Author/Editor     Gale, Nina; Zidar, Nina; Kambič, Vinko; Poljak, Mario; Coer, Andrej
Title     Epidermal growth factor receptor, c-erbB-2 and p53 overexpressions in epithelial hyperplastic lesions of the larynx
Type     članek
Source     Acta Otolaryngol Suppl (Stockh)
Vol. and No.     , št. Suppl 527
Publication year     1997
Volume     str. 105-10
Language     eng
Abstract     An immunohistochemical analysis of overexpression of epidermal growth factor receptor (EGFR), c-erbB-2, and p53 proteins was performed on 43 biopsies of laryngeal epithelial hyperplastic lesions (EHLL), classified according to the Kambi;-Lenart classification, and in 11 cases of laryngeal carcinoma (SCCL). The aim of the present study was to determine whether there is a correlation between the staining patterns of these proteins and different grades of EHLL, and to reveal their possible prognostic value. We compared the staining patterns of atypical hyperplasia adjacent to cancer with the same type of lesions which have not turned malignant, p53 and EGFR overexpressions were detected in 28/54 (52%) amd 33/54 cases (61%), respectively, and tend to increase with the degree of epithelial changes. The intensity of staining in various grades of EHLL adjacent to cancer was more pronounced than the same type of lesions which have not progressed to cancer. c-erbB-2 was weakly positive in the majority of cases, and changed from predominantly membraneous in simple hyperplasia to cytoplasmic staining in abnormal and atyipical hyperplasias. There was no significant statistic correlation between the amount of positive cells for all proteins and the grade of epithelial abnormalities. We conclude that the overexpression of each biomarker itself adds little predictive value over routine histomorphology, and cannot be regarded as a reliable prognostic factor for EHLL. However, the histologic characteristics of atypical hyuperplasia together with the immunostaining patterns of EGFR and p53 up to two-thirds or more of the epithelial thickness could be considered a reliable pattern which correlates with the progression to cancer.
Descriptors     LARYNGEAL NEOPLASMS
RECEPTORS, EPIDERMAL GROWTH FACTOR-UROGASTRONE
PROTO-ONCOGENE PROTEINS C-ERBB-2
PROTEIN P53
BIOPSY
HYPERPLASIA