Predictive value of the fraction of cancer cells immunolabeled for proliferating cell nuclear antigen or Ki67 in biopsies of head and neck carcinomas to identify lymph node metastasis: Comparison with clinical and radiologic examinations

Background. Neck metastasis is a major prognostic factor of head and neck carcinoma, but its preoperative detection is currently unreliable. Molecular markers of the metastatic potential of a carcinoma would help to avoid unnecessary neck dissection in patients with nonmetastatic cancer. Methods. Th...

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Veröffentlicht in:Head & neck 2003-04, Vol.25 (4), p.280-288
Hauptverfasser: Liu, Ming, Lawson, Georges, Delos, Monique, Jamart, Jacques, Ide, Christophe, Coche, Emmanuel, Weynand, Birgit, Desuter, Gauthier, Hamoir, Marc, Remacle, Marc, Marbaix, Etienne
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container_end_page 288
container_issue 4
container_start_page 280
container_title Head & neck
container_volume 25
creator Liu, Ming
Lawson, Georges
Delos, Monique
Jamart, Jacques
Ide, Christophe
Coche, Emmanuel
Weynand, Birgit
Desuter, Gauthier
Hamoir, Marc
Remacle, Marc
Marbaix, Etienne
description Background. Neck metastasis is a major prognostic factor of head and neck carcinoma, but its preoperative detection is currently unreliable. Molecular markers of the metastatic potential of a carcinoma would help to avoid unnecessary neck dissection in patients with nonmetastatic cancer. Methods. The fractions of cancer cells immunostained for proliferating cell nuclear antigen (PCNA) and Ki67 were determined in 80 preoperative biopsy specimens of head and neck carcinomas. The value of both indexes to detect metastasis in the subsequent neck dissection was compared with that of the clinical and radiologic examinations. Results. PCNA and Ki67 indexes correlated with neck metastasis. Cutoff points were determined for both indexes to discriminate metastatic from nonmetastatic carcinomas. By multivariate logistic regression, these indexes were significant predictors of metastases, together with clinical T stage and neck palpation. Conclusion. The fraction of cancer cells immunolabeled for PCNA or Ki67 in preoperative biopsy specimens is helpful to predict neck metastasis. © 2003 Wiley Periodicals, Inc. Head Neck 25: 280–288, 2003
doi_str_mv 10.1002/hed.10218
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Neck metastasis is a major prognostic factor of head and neck carcinoma, but its preoperative detection is currently unreliable. Molecular markers of the metastatic potential of a carcinoma would help to avoid unnecessary neck dissection in patients with nonmetastatic cancer. Methods. The fractions of cancer cells immunostained for proliferating cell nuclear antigen (PCNA) and Ki67 were determined in 80 preoperative biopsy specimens of head and neck carcinomas. The value of both indexes to detect metastasis in the subsequent neck dissection was compared with that of the clinical and radiologic examinations. Results. PCNA and Ki67 indexes correlated with neck metastasis. Cutoff points were determined for both indexes to discriminate metastatic from nonmetastatic carcinomas. By multivariate logistic regression, these indexes were significant predictors of metastases, together with clinical T stage and neck palpation. Conclusion. The fraction of cancer cells immunolabeled for PCNA or Ki67 in preoperative biopsy specimens is helpful to predict neck metastasis. © 2003 Wiley Periodicals, Inc. Head Neck 25: 280–288, 2003</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.10218</identifier><identifier>PMID: 12658732</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Biopsy ; Carcinoma ; Carcinoma, Squamous Cell - diagnosis ; Carcinoma, Squamous Cell - immunology ; Carcinoma, Squamous Cell - secondary ; Cell Fractionation ; Female ; Head ; head and neck ; Head and neck cancer ; Host-tumor relations. Immunology. Biological markers ; Humans ; Immunohistochemistry ; Ki-67 Antigen - immunology ; Ki67 ; Laryngeal Neoplasms - diagnosis ; Laryngeal Neoplasms - immunology ; Laryngeal Neoplasms - pathology ; Lymph nodes ; Lymphatic Metastasis - diagnostic imaging ; Lymphatic