Title Immunohistochemical expression of Podoplanin and P16-INK in Oral Squamous Cell Carcinomas
Title (croatian) Imunohistokemijska ekspresija podoplanina i P16-INK u karcinomima pločastih stanica usne šupljine
Author Kerstin Er
Mentor Sandra Zekić Tomaš (mentor)
Committee member Merica Glavina Durdov (predsjednik povjerenstva)
Committee member Ivana Mrklić (član povjerenstva)
Committee member Zenon Pogorelić (član povjerenstva)
Granter University of Split School of Medicine Split
Defense date and country 2023-07-26, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Pathology
Abstract Objectives: to determine the immunohistochemical expression of Podoplanin (PDPN) and p16-
INK in oral cavity- and oropharyngeal squamous cell carcinoma (OSCC). Furthermore, we
wanted to investigate the correlation between the expression of the two immunohistochemical
factors and the histological characteristics of the tumor. Additional parameters analysed were
the pathological stage, histological grade, age, gender, involvement of lymph node and
lymphovascular- and perineural tissue.
Materials and methods: retrospective study conducted at University Hospital of Split, Clinical
Institute for Pathology, Forensic Medicine and Cytology, including 20 patients with OSCC in
the period from January 1st 2015 until December 31st 2017. From the pathohistological
findings, the following data were recorded: age and sex of the patient, localization of the tumor,
histological grade of the tumor, the presence of lymphovascular and perineural invasion, the
presence of grafts in the regional lymph nodes and the pathological stage of the disease (pT).
Immunohistochemical analysis was performed using the method of double staining for PDPN
and p16-INK.
Results: A total of 70% of the patients were male and the mean age at the time of diagnosis
was 66±12 years. There was no statistically significant difference in PDPN tumor expression
in relation to patient gender (P=0.497), tumor size (P=0.597), tumor histological grade
(P=0.217), presence of perineural (P=0.603) and lymphovascular invasion (P=0.603) as well
as tumor involvement of lymph nodes (P=0.767). Stratified squamous epithelium (SSE)
surrounding the tumor was PDPN negative (score 0) in 45% of cases, which was statistically
significant (P=0.047). Majority of the tumors were p16-INK negative (P=0.004), as well as
majority of SSE around the tumor (P=0.502). Majority of the tumors (65%) were moderately
differentiated, 30% were well differentiated, and only 5% were poorly differentiated (P=0.004).
Lymphovascular invasion was recorded in 35% of cases, and perineural in 40% of cases. The
most common pathological stage of the disease was pT3.
Conclusion: There were no statistically significant findings of PDNP in regard to histological
characteristics of the tumor, local invasiveness or pathology stage of the disease. Only three
tumors were p16-INK positive. Further studies are necessary in order to illuminate the role of
PDPN and p16-INK in regards to OSCC characteristics.
Abstract (croatian) Ciljevi: odrediti imunohistokemijski izražaj Podoplanina (PDPN) i p16-INK u karcinomima
pločastih stanica usne šupljine i orofarinksa (OSCC), te dobivene rezultate analizirati obzirom
na histološke karakteristike tumora, dobe i spole pacijenata.
Materijali i metode: istraživanje je retrospektivno. Provedeno je na Odjelu patologije
Kliničkog zavoda za patologiju, sudsku medicine i citologiju Sveučilišne bolnice u Splitu. U
studiju je uključeno 20 pacijenata kojima je dijagnoza OSCC postavljena u razdoblju od
01.01.2015. do 31.12.2017. godine. including 20 patients with OSCC in the period from
January 1st 2015 until December 31st 2017. Iz patohistoloških nalaza zabilježeni su sljedeći
podaci: dob i spol pacijenta, lokalizacija tumora, histološki gradus tumora, prisutnost
limfovaskularne i perineuralne invazije, postojanje presadnice u regionalnim limfnim
čvorovima i patološki stadij bolesti (pT).
Results: Ukupno 70% pacijenata je bilo muškoga spola, a prosječna dob pri postavljanu
dijagnoze je bila 66±12 godina. Nije bilo statistički značajne razlike u PDPN izražaju tumora u
odnosu na spol pacijenata (P=0.497), veličinu tumora (P=0.597), histološki gradus tumora
(P=0.217), prisutnost perineuralne (P=0.603) i limfovaskularne invazije (P=0.603) kao ni
zahvaćenost limfnih čvorova tumorom (P=0.767). Višeslojni pločasti epitel (VPE) u okolini
tumora je bio PDPN negativan (score 0) u 45% slučajeva, što je bilo statistički značajno
(P=0.047). Većina tumora (85%) tumora je bilo p16-INK negativno (P=0.004), kao i VPE u
okolini tumora (P=0.502). Većina tumora (65%) je bilo umjereno diferencrano, 30% je bilo
dobro diferencirano, a svega 5% slabo diferencirano (P=0.004). Limfovaskularna invazija je
zabilježena u 35% slučajeva, a perineuralna u 40% slučajeva. Najčešći patološki stadij boleti je
bio pT3.
Conclusion: Nije bilo statistički značajne razlike u PDPN izražaju obzirom na histološke
karakteristike tumora, lokalnu invazivnost I patološki stadij bolesti. Samos u tri tumpora bila
p16-INK pozitivna zbog čega je dobivene rezultate teško interpretirati. Daljnje studije su
potrebne kako bi se rasvjetlila uloga PDPN u biološkom potencijalu OSCC.
Keywords
Immunohistochemistry
podoplanin
pdpn
p16
p16-INK
p16ink
oral squamous cell carcinoma
oral cavity
oropharynx
oropharyngeal
cancer
HPV
Keywords (croatian)
Imunohistokemija
podoplanin
PDPN
str. 16
p16-TINTA
p16ink
karcinom pločastih stanica usne šupljine
usna šupljina
orofarinks
orofaringeal
karcinom
HPV
Language english
URN:NBN urn:nbn:hr:171:897164
Study programme Title: Medical Studies in English Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2023-07-24 09:11:28