Evidence map›Paper›PMID 25914836›Full record

ArticleCentral European journal of urology2015

Role of morphometry and proliferative parameters in grading of urothelial neoplasms.

Monika Sangwan, Sunita Singh, Santosh Kumar, Sonia Chabbra, Rajeev Sen, Praveen Rana, Shivani Malik, Sonia Singh, Ramesh Lamba

Abstract read
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Article in Central European journal of urology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Monika SangwanPt.B.D. Sharma Institute of Medical Sciences, Rohtak, Haryana, India.
Sunita SinghPt.B.D. Sharma Institute of Medical Sciences, Rohtak, Haryana, India.
Santosh KumarPt.B.D. Sharma Institute of Medical Sciences, Rohtak, Haryana, India.
Sonia ChabbraPt.B.D. Sharma Institute of Medical Sciences, Rohtak, Haryana, India.
Rajeev SenPt.B.D. Sharma Institute of Medical Sciences, Rohtak, Haryana, India.
Praveen RanaGovt. Medical College for Women, Khanpur Kalan, Sonipat, Haryana, India.
Shivani MalikPt.B.D. Sharma Institute of Medical Sciences, Rohtak, Haryana, India.
Sonia SinghPt.B.D. Sharma Institute of Medical Sciences, Rohtak, Haryana, India.
Ramesh LambaCommunity Health Centre, Kiloi, Rohtak, Haryana, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMean nuclear area of 10 nuclei (MNA-10), mitotic activity index (MAI) and Ki-67 are highly reproducible and can be routinely used as adjuncts to histopathological grading in classifying tumors. Assays of these biomarkers are non-invasive, rapid, easy to perform, more objective and accurate, with high sensitivity and specificity, and correlate well with tumor grade. MATERIAL AND

methodsThis study was conducted at the Department of Pathology PGIMS, Rohtak on 50 cases, of which 25 cases were high-grade, 15 low-grade, 6 Papillary Urothelial Neoplasm of Low Malignant Potentialand 4 reactive lesions as per the 2004 ISUP/WHO classification. MNA-10, MAI and Ki-67 immunoquantitation were performed on stained sections.

resultsThe age of the patients varied from 35 to 87 years. Male: female ratio was 3.5:1. The mean MNA-10 (μm(2)) for High Grade Malignant Potential was 104.52 ±25.64 μm(2), which was significantly higher than in PUNLMP (47.64 ±10.23) and LMP (51.57 ±15.66). MAI (/10 HPF) showed an increasing trend from reactive lesions to HMP, with a mean of (3 ±1.16)/10 HPF to (21.36 ±5.31)/10 HPF respectively. Ki-67 labelling index, a proliferative marker, revealed increasing trend lowest with reactive lesions (10 ±2.83%) and highest in high grade tumors (65.96 ±14.44). Spearman's correlation showed maximum correlation between MAI and Ki-67 and the increasing grade of tumor.

conclusionsMNA-10 in combination with Ki-67 and MAI was found to be stronger than MNA-10 alone. MAI has high reproducibility in differentiating low and high grade, with simple assessment in paraffin embedded sections allowing adequate histopathological analysis and visualization of proliferating cells simultaneously. This multivariate grading model should be applied in routine grading to overcome interobserver variability and to increase reproducibility of grading.

Indexed as

mitotic activity indexmorphometryproliferative parametersurothelial tumors

Identifiers

PMID25914836
PMCPMC4408385

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