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Ravishankar B, Madhavi BV, Kalagara A, Bodepudi S, Harnadh S, Bindu PJ, Pydi VR, Raj BP, Nitya G, Rishik B. Clinical and pathological correlation of P 53 expression in oral cancers. Pathol Res Pract 2024; 253:155071. [PMID: 38181580 DOI: 10.1016/j.prp.2023.155071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 12/28/2023] [Indexed: 01/07/2024]
Abstract
In our study, we aimed to evaluate the overexpression of P53 in 155 oral squamous cell carcinomas and to correlate with various clinicopathological features like depth of invasion, lymph nodal involvement, and margin status, which affect the local recurrence and prognosis. This cross-sectional study included 155 oral squamous cell carcinoma patients who underwent surgical resection of primary and nodal disease. The histopathological and clinical features were noted. Immunohistochemical expression was reported, and other clinicopathological features were correlated. Statistical analysis was performed using SPSS software. In the present study, out of 155 patients, 127(81.9%) are males, and the majority are more than 50 years (55%). The most common site of oral carcinoma is the tongue, followed by buccal mucosa. An aberrant or mutational type of P53 was seen in 90 cases (58%), while the wild type was observed in 65 patients (42%). Expression of P53 is not similar in different sites of the oral cavity but is more frequently seen in the Gingiva, followed by retromolar trigone, lip, buccal mucosa, and tongue. There is a significant association between P53 expression and degree of tumor differentiation, T staging, and depth of invasion, involved margin, node positivity, and extranodal extension.
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Affiliation(s)
- Bellala Ravishankar
- Department of Clinical Oncology, Omega Hospital, Nagpur, Maharashtra 440015, India.
| | | | - Akash Kalagara
- Vijaya Medical Centre, Visakhapatnam, Andhra Pradesh 530002, India.
| | - Srija Bodepudi
- Vijaya Medical Centre, Visakhapatnam, Andhra Pradesh 530002, India.
| | - Sriharsha Harnadh
- Omega Hospital, Arilova, Visakhapatnam, Andhra Pradesh 530040, India.
| | - P Josephine Bindu
- GIMSR / GITAM University, Rushikonda, Visakhapatnam, Andhra Pradesh 530045, India.
| | | | - Bellala Prithvi Raj
- Vydehi Medical College/ Rajiv Gandhi Medical University, White fields, Bengaluru, Karnataka 560066, India.
| | - Gopireddy Nitya
- Omega Hospital, Arilova, Visakhapatnam, Andhra Pradesh 530040, India.
| | - Bellala Rishik
- Andhra Medical College/ NTR Health University, Maharanipeta, Visakhapatnam, Andhra Pradesh 530002, India.
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Deshmukh AV, Gupta A, Chaudhari AG, Gangane NM. Correlation of p53 expression with Clinical Presentation and Prognosis of Oral Squamous Cell Carcinoma Patients: A Pilot Study. Indian J Otolaryngol Head Neck Surg 2022; 74:1836-1840. [PMID: 36452655 PMCID: PMC9702386 DOI: 10.1007/s12070-020-01859-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 04/11/2020] [Indexed: 11/30/2022] Open
Abstract
Mutations of p53 gene is one of the most common events in human cancers including oral squamous cell carcinoma (OSCC). However, its role in carcinogenesis and association with regard to prognosis is still under investigation and unclear. The aim was to study the expression of p53 in patients of OSCC and correlation with clinical presentation and prognosis. In this retrospective observational pilot study, we examined expression of p53 in 50 histologically diagnosed cases of OSCC and correlated it with initial clinical presentation and clinical events in follow up period. p53 expression was significantly negative (94%) in patients with history of only oral tobacco consumption while cases with additional history of smoking or alcohol were positive (p = 0.0001 and 0.011). On the other hand, aggressive course of the disease was found to be significant with p53 positivity in the form of lymph nodal extension (13 out of 17 cases) (p = 0.011) and recurrence (6 out of 10 cases) (p = 0.024). p53 was overexpressed (positive) in predisposing factors like smoking and alcohol but not in OSCC associated with chewing tobacco. p53 overexpression is also associated with advanced TNM stage. To the best of our knowledge, this is the first report where association of p53 overexpression and oral tobacco consumption associated OSCC was not observed and we recommend that carcinogenic events in chewing tobacco induced OSCC should be studied separately for its unique set of mutations.
