PMID- 22909227 OWN - NLM STAT- MEDLINE DCOM- 20130326 LR - 20221207 IS - 1477-7819 (Electronic) IS - 1477-7819 (Linking) VI - 10 DP - 2012 Aug 21 TI - The detection of hTERC amplification using fluorescence in situ hybridization in the diagnosis and prognosis of cervical intraepithelial neoplasia: a case control study. PG - 168 LID - 10.1186/1477-7819-10-168 [doi] AB - BACKGROUND: Currently the routine non-invasive screening methods for cervical intraepithelial neoplasia (CIN) and cervical cancer are Thinprep cytology test (TCT) and human papillomavirus testing. However, both methods are limited by the high false positive and false negative rates and lack of association with patients' prognosis, especially for the early detection of pro-malignant CIN. The aim of the study was to investigate the role of genomic amplification of human telomerase gene (hTERC) in the diagnosis and prognosis of CIN. METHODS: The study group consisted of specimens of exfoliated cervical cells from 151 patients, including 27 with CIN I, 54 with CIN II/III, 17 with carcinoma in situ, and 28 with invasive squamous carcinoma, as well as 25 patients who were at 2-year follow-up after either Loop Electrosurgical Excision treatment (n = 11) or radical surgery (n = 14). hTERC amplification was detected by dual-color interphase fluorescence in situ hybridization (FISH), and the results were compared with TCT and histologic examination. The final diagnosis was determined by the pathological examination. The control group consisted of specimens of exfoliated cervical cells from 40 normal women. RESULTS: The percentage of cervical exfoliated cells with positive hTERC amplification and incidence rates of hTERC amplification were 9.2% +/- 4.6% and 44.4% (12/27) respectively in patients with CIN I; 16.0% +/- 14.4% and 85.1% (46/54) in patients with CIN II/III; 19.7% +/- 13.3% and 88.3% (15 /17) in patients with carcinoma in situ; 47.0% +/- 25.2% and 100% (28/28)in patients with invasive squamous carcinoma. There was statistically significant difference between the control and study group (P <0.01), and between the patients with various diseases within the study group (P <0.05). CONCLUSION: The detection of genomic amplification of hTERC using FISH is a non-invasive and effective approach for CIN. FAU - Yin, Geping AU - Yin G AD - Department of Obstetrics & Gynecology, Jinan Military General Hospital, 25 Shifan Road, Jinan 250031, China. ygpwylll@hotmail.com FAU - Li, Juan AU - Li J FAU - Zhu, Tongyu AU - Zhu T FAU - Zhao, Xiaoli AU - Zhao X LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120821 PL - England TA - World J Surg Oncol JT - World journal of surgical oncology JID - 101170544 RN - 0 (telomerase RNA) RN - 63231-63-0 (RNA) RN - EC 2.7.7.49 (Telomerase) SB - IM MH - Adult MH - Carcinoma in Situ/*diagnosis/genetics MH - Carcinoma, Squamous Cell/*diagnosis/genetics MH - Case-Control Studies MH - Cervix Uteri/metabolism/pathology MH - Female MH - Follow-Up Studies MH - *Gene Amplification MH - Humans MH - In Situ Hybridization, Fluorescence MH - Middle Aged MH - Neoplasm Grading MH - Prognosis MH - RNA/*genetics MH - Retrospective Studies MH - Telomerase/*genetics MH - Uterine Cervical Neoplasms/*diagnosis/genetics MH - Uterine Cervical Dysplasia/*diagnosis/genetics PMC - PMC3485165 EDAT- 2012/08/23 06:00 MHDA- 2013/03/27 06:00 PMCR- 2012/08/21 CRDT- 2012/08/23 06:00 PHST- 2012/01/24 00:00 [received] PHST- 2012/07/23 00:00 [accepted] PHST- 2012/08/23 06:00 [entrez] PHST- 2012/08/23 06:00 [pubmed] PHST- 2013/03/27 06:00 [medline] PHST- 2012/08/21 00:00 [pmc-release] AID - 1477-7819-10-168 [pii] AID - 10.1186/1477-7819-10-168 [doi] PST - epublish SO - World J Surg Oncol. 2012 Aug 21;10:168. doi: 10.1186/1477-7819-10-168.