Metastasis - immunology ; Lymphatic Metastasis - pathology ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Metastases ; metastasis ; Middle Aged ; Mouth Neoplasms - diagnosis ; Mouth Neoplasms - immunology ; Mouth Neoplasms - pathology ; Neck ; Otorhinolaryngology (head neck, general aspects and miscellaneous) ; Otorhinolaryngology. Stomatology ; PCNA ; Pharyngeal Neoplasms - diagnosis ; Pharyngeal Neoplasms - immunology ; Pharyngeal Neoplasms - pathology ; Predictive Value of Tests ; Proliferating cell nuclear antigen ; Proliferating Cell Nuclear Antigen - immunology ; Reproducibility of Results ; Sensitivity and Specificity ; Tomography, Spiral Computed ; Tumors</subject><ispartof>Head &amp; neck, 2003-04, Vol.25 (4), p.280-288</ispartof><rights>Copyright © 2003 Wiley Periodicals, Inc.</rights><rights>2003 INIST-CNRS</rights><rights>Copyright 2003 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3368-18812bdb5e40510c283392d41e8db30cb485d7d5a03610ecbcec04bf42aa0a5d3</citedby><cites>FETCH-LOGICAL-c3368-18812bdb5e40510c283392d41e8db30cb485d7d5a03610ecbcec04bf42aa0a5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.10218$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.10218$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=14664238$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12658732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Ming</creatorcontrib><creatorcontrib>Lawson, Georges</creatorcontrib><creatorcontrib>Delos, Monique</creatorcontrib><creatorcontrib>Jamart, Jacques</creatorcontrib><creatorcontrib>Ide, Christophe</creatorcontrib><creatorcontrib>Coche, Emmanuel</creatorcontrib><creatorcontrib>Weynand, Birgit</creatorcontrib><creatorcontrib>Desuter, Gauthier</creatorcontrib><creatorcontrib>Hamoir, Marc</creatorcontrib><creatorcontrib>Remacle, Marc</creatorcontrib><creatorcontrib>Marbaix, Etienne</creatorcontrib><title>Predictive value of the fraction of cancer cells immunolabeled for proliferating cell nuclear antigen or Ki67 in biopsies of head and neck carcinomas to identify lymph node metastasis: Comparison with clinical and radiologic examinations</title><title>Head &amp; neck</title><addtitle>Head Neck</addtitle><description>Background. Neck metastasis is a major prognostic factor of head and neck carcinoma, but its preoperative detection is currently unreliable. Molecular markers of the metastatic potential of a carcinoma would help to avoid unnecessary neck dissection in patients with nonmetastatic cancer. Methods. The fractions of cancer cells immunostained for proliferating cell nuclear antigen (PCNA) and Ki67 were determined in 80 preoperative biopsy specimens of head and neck carcinomas. The value of both indexes to detect metastasis in the subsequent neck dissection was compared with that of the clinical and radiologic examinations. Results. PCNA and Ki67 indexes correlated with neck metastasis. Cutoff points were determined for both indexes to discriminate metastatic from nonmetastatic carcinomas. By multivariate logistic regression, these indexes were significant predictors of metastases, together with clinical T stage and neck palpation. Conclusion. The fraction of cancer cells immunolabeled for PCNA or Ki67 in preoperative biopsy specimens is helpful to predict neck metastasis. © 2003 Wiley Periodicals, Inc. Head Neck 25: 280–288, 2003</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Carcinoma</subject><subject>Carcinoma, Squamous Cell - diagnosis</subject><subject>Carcinoma, Squamous Cell - immunology</subject><subject>Carcinoma, Squamous Cell - secondary</subject><subject>Cell Fractionation</subject><subject>Female</subject><subject>Head</subject><subject>head and neck</subject><subject>Head and neck cancer</subject><subject>Host-tumor relations. Immunology. Biological markers</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Ki-67 Antigen - immunology</subject><subject>Ki67</subject><subject>Laryngeal Neoplasms - diagnosis</subject><subject>Laryngeal Neoplasms - immunology</subject><subject>Laryngeal Neoplasms - pathology</subject><subject>Lymph nodes</subject><subject>Lymphatic Metastasis - diagnostic imaging</subject><subject>Lymphatic Metastasis - immunology</subject><subject>Lymphatic