PMID- 15199601 OWN - NLM STAT- MEDLINE DCOM- 20040707 LR - 20190917 IS - 0735-7907 (Print) IS - 0735-7907 (Linking) VI - 22 IP - 2 DP - 2004 TI - Prognostic value of PCNA and mutant p53 expression in laryngeal squamous cell carcinoma. PG - 195-202 AB - The objective of this study was to investigate the prognostic significance of p53, and proliferative cell nuclear antigen (PCNA) in laryngeal squamous cell carcinoma (LSCC). Sixty pathologic specimens from the patients with LSCC were examined for the expression of the p53 and PCNA, with complete follow-up data. Sixty-three percent of the cases displayed nuclear p53 overexpression. There was a correlation between p53 overexpression and histological grades (p = 0.03), and localization site (p = 0.05). Median of PCNA index was 42.2 (range 5.9 to 85.2). There was no difference between the p53 overexpression group and the normal group in proliferative activity determined by PCNA (p = 0.73). In univariate analyses, localization site, grade, stage, invasion pattern, lymph node status, were significant factors in estimating disease free survival (DFS). Grade was the most important factor affecting recurrence (p = 0.002). In multivariate analyses, grade was the only significant predictor for DFS (p = 0.001). Grade (p = 0.001) and invasion pattern (p = 0.03) were found to be significant predictors of overall survival. In conclusion, the histological grade was the most reliable important prognostic factor. Further studies are necessary to facilitate understanding of the mechanisms of laryngeal carcinogenesis. FAU - Buyukbayram, Huseyin AU - Buyukbayram H AD - Department of Pathology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey. husram@dicle.edu.tr FAU - Cureoglu, Sebahattin AU - Cureoglu S FAU - Arslan, Adem AU - Arslan A FAU - Isikakdogan, A Rahman AU - Isikakdogan AR LA - eng PT - Journal Article PL - England TA - Cancer Invest JT - Cancer investigation JID - 8307154 RN - 0 (DNA, Neoplasm) RN - 0 (Proliferating Cell Nuclear Antigen) RN - 0 (Tumor Suppressor Protein p53) SB - IM MH - Adult MH - Carcinoma, Squamous Cell/*genetics/*pathology MH - DNA Mutational Analysis MH - DNA, Neoplasm MH - Disease-Free Survival MH - Female MH - Follow-Up Studies MH - *Gene Expression Profiling MH - *Genes, p53 MH - Humans MH - Immunohistochemistry MH - Laryngeal Neoplasms/*genetics/*pathology MH - Male MH - Middle Aged MH - Neoplasm Invasiveness MH - Neoplasm Staging MH - Prognosis MH - Proliferating Cell Nuclear Antigen/*analysis MH - Tumor Suppressor Protein p53/*biosynthesis EDAT- 2004/06/18 05:00 MHDA- 2004/07/09 05:00 CRDT- 2004/06/18 05:00 PHST- 2004/06/18 05:00 [pubmed] PHST- 2004/07/09 05:00 [medline] PHST- 2004/06/18 05:00 [entrez] AID - 10.1081/cnv-120030207 [doi] PST - ppublish SO - Cancer Invest. 2004;22(2):195-202. doi: 10.1081/cnv-120030207.