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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1995;38(11): 1758-67. |
Clinicopathologic Study in Laryngeal Leukoplakia : The Manifestation of Immunohistochemical Stainings of PCNA and p53 |
Song-Lae Cho, MD, Jin-Hyun Bang, MD, Sang-Yoon Kim, MD, and Kwang-Chon Chu, MD |
1;Department of Otolaryngology and 2;Diagnostical Pathological, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea |
후두 백반증의 임상 병리학적 검색 및 p53와 PCNA의 발현양상 |
조성래1 · 방진현1 · 김상윤1 · 추광철1 · 최기영2 · 박양순2 |
울산대학교 의과대학 서울중앙병원 이비인후과학교실1;진단병리학교실2; |
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ABSTRACT |
Laryngeal leukoplakia may be defined as a clinical description of any whitish lesions of the larynx, and histologically such lesion includes hyperplasia, keratosis, dysplasia, carcinoma in situ, and invasive carcinoma, and continues to be a confusing and controversial topic for both otolaryngologist and pathologist. Histopathological evaluation of these precancerous lesions is difficult and an unreliable predictor of progression to invasive cancer. This is largely due to the use of ambiguous and inconsistent terminology, the lack of unanimous agreement on the obtain a representative biopsy, and the subjectivity of the pathologist interpreting the biopsy. In the search for markers able to foretell clinical outcome, we performed immunohistochemical staining Proliferating cell nuclear antigene(PCNA) as well as p53 in 23 laryngeal leukoplakia lesion, of which 7 progressed to invasive cancer. The lesions which progressed to invasive cancer showed a clear tendency towards a higher percentage of intense PCNA staining and more frequent p53 positivity.
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Keywords:
PCNAㆍp53ㆍImmunohistochemical studyㆍLaryngeal leukoplakia. |
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