PMID- 31159573 OWN - NLM STAT- MEDLINE DCOM- 20210805 LR - 20210805 IS - 1942-7522 (Electronic) IS - 0145-5613 (Linking) VI - 100 IP - 1 DP - 2021 Jan TI - Expression Profile of Survivin and p16 in Laryngeal Squamous Cell Carcinoma: Contribution of Tunisian Patients. PG - NP7-NP15 LID - 10.1177/0145561319855644 [doi] AB - The objective of this study was to evaluate the expression of survivin and p16 in laryngeal squamous cell carcinoma (LSCC) in order to analyze their pathogenesis and prognostic significance in Tunisian patients. A total of 70 patients with LSCC collected at the Salah Azaiez Cancer Institute of Tunis were retrospectively evaluated. Expression of survivin and p16 was examined using immunohistochemistry, and the correlations with clinicopathological parameters, overall survival (OS), and disease-free survival (DFS) were statistically evaluated. The positive expression of survivin and p16 were found in 58.6% and 51.43% of LSCC cases, respectively. The p16 expression was not associated with either clinical parameters or patient survival, whereas there was a strong correlation of survivin expression and lymph node metastases (P = .002), alcohol consumption (P = .024), and therapeutic protocol (with or without chemotherapy; P = .001). Kaplan-Meier survival curves showed that patients with LSCC having positive survivin expression have shorter OS (P = .026) and shorter DFS (P = .01) than those with negative expression. Positive survivin expression was also correlated with high recurrence rate (P = .014). Therefore, survivin is a poor prognostic marker for LSCC but the therapeutic protocol remains, in multivariate study, the most decisive for the OS and DFS of our patients with P < .01. Our data indicated that, in Tunisian laryngeal squamous cell carcinoma, survivin expression is associated with unfavorable outcomes and represents a predictor marker of recurrence and chemoresistance. However, p16 expression has no prognosis value. FAU - Ben Elhadj, Mariem AU - Ben Elhadj M AD - Department of Immuno-Histo-Cytology, 59075Salah Azaiez Cancer Institute, Tunis, Tunisia. FAU - Amine, Olfa E L AU - Amine OEL AD - Department of Immuno-Histo-Cytology, 59075Salah Azaiez Cancer Institute, Tunis, Tunisia. FAU - Mokni Baizig, Nehla AU - Mokni Baizig N AD - Department of Immuno-Histo-Cytology, 59075Salah Azaiez Cancer Institute, Tunis, Tunisia. FAU - Ben Ayoub, Wided AU - Ben Ayoub W AD - Departement of Epidemiology, 59075Salah Azaiez Cancer Institute, Tunis, Tunisia. FAU - Goucha, Aida AU - Goucha A AD - Department of Immuno-Histo-Cytology, 59075Salah Azaiez Cancer Institute, Tunis, Tunisia. FAU - El May, Michele-Veronique AU - El May MV AD - Research Unit 17/ES/13 Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia. FAU - Fourati, Asma AU - Fourati A AD - Department of Immuno-Histo-Cytology, 59075Salah Azaiez Cancer Institute, Tunis, Tunisia. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20190603 PL - United States TA - Ear Nose Throat J JT - Ear, nose, & throat journal JID - 7701817 RN - 0 (BIRC5 protein, human) RN - 0 (Survivin) SB - IM MH - Aged MH - Aged, 80 and over MH - Carcinoma, Squamous Cell/*genetics/mortality MH - Disease-Free Survival MH - Drug Resistance, Neoplasm/genetics MH - Female MH - Gene Expression/genetics MH - *Genes, p16 MH - Humans MH - Immunohistochemistry MH - Kaplan-Meier Estimate MH - Laryngeal Neoplasms/*genetics/mortality MH - Lymphatic Metastasis/genetics MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Prognosis MH - Retrospective Studies MH - Survival Rate MH - Survivin/*metabolism MH - Tunisia/epidemiology OTO - NOTNLM OT - chemoresistance OT - immunohistochemistry OT - laryngeal squamous cell carcinoma OT - p16 OT - prognostic impact OT - survivin EDAT- 2019/06/05 06:00 MHDA- 2021/08/06 06:00 CRDT- 2019/06/05 06:00 PHST- 2019/06/05 06:00 [pubmed] PHST- 2021/08/06 06:00 [medline] PHST- 2019/06/05 06:00 [entrez] AID - 10.1177/0145561319855644 [doi] PST - ppublish SO - Ear Nose Throat J. 2021 Jan;100(1):NP7-NP15. doi: 10.1177/0145561319855644. Epub 2019 Jun 3.