Metastasis - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metastases</subject><subject>metastasis</subject><subject>Middle Aged</subject><subject>Mouth Neoplasms - diagnosis</subject><subject>Mouth Neoplasms - immunology</subject><subject>Mouth Neoplasms - pathology</subject><subject>Neck</subject><subject>Otorhinolaryngology (head neck, general aspects and miscellaneous)</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>PCNA</subject><subject>Pharyngeal Neoplasms - diagnosis</subject><subject>Pharyngeal Neoplasms - immunology</subject><subject>Pharyngeal Neoplasms - pathology</subject><subject>Predictive Value of Tests</subject><subject>Proliferating cell nuclear antigen</subject><subject>Proliferating Cell Nuclear Antigen - immunology</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Tomography, Spiral Computed</subject><subject>Tumors</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kk1vEzEQhlcIREvhwB9AvgDisNQf-5XeUCgNEAGHoh4trz2bDPXawd5tmx_Nf8CbhHICyZLt0TPv2DNvlj1n9C2jlJ-uwaQDZ82D7JjRWZ1TUdQPp3MhckHr4ih7EuMPSqmoCv44O2K8Kpta8OPs17cABvWAN0BulB2B-I4MayBdUCnq3XTXymkIRIO1kWDfj85b1YIFQzofyCZ4ix0ENaBb7SjiRm1BBaLcgCtIIoF8xqom6EiLfhMR4iS8BmUSY4gDfZ3KBI3O9yqSwRM0kJK7LbHbfrMmzhsgPQwqpoXxjMx9v1EBY3riLQ5roi061Mru9IIy6K1foSZwp3p0avpLfJo96pSN8Oywn2TfP5xfzhf58uvFx_m7Za6FqJqcNQ3jrWlLKGjJqOaNEDNuCgaNaQXVbdGUpjalSv1kFHSrQdOi7QquFFWlESfZ671uas3PEeIge4xTY5QDP0Y5o1yINKMika_-S9aC8dmMTeCbPaiDjzFAJzcBexW2klE5uUAmF8idCxL74iA6tn2K3pOHsSfg5QFQMbUszdppjH-5oko-EZPQ6Z67RQvbf1eUi_P3f0rn-wyMA9zdZ6hwLata1KW8-nIhL3l51Sw-zeRS_AaylN1O</recordid><startdate>200304</startdate><enddate>200304</enddate><creator>Liu, Ming</creator><creator>Lawson, Georges</creator><creator>Delos, Monique</creator><creator>Jamart, Jacques</creator><creator>Ide, Christophe</creator><creator>Coche, Emmanuel</creator><creator>Weynand, Birgit</creator><creator>Desuter, Gauthier</creator><creator>Hamoir, Marc</creator><creator>Remacle, Marc</creator><creator>Marbaix, Etienne</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>John Wiley &amp; Sons</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>200304</creationdate><title>Predictive value of the fraction of cancer cells immunolabeled for proliferating cell nuclear antigen or Ki67 in biopsies of head and neck carcinomas to identify lymph node metastasis: Comparison with clinical and radiologic examinations</title><author>Liu, Ming ; Lawson, Georges ; Delos, Monique ; Jamart, Jacques ; Ide, Christophe ; Coche, Emmanuel ; Weynand, Birgit ; Desuter, Gauthier ; Hamoir, Marc ; Remacle, Marc ; Marbaix, Etienne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3368-18812bdb5e40510c283392d41e8db30cb485d7d5a03610ecbcec04bf42aa0a5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Carcinoma</topic><topic>Carcinoma, Squamous Cell - diagnosis</topic><topic>Carcinoma, Squamous Cell - immunology</topic><topic>Carcinoma, Squamous Cell - secondary</topic><topic>Cell Fractionation</topic><topic>Female</topic><topic>Head</topic><topic>head and neck</topic><topic>Head and neck cancer</topic><topic>Host-tumor relations. Immunology. Biological markers</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Ki-67 Antigen - immunology</topic><topic>Ki67</topic><topic>Laryngeal Neoplasms - diagnosis</topic><topic>Laryngeal Neoplasms - immunology</topic><topic>Laryngeal Neoplasms - pathology</topic><topic>Lymph nodes</topic><topic>Lymphatic Metastasis - diagnostic imaging</topic><topic>Lymphatic Metastasis - immunology</topic><topic>Lymphatic Metastasis - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metastases</topic><topic>metastasis</topic><topic>Middle Aged</topic><topic>Mouth Neoplasms - diagnosis</topic><topic>Mouth Neoplasms - immunology</topic><topic>Mouth Neoplasms - pathology</topic><topic>Neck</topic><topic>Otorhinolaryngology (head neck, general aspects and miscellaneous)</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>PCNA</topic><topic>Pharyngeal Neoplasms - diagnosis</topic><topic>Pharyngeal Neoplasms - immunology</topic><topic>Pharyngeal Neoplasms - pathology</topic><topic>Predictive Value of Tests</topic><topic>Proliferating cell nuclear antigen</topic><topic>Proliferating Cell Nuclear Antigen - immunology</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Tomography, Spiral Computed</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Ming</creatorcontrib><creatorcontrib>Lawson, Georges</creatorcontrib><creatorcontrib>Delos, Monique</creatorcontrib><creatorcontrib>Jamart, Jacques</creatorcontrib><creatorcontrib>Ide, Christophe</creatorcontrib><creatorcontrib>Coche, Emmanuel</creatorcontrib><creatorcontrib>Weynand, Birgit</creatorcontrib><creatorcontrib>Desuter, Gauthier</creatorcontrib><creatorcontrib>Hamoir, Marc</creatorcontrib><creatorcontrib>Remacle, Marc</creatorcontrib><creatorcontrib>Marbaix, Etienne</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Head &amp; neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Ming</au><au>Lawson, Georges</au><au>Delos, Monique</au><au>Jamart, Jacques</au><au>Ide, Christophe</au><au>Coche, Emmanuel</au><au>Weynand, Birgit</au><au>Desuter, Gauthier</au><au>Hamoir, Marc</au><au>Remacle, Marc</au><au>Marbaix, Etienne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive value of the fraction of cancer cells immunolabeled for proliferating cell nuclear antigen or Ki67 in biopsies of head and neck carcinomas to identify lymph node metastasis: Comparison with clinical and radiologic examinations</atitle><jtitle>Head &amp; neck</jtitle><addtitle>Head Neck</addtitle><date>2003-04</date><risdate>2003</risdate><volume>25</volume><issue>4</issue><spage>280</spage><epage>288</epage><pages>280-288</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background. Neck metastasis is a major prognostic factor of head and neck carcinoma, but its preoperative detection is currently unreliable. Molecular markers of the metastatic potential of a carcinoma would help to avoid unnecessary neck dissection in patients with nonmetastatic cancer. Methods. The fractions of cancer cells immunostained for proliferating cell nuclear antigen (PCNA) and Ki67 were determined in 80 preoperative biopsy specimens of head and neck carcinomas. The value of both indexes to detect metastasis in the subsequent neck dissection was compared with that of the clinical and radiologic examinations. Results. PCNA and Ki67 indexes correlated with neck metastasis. Cutoff points were determined for both indexes to discriminate metastatic from nonmetastatic carcinomas. By multivariate logistic regression, these indexes were significant predictors of metastases, together with clinical T stage and neck palpation. Conclusion. The fraction of cancer cells immunolabeled for PCNA or Ki67 in preoperative biopsy specimens is helpful to predict neck metastasis. © 2003 Wiley Periodicals, Inc. Head Neck 25: 280–288, 2003</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>12658732</pmid><doi>10.1002/hed.10218</doi><tpages>9</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Biopsy
Carcinoma
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - immunology
Carcinoma, Squamous Cell - secondary
Cell Fractionation
Female
Head
head and neck
Head and neck cancer
Host-tumor relations. Immunology. Biological markers
Humans
Immunohistochemistry
Ki-67 Antigen - immunology
Ki67
Laryngeal Neoplasms - diagnosis
Laryngeal Neoplasms - immunology
Laryngeal Neoplasms - pathology
Lymph nodes
Lymphatic Metastasis - diagnostic imaging
Lymphatic Metastasis - immunology
Lymphatic Metastasis - pathology
Magnetic Resonance Imaging
Male
Medical sciences
Metastases
metastasis
Middle Aged
Mouth Neoplasms - diagnosis
Mouth Neoplasms - immunology
Mouth Neoplasms - pathology
Neck
Otorhinolaryngology (head neck, general aspects and miscellaneous)
Otorhinolaryngology. Stomatology
PCNA
Pharyngeal Neoplasms - diagnosis
Pharyngeal Neoplasms - immunology
Pharyngeal Neoplasms - pathology
Predictive Value of Tests
Proliferating cell nuclear antigen
Proliferating Cell Nuclear Antigen - immunology
Reproducibility of Results
Sensitivity and Specificity
Tomography, Spiral Computed
Tumors
title Predictive value of the fraction of cancer cells immunolabeled for proliferating cell nuclear antigen or Ki67 in biopsies of head and neck carcinomas to identify lymph node metastasis: Comparison with clinical and radiologic examinations
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