Expressao imunohistoquimica do MIB-1 em carcinoma de celulas transicionais de bexiga



Título del documento: Expressao imunohistoquimica do MIB-1 em carcinoma de celulas transicionais de bexiga
Revue: Acta cirurgica brasileira
Base de datos: PERIÓDICA
Número de sistema: 000285967
ISSN: 0102-8650
Autores: 1




Instituciones: 1Universidade de Sao Paulo, Faculdade de Medicina, Ribeirao Preto, Sao Paulo. Brasil
Año:
Volumen: 16
Paginación: 91-94
País: Brasil
Idioma: Portugués
Tipo de documento: Artículo
Enfoque: Experimental, caso clínico
Resumen en inglés We investigate the immunoexpression of MIB-1 antigen on the outcome of the transitional carcinoma of the bladder. We revised 90 patients with a mean follow-up of 55 (2-231) months. Forty five (50%) tumors were grade I, 29 (32.2%), grade II and 16 (17.8%) grade III. The tumors were staged in pTa-1: 62 (68.9%) and pT2-4: 28 (31.1%). We considered positive the tumors with more than 10% imunostained cells. Sixty three patients (70%) expressed MIB-1, with significant difference (P <0,05) between invasive tumors (pT2-4) and non-invasive (pTA-1) and between pTA and pT1 tumors (P=0,01). There was also a significant association of MIB-1 immunostaining with tumor grade: G1 versus G2 (p < 0,001) and G1 versus G3 (p < 0,001). But such difference did not occur with G2 and G3 tumors ( p = 0,2). The relationship of MIB-1 expression with the size of the lesion was significant (p <0,02). The recurrence was not predicted by the MIB-1 labeling pattern (p=0,86), though, the MIB-1-positive patients had significant smaller metastasis free intervals (p = 0.04), and lower survival rates, both among superficial tumors (p=0.009) and in total sample (p = 0.0002)
Resumen en portugués alta expressão do MIB-1 e os estádios invasivos, os graus avançados e os tumores maiores, contudo, não há diferença em tumores recidivados. O índice de positividade do MIB-1 não distinguiu os pacientes com menor tempo livre da doença, foi, contudo, significante para apontar aqueles com menor sobrevida e tempo livre de metástase
Disciplinas: Medicina
Palabras clave: Diagnóstico,
Oncología,
Carcinoma,
Vejiga,
Células transicionales,
Inmunohistoquímica,
Pronóstico,
Sobrevivencia
Keyword: Medicine,
Diagnosis,
Oncology,
Carcinoma,
Bladder,
Transitional cells,
Immunohistochemistry,
Prognosis,
Survival
Texte intégral: Texto completo (Ver HTML)