PMID- 36514426 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231202 IS - 2231-3796 (Print) IS - 0973-7707 (Electronic) IS - 2231-3796 (Linking) VI - 74 IP - 4 DP - 2022 Dec TI - Tumor Budding Assessment with Cytokeratin and Its Significance in Laryngeal Squamous Cell Carcinomas. PG - 494-500 LID - 10.1007/s12070-021-02981-3 [doi] AB - There is a need for novel prognostic parameters in assessing laryngeal squamous cell carcinoma (LSCC). Tumor budding is an instrumental parameter, which has hardly been studied before in this organ. This study aimed to assess tumor budding in LSCCs with routine hematoxylin and eosin (H&E) stain as well as cytokeratin (CK) immunohistochemistry (IHC). Objectives were to compare the effectiveness of both these methods to assess tumor budding, to investigate the association of tumor budding and clinicopathologic features, and to determine the prognostic significance of tumor budding in LSCCs. Fifty laryngectomy specimens were included. Tumor budding was counted (20x) on slides stained with IHC-CK, and highest count per slide was noted. The cases were classified as positive (> 1 buds) or negative (no buds present). The budding index was categorized as low (< 5 buds) or high (> 5 buds). Tumor budding on H&E was absent, low and high grade in 28%, 30% and 42% cases respectively, when compared to CK-IHC in 17%, 24% and 59% of cases, respectively. Presence of lymphoplasmacytic infiltration significantly correlated with tumor budding and higher grade. Transglottic location of tumor and pT stage was associated with high budding. Presence of lymphoplasmacytic infiltrate significantly correlated with worse prognosis. Tumor budding, an easily assessable, inexpensive histopathologic parameter has seldom been studied in LSCCs. Presence of lymphoplasmacytic infiltrate in routine preoperative biopsy reporting could be useful in prognostication. CK-IHC is helpful to detect especially cases with low-grade tumor budding. CI - (c) Association of Otolaryngologists of India 2021. FAU - Gupta, Shreyanshi AU - Gupta S AD - Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India. GRID: grid.411639.8. ISNI: 0000 0001 0571 5193 FAU - Sreeram, Saraswathy AU - Sreeram S AUID- ORCID: 0000-0003-4149-0766 AD - Department of Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India. GRID: grid.411639.8. ISNI: 0000 0001 0571 5193 FAU - Pinto, Amanda Christina AU - Pinto AC AD - Department of Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India. GRID: grid.411639.8. ISNI: 0000 0001 0571 5193 FAU - Suresh, Pooja Kundapur AU - Suresh PK AD - Department of Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India. GRID: grid.411639.8. ISNI: 0000 0001 0571 5193 FAU - Basavaiah, Sridevi Hanaganahalli AU - Basavaiah SH AD - Department of Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India. GRID: grid.411639.8. ISNI: 0000 0001 0571 5193 LA - eng PT - Journal Article DEP - 20211117 PL - India TA - Indian J Otolaryngol Head Neck Surg JT - Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India JID - 9422551 PMC - PMC9741683 OTO - NOTNLM OT - Cytokeratin OT - Immunohistochemistry OT - Laryngeal carcinoma OT - Tumor budding COIS- Conflict of interestThe authors have no relevant financial or non-financial interests to disclose. EDAT- 2022/12/15 06:00 MHDA- 2022/12/15 06:01 PMCR- 2023/12/01 CRDT- 2022/12/14 01:56 PHST- 2021/08/11 00:00 [received] PHST- 2021/11/08 00:00 [accepted] PHST- 2022/12/14 01:56 [entrez] PHST- 2022/12/15 06:00 [pubmed] PHST- 2022/12/15 06:01 [medline] PHST- 2023/12/01 00:00 [pmc-release] AID - 2981 [pii] AID - 10.1007/s12070-021-02981-3 [doi] PST - ppublish SO - Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(4):494-500. doi: 10.1007/s12070-021-02981-3. Epub 2021 Nov 17.