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Affiliation(s)
- Abhay Vilas Deshmukh
- Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442102 Maharashtra India
| | - Anupama Gupta
- Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442102 Maharashtra India
| | | | - Nitin M. Gangane
- Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442102 Maharashtra India
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Vijayakumar G, Sharma G, Narwal A, Kamboj M. Broder versus Bryne's histologic grading parameters on incision biopsy specimens: A comparative study with P53 and KI67 expression. J Oral Maxillofac Pathol 2021; 25:55-60. [PMID: 34349412 PMCID: PMC8272518 DOI: 10.4103/jomfp.jomfp_328_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 01/25/2021] [Accepted: 02/03/2021] [Indexed: 12/01/2022] Open
Abstract
Objective: Various histological grading of oral squamous cell carcinoma has been contributed to the literature at different periods, but the reliability of such grading systems is controversial. This study attempted to measure the efficacy of Bryne's parameters on the full thickness of incisional biopsies which are representative of the original lesion with the proven molecular malignancy markers P53 and Ki67. Materials and Methods: One hundred incisional biopsy specimens of oral squamous cell carcinoma were obtained and histologically graded according to Broder's grading system. The same was graded using Bryne's parameters on full thickness of obtained incision sample. Immunohistochemistry was carried out for both p53 and Ki67. Results: We found a high discrepancy in the grading of lesions with Broader as well as Bryne grading parameters within the same lesion. When compared with the molecular expression percentages of p53 and Ki67, highly significant correlation was found in Bryne's parameters (Pearson Chi-square, P value 0.000) in incisional biopsies than Broder's. Conclusion: The use of parameters by Bryne on invasive front of excision biopsies can provide significant grading on incisional biopsies which are more comparable to the molecular behavior of tumor given by the p53 and Ki67 expression.
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Affiliation(s)
- Gopikrishnan Vijayakumar
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India
| | - Gitika Sharma
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India
| | - Anjali Narwal
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India
| | - Mala Kamboj
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India
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Thaduri A, Sehrawat A, Poonia DR, Singh MP, Chowdhury N. Grade as prognostic variable in early tongue cancer patients: Are we getting off the track? Oral Oncol 2020. [DOI: https://doi.org/10.1016/j.oraloncology.2020.104812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Thaduri A, Sehrawat A, Poonia DR, Singh MP, Chowdhury N. Grade as prognostic variable in early tongue cancer patients: Are we getting off the track? Oral Oncol 2020; 110:104812. [PMID: 32471802 DOI: 10.1016/j.oraloncology.2020.104812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2020] [Accepted: 05/19/2020] [Indexed: 02/07/2023]
Affiliation(s)
- Abhinav Thaduri
- Department of Surgical Oncology, All India Institute of Medical Sciences, Rishikesh, India
| | - Amit Sehrawat
- Department of Medical Oncology, All India Institute of Medical Sciences, Rishikesh, India
| | - Dharma Ram Poonia
- Department of Surgical Oncology, All India Institute of Medical Sciences, Rishikesh, India.
| | - Mahendra Pal Singh
- Department of Surgical Oncology, All India Institute of Medical Sciences, Rishikesh, India
| | - Nilotpal Chowdhury
- Department of Pathology, All India Institute of Medical Sciences, Rishikesh, India
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Agarwal VK, Sharma R, Gahlot G, Arnav A. Clinical and Histopathological Correlation of p16 and p53 Expression in Oral Cancer. Indian J Surg Oncol 2020; 12:164-168. [PMID: 33994742 DOI: 10.1007/s13193-020-01145-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Accepted: 06/17/2020] [Indexed: 11/24/2022] Open
Abstract
p16 is overexpressed in oral squamous cell carcinoma patients who are positive for human papilloma virus. The p53 tumor suppressor gene is commonly mutated in human cancer. The aim is to correlate clinical and pathological features with p16 and p53 expression. This is a prospective, observational study of 50 consecutive cases (43 males and 7 females) who underwent surgery for oral cancer. p16 and p53 were determined by immunohistological staining. The results were obtained and analyzed using chi-square test (Statistical Software SPSS 21.0 version); p value ≤ 0.05 was considered significant. Of the 50 cases, p16 and p53 were overexpressed in 30% and 54% of patients, respectively. Overexpression of p16 was not significantly associated with age, subsites of oral cavity, or degree of differentiation. However, smokeless tobacco was significantly associated with p16 expression (p = 0.012). Similarly, overexpression of p53 was not correlated with age, subsites of oral cavity, or degree of differentiation. Seventy-five percent of poorly differentiated cancers had overexpression of p53 though this did not reach statistical significance (p = 0.279). p53 was overexpressed in smokers (80.95%) and those consuming alcohol (60%).
