PMID- 15467627 OWN - NLM STAT- MEDLINE DCOM- 20041106 LR - 20071114 IS - 0194-5998 (Print) IS - 0194-5998 (Linking) VI - 131 IP - 4 DP - 2004 Oct TI - Cyclin D1, p53, MIB1, intratumoral microvessel density, and human papillomavirus in advanced laryngeal carcinoma: association with nodal metastasis. PG - 509-13 AB - OBJECTIVE: We sought to study various parameters in laryngeal squamous cell carcinoma (LSCC) that might predict nodal metastasis. STUDY DESIGN AND SETTING: Sixty-four LSCCs were examined with respect to their histopathology and, using immunohistochemistry, their proliferative capacity (MIB1), p53 and cyclin D1 status, and intratumoral microvessel density. The presence of human papillomavirus was ascertained by the polymerase chain reaction. RESULTS: Histopathologically, most tumors had an infiltrating/mixed growth pattern and a diminished inflammatory reaction at the growing margin. In addition, 56% of the tumors were positive for MIB1, with 64% showing p53 overexpression; 70% were positive for cyclin D1; and 59% showed increased tumor microvessel density. Of 42 cases analyzed, 9.5% were positive for human papillomavirus 16. CONCLUSIONS: Of the parameters studied, a diminished lymphocytic inflammatory response at the periphery (P < 0.05) and cyclin D1 overexpression (P < 0.001) correlated significantly with cervical nodal metastasis at presentation. SIGNIFICANCE: Cyclin D1 overexpression, easily assessed on biopsy samples, may thus help in optimizing therapy at the outset. FAU - Kumar, Rekha V AU - Kumar RV AD - Department of Pathology, Kidwai Memorial Institute of Oncology, Bangalore, India. kvijaykumar@vsnl.com FAU - Shenoy, Ashok M AU - Shenoy AM FAU - Daniel, Richard AU - Daniel R FAU - Shah, Keerti V AU - Shah KV LA - eng GR - R01-DE13121/DE/NIDCR NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Otolaryngol Head Neck Surg JT - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JID - 8508176 RN - 0 (DNA-Binding Proteins) RN - 0 (Transcription Factors) RN - 0 (Tumor Suppressor Protein p53) RN - 136601-57-5 (Cyclin D1) RN - 148770-78-9 (HIVEP2 protein, human) SB - IM MH - Adolescent MH - Adult MH - Carcinoma, Squamous Cell/blood supply/*pathology/virology MH - Cyclin D1/*analysis MH - DNA-Binding Proteins/*analysis MH - Female MH - Humans MH - Immunohistochemistry MH - Laryngeal Neoplasms/blood supply/chemistry/*pathology/virology MH - Lymphatic Metastasis/*diagnosis MH - Male MH - Middle Aged MH - Papillomaviridae/*isolation & purification MH - Polymerase Chain Reaction MH - Transcription Factors MH - Tumor Suppressor Protein p53/*analysis EDAT- 2004/10/07 09:00 MHDA- 2004/11/09 09:00 CRDT- 2004/10/07 09:00 PHST- 2004/10/07 09:00 [pubmed] PHST- 2004/11/09 09:00 [medline] PHST- 2004/10/07 09:00 [entrez] AID - S0194599804003250 [pii] AID - 10.1016/j.otohns.2004.03.029 [doi] PST - ppublish SO - Otolaryngol Head Neck Surg. 2004 Oct;131(4):509-13. doi: 10.1016/j.otohns.2004.03.029.