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Human papillomavirus, p16INK4A, and Ki-67 in relation to clinicopathological variables and survival in primary carcinoma of the vagina

Background: This study aimed to determine human papillomavirus (HPV) status and to investigate p16 INK4A and Ki-67 expression and their correlation with clinical parameters and survival in women with primary carcinoma of the vagina (PCV). Methods: The presence of HPV DNA was evaluated by PCR. Genoty...

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Bibliographic Details
Published in:British journal of cancer 2014-03, Vol.110 (6), p.1561-1570
Main Authors: Hellman, K, Lindquist, D, Ranhem, C, Wilander, E, Andersson, S
Format: Article
Language:English
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Summary:Background: This study aimed to determine human papillomavirus (HPV) status and to investigate p16 INK4A and Ki-67 expression and their correlation with clinical parameters and survival in women with primary carcinoma of the vagina (PCV). Methods: The presence of HPV DNA was evaluated by PCR. Genotyping was performed by Luminex in 68 short-term (⩽2 years) and long-term (⩾8 years) PCV survivors. p16 INK4A and Ki-67 expression was evaluated by immunohistochemistry. Results: Human papillomavirus DNA was detected in 43% of patients, the majority (63%) of whom were HPV16 positive. High p16 INK4A expression was significantly correlated with low histopathological grade ( P =0.004), HPV positivity ( P =0.032), and long-term survival ( P =0.045). High Ki-67 expression was negatively correlated with histopathological grade ( P
ISSN:0007-0920
1532-1827
DOI:10.1038/bjc.2014.32