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Affiliation(s)
- Varun Kumar Agarwal
- Department of Surgical Oncology, Army Hospital (Research & Referral), Delhi, India
| | - Rohit Sharma
- Department of Surgical Oncology, Army Hospital (Research & Referral), Delhi, India
| | - Gps Gahlot
- Department of Pathology, Army Hospital (Research & Referral), Delhi, India
| | - Amiy Arnav
- Department of Surgical Oncology, Army Hospital (Research & Referral), Delhi, India
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Hashmi AA, Hussain ZF, Hashmi SK, Irfan M, Khan EY, Faridi N, Khan A, Edhi MM. Immunohistochemical over expression of p53 in head and neck Squamous cell carcinoma: clinical and prognostic significance. BMC Res Notes 2018; 11:433. [PMID: 29970180 PMCID: PMC6029369 DOI: 10.1186/s13104-018-3547-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2018] [Accepted: 06/27/2018] [Indexed: 01/19/2023] Open
Abstract
Objective Immunohistochemical over expression of p53 is considered as a marker of poor prognosis in many cancers. Therefore, we aimed to evaluate immunohistochemical overexpression of p53 in 121 cases of head and neck Squamous cell carcinoma and its association with various clinicopathologic features and survival. Results Total 66.1% (80 cases) expressed positive p53 expression, 34% (29 cases) revealed no p53 expression, while focal positive p53 expression was noted in 9.9% (12 Cases). Moreover, high p53 expression (> 70%) was noted in 26.4% (32 cases), while 19% (23 cases) showed 51–70% p53 expression. On the basis of intensity of p53 staining; strong p53 expression was noted in 39.7% (48 cases), while 24.8% (30 cases) and 10.7% (13 cases) revealed intermediate and weak p53 expression respectively. Significant association of p53 intensity of expression with extranodal extension and higher tumor grade (grades II and III) was noted. p53 is useful prognostic biomarker in head and neck Squamous cell carcinoma and therefore we suggest that more large scale studies are needed to evaluate its prognostic significance in our population. Electronic supplementary material The online version of this article (10.1186/s13104-018-3547-7) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Atif Ali Hashmi
- Liaquat National Hospital and Medical College, Karachi, Pakistan
| | | | | | - Muhammad Irfan
- Liaquat National Hospital and Medical College, Karachi, Pakistan
| | - Erum Yousuf Khan
- Liaquat National Hospital and Medical College, Karachi, Pakistan
| | - Naveen Faridi
- Liaquat National Hospital and Medical College, Karachi, Pakistan
| | - Amir Khan
- Kandahar University, Kandahar, 3802, Afghanistan.
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Shiva A, Zamanian A, Arab S, Boloki M. Immunohistochemical Study of p53 Expression in Patients with Erosive and Non-Erosive Oral Lichen Planus. JOURNAL OF DENTISTRY (SHIRAZ, IRAN) 2018; 19:118-123. [PMID: 29854885 PMCID: PMC5960731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
STATEMENT OF THE PROBLEM Oral lichen planus is a common mucocutaneous lesion with a chronic inflammatory process mediated by immune factors while a few cases of the disease become malignant. PURPOSE This study aimed to determine the frequency of p53 marker as a tumor suppressor in patients with erosive and non-erosive oral lichen planus (OLP) by using immunohistochemical methods. MATERIALS AND METHOD This descriptive cross-sectional study investigated the p53 expression in 16 erosive OLP, 16 non-erosive OLP samples, and 8 samples of normal oral mucosa through immunohistochemistry. The percentage of stained cells in basal and suprabasal layers, and inflammatory infiltrate were graded according to the degree of staining; if 0%, <10%, 10-25%, and >50% of the cells were stained, they were considered as (-), (+), (++), (+++) and (++++), respectively. The obtained data was statistically analyzed and compared by using Chi square and Fisher's exact test. RESULTS The mean percentage of p53 positive cells in erosive OLP (34.5±14.2) was considerably higher than that in non-erosive OLP (23.8±10.4) and normal mucosa (17.5±17). There was a significant difference among the three groups of erosive, non-erosive and control in terms of staining intensity. No significant difference existed between the patients' age and sex in the two OLP groups. CONCLUSION The increased incidence of p53 from normal mucosa to erosive OLP indicated the difference between biological behavior of erosive and non-erosive OLP. It can be claimed that the erosive OLP has great premalignant potential compared with the non-erosive one.
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Affiliation(s)
- Atena Shiva
- Dept. of Oral and Maxillofacial Pathology, School of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ali Zamanian
- Dept. of Restorative Dentistry, School of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran.
| | - Shahin Arab
- Dept. of Clinical Biochemistry, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mahsa Boloki
- Dentist, School of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran.
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Silva LP, Gonzaga AKG, Serpa MS, Nascimento GJF, Sobral APV. Immunohistochemical expression of cyclooxygenase-2 and cyclin-D1 in oral squamous cell carcinoma. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY MEDICINE AND PATHOLOGY 2017. [DOI: 10.1016/j.ajoms.2016.12.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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