Evidence map›Paper›PMID 42302123›Full record

ArticlePathology international2026

Immunohistochemistry for p16 and p53 Provides Substantial Agreement With Molecular Tests in Penile Cancer.

Jan Hrudka, Jan Hojný, Eva Krkavcová, Jiří Dvořák, Zuzana Prouzová, Michaela Kendall Bártů, Nicolette Zavillová, David Čapka, Radoslav Matěj, Petr Waldauf

Abstract read
In one paragraph

Article in Pathology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jan HrudkaDepartment of Pathology, 3rd Faculty of Medicine, Charles University, University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Jan HojnýDepartment of Pathology, 1st Faculty of Medicine, Charles University, General University Hospital, Prague, Czech Republic.
Eva KrkavcováDepartment of Pathology, 1st Faculty of Medicine, Charles University, General University Hospital, Prague, Czech Republic.
Jiří DvořákDepartment of Pathology, 1st Faculty of Medicine, Charles University, General University Hospital, Prague, Czech Republic.
Zuzana ProuzováDepartment of Pathology, 3rd Faculty of Medicine, Charles University, University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Michaela Kendall BártůDepartment of Pathology, 1st Faculty of Medicine, Charles University, General University Hospital, Prague, Czech Republic.
Nicolette ZavillováDepartment of Urology, 3rd Faculty of Medicine, Charles University, Thomayer University Hospital, Prague, Czech Republic.
David ČapkaDepartment of Urology, 3rd Faculty of Medicine, Charles University, University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Radoslav MatějDepartment of Pathology, 3rd Faculty of Medicine, Charles University, University Hospital Kralovske Vinohrady, Prague, Czech Republic.ORCID https://orcid.org/0000-0002-6152-6343
Petr WaldaufDepartment of Anaesthesia and Intensive Care Medicine, 3rd Faculty of Medicine, Charles University, University Hospital Kralovske Vinohrady, Prague, Czech Republic.

Funding

Ministerstvo Zdravotnictví Ceské Republiky 00064165Ministerstvo Zdravotnictví Ceské Republiky 00064190Ministerstvo Zdravotnictví Ceské Republiky FTNMinisterstvo Zdravotnictví Ceské Republiky VFNUniverzita Karlova v Praze Cooperatio Medical DiagnosticsUniverzita Karlova v Praze UNCE 24/MED/018
6 · The paper itself

Abstract

Penile squamous cell carcinoma (pSCC) is a rare cancer associated with a relatively poor prognosis. The WHO classifies pSCC into HPV-associated and HPV-independent subtypes, with HPV-positive pSCCs showing slightly better outcomes. A key negative prognostic marker is TP53 mutation. The aim of this study was to evaluate the concordance of (1) p16 immunohistochemistry with HPV status determined by PCR, (2) p53 immunohistochemistry with TP53 mutational status obtained by NGS, and (3) prognostic impact of overexpression and null phenotype p53 immunohistochemistry profiles. Analyzing invasive pSCC from 209 patients, we assessed concordance between p16 immunohistochemistry and HPV status (n = 132) determined by quantitative PCR, obtaining Cohen's kappa Κ = 0.62 (p < 0.0001). For p53 immunohistochemistry versus TP53 status by NGS (n = 145), Cohen's kappa reached Κ = 0.693 (p < 0.0001). We found worse overall survival (Hazard ratio = 3.33, 95% CIs 1.92-5.56, p < 0.0001) in p53 mutated cases (n = 38, both overexpression and null phenotype) compared to wild type (n = 171), but without a significant difference between both mutated profiles. Both HPV status and p53 profile can be reliably assessed by immunohistochemistry with substantial agreement. Patients with a mutated p53 profile showed significantly worse survival, irrespective of the mutated profile variant.

Indexed as

Biomarkers, TumorCarcinoma, Squamous CellCyclin-Dependent Kinase Inhibitor p16Penile NeoplasmsTumor Suppressor Protein p53AdultAgedAged, 80 and overHuman Papillomavirus VirusesHumansImmunohistochemistryMaleMiddle AgedMutationPapillomavirus InfectionsPrognosisBiomarkers, TumorCDKN2A protein, humanCyclin-Dependent Kinase Inhibitor p16TP53 protein, humanTumor Suppressor Protein p53Human papillomavirus (HPV)ImmunohistochemistryNext generation sequencing (NGS)Penile squamous cell carcinoma (pSCC)Prognostic biomarkersquantitative PCR (qPCR)TP53 mutation

Identifiers

PMID42302123
PMCPMC13271529

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Registered trials

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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.