PMID- 26808725 OWN - NLM STAT- MEDLINE DCOM- 20170419 LR - 20221207 IS - 1423-002X (Electronic) IS - 0378-7346 (Linking) VI - 81 IP - 5 DP - 2016 TI - c-myc Gene Copy Number Variation in Cervical Exfoliated Cells Detected on Fluorescence in situ Hybridization for Cervical Cancer Screening. PG - 416-23 LID - 10.1159/000442286 [doi] AB - PURPOSE: This study assessed the clinical significance of c-myc gene copy number gain detected by fluorescence in situ hybridization (FISH) in the prediction of cervical intraepithelial neoplasia (CIN) progression. METHODS: We retrospectively investigated 140 Thinprep cytologic test (TCT) specimens that were histopathologically diagnosed with various stages of cervical neoplasia or malignancy. The specimens were subjected to TCT, human papillomavirus (HPV) testing, and FISH analysis with a c-myc-specific probe. The diagnostic reliability of these methods in determining progression was assessed according to sensitivity, specificity, and kappa coefficients. RESULTS: The gene copy number gain of c-myc was significantly higher in the cervical lesion of advanced histologic grade (p < 0.001). For CIN2+ lesions, the sensitivities of TCT, HPV DNA testing, and FISH analysis were 72.3, 92.1, and 64.5%, respectively; the specificities were 81.3, 57.8, and 93.8%, respectively (p < 0.001). The kappa coefficients between the c-myc gene test and either the TCT or the HPV DNA test were 0.538 and 0.399, respectively (p < 0.001). CONCLUSIONS: FISH analysis of the c-myc oncogene could be a useful adjunct screening method for the early diagnosis of high-grade cervical lesions. Moreover, c-myc may be a new molecular biomarker for the early diagnosis of cervical lesion progression. CI - (c) 2016 S. Karger AG, Basel. FAU - Zhao, Wei-Hong AU - Zhao WH AD - Department of Obstetrics and Gynecology, The Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Hao, Min AU - Hao M FAU - Cheng, Xiao-Tong AU - Cheng XT FAU - Yang, Xin AU - Yang X FAU - Wang, Zhi-Lian AU - Wang ZL FAU - Cheng, Ke-Yan AU - Cheng KY FAU - Liu, Fang-Li AU - Liu FL FAU - Bai, Yao-Xian AU - Bai YX LA - eng PT - Journal Article DEP - 20160126 PL - Switzerland TA - Gynecol Obstet Invest JT - Gynecologic and obstetric investigation JID - 7900587 RN - 0 (Biomarkers, Tumor) RN - 0 (Genetic Markers) SB - IM MH - Adult MH - Aged MH - Biomarkers, Tumor/genetics MH - Carcinoma, Squamous Cell/genetics/*pathology MH - Cytological Techniques MH - *DNA Copy Number Variations MH - *Early Detection of Cancer MH - Female MH - Genes, myc/*genetics MH - Genetic Markers/genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Middle Aged MH - Papillomaviridae/isolation & purification MH - Papillomavirus Infections/diagnosis MH - Reproducibility of Results MH - Retrospective Studies MH - Uterine Cervical Neoplasms/genetics/*pathology MH - Young Adult MH - Uterine Cervical Dysplasia/genetics/pathology EDAT- 2016/01/26 06:00 MHDA- 2017/04/20 06:00 CRDT- 2016/01/26 06:00 PHST- 2015/07/14 00:00 [received] PHST- 2015/11/05 00:00 [accepted] PHST- 2016/01/26 06:00 [entrez] PHST- 2016/01/26 06:00 [pubmed] PHST- 2017/04/20 06:00 [medline] AID - 000442286 [pii] AID - 10.1159/000442286 [doi] PST - ppublish SO - Gynecol Obstet Invest. 2016;81(5):416-23. doi: 10.1159/000442286. Epub 2016 Jan 26.