclerosis (LS), squamous cell hyperplasia (SH), and vulvar intraepithelial neoplasia (VIN). Using immunohistochemical techniques, 57 SCCs were analyzed with 19 adjacent areas showing LS, 13 showing SH, 11 VIN, and six normal epithelium. Fifty-one percent of SCCs showed abnormal cyclin D1 expression and 37% showed abnormal pRb. Abnormal cyclin D1 expression in the adjacent areas was as follows: 53% in LS, 31% in SH, 18% in VIN, and 0% in normal. Abnormal pRb expression was as follows: 42% in LS, 62% in SH, 46% in VIN, and 33% in normal. Only 10 lesions showed abnormal expression of both proteins. Abnormal expression of cyclin D1 in SCC was statistically significant compared with adjacent normal epithelium. In SCC lesions, abnormal cyclin D1 expression was associated with greater depth of invasion. Abnormal pRb in SCC was associated with poor tumor grade. Cyclin D1 and pRb are separately involved in the progression of vulvar cancer, and changes in the expression of these proteins may represent an early stage of malignant transformation in vulvar disease.
doi_str_mv 10.1136/ijgc-00009577-200109000-00007
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subjects Adult
Aged
Aged, 80 and over
Cancer
Carcinoma in Situ - metabolism
Carcinoma in Situ - pathology
Carcinoma, Squamous Cell - metabolism
Carcinoma, Squamous Cell - pathology
Case-Control Studies
Cell Cycle
Cell Transformation, Neoplastic - metabolism
Cyclin D1
Cyclin D1 - metabolism
Female
Genital cancers
Humans
Hyperplasia - metabolism
Hyperplasia - pathology
Immunohistochemistry
Lichen Sclerosus et Atrophicus - metabolism
Lichen Sclerosus et Atrophicus - pathology
Middle Aged
Neoplasm Staging
Proteins
Retina
Retinoblastoma
Retinoblastoma protein
Retinoblastoma Protein - metabolism
Squamous cell carcinoma
Tumors
Vulvar cancer
Vulvar Neoplasms - metabolism
Vulvar Neoplasms - pathology
title Cyclin D1 and retinoblastoma protein in vulvar cancer and adjacent lesions
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