Evidence map›Paper›PMID 38992635›Full record

ArticleDiagnostic pathology2024

Immunohistochemistry staining of Eag1 and p16/Ki-67 can help improve the management of patients with cervical intraepithelial Neoplasia after cold knife conversion.

Shikang Qiu, Qiannan Wang, Huihui Jiang, Limin Feng

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Article in Diagnostic pathology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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3 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Shikang QiuDepartment of Gynecology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.
Qiannan WangDepartment of Gynecology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.
Huihui JiangDepartment of Clinical Laboratory, Qingdao Central Hospital, University of Health and Rehabilitation Sciences (Qingdao Cancer Hospital), Qingdao, Shandong, 266000, China.
Limin FengDepartment of Gynecology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China. lucyfeng1966@163.com.

Funding

Beijing Natural Science Foundation of China J200002
6 · The paper itself

Abstract

backgroundImmunohistochemistry (IHC) is widely used in the management of patients with cervical intraepithelial neoplasia (CIN) but still has many limitations in clinical practice. We analyzed the correlation of new biomarkers with the severity of CIN and follow-up outcomes in patients after conization to improve the management of patients with CIN.

methodsIHC staining of Eag1 and p16/Ki-67 was performed on cervical tissue sections from 234 patients with suspected CIN2/3. After a series of follow-ups, including human papillomavirus (HPV) test and thinprep cytologic test (TCT) for 1-2 years, the outcomes were collected. IHC scores of biomarkers and follow-up results were used to analyze the correlation and assess the diagnostic efficiency of biomarkers.

resultsThe IHC staining intensity of Eag1 and p16/Ki-67 was significantly different from that of the CIN1-3 groups (p < 0.05). Eag1 expression scores were significantly different in the distribution between the two follow-up groups (p < 0.001). ROC curves based on the correlations between the follow-up outcomes and the Eag1 scores and IS of p16/ki-67 showed that Eag1 had a greater AUC (0.767 vs. 0.666). Logistic regression analysis of the combination of biomarkers revealed a greater AUC value than any single biomarker.

conclusionsEag1 expression was significantly correlated with CIN grade and follow-up outcomes after conization. IHC staining of combinations of biomarkers of Eag1, p16 and Ki-67 may help us to improve the ability to identify risk groups with abnormal follow-up outcomes after treatment for CIN.

Indexed as

Biomarkers, TumorCyclin-Dependent Kinase Inhibitor p16ImmunohistochemistryKi-67 AntigenUterine Cervical DysplasiaUterine Cervical NeoplasmsAdultConizationFemaleHumansMiddle AgedYoung AdultBiomarkers, TumorCDKN2A protein, humanCyclin-Dependent Kinase Inhibitor p16Ki-67 AntigenCervical intraepithelial neoplasiaEag1Follow-upKi-67p16

Identifiers

PMID38992635
PMCPMC11238443

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.