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Ki-67 Labeling Index as a Marker of Malignancy in Ocular Surface Neoplasms
Authors:Maki?Ohara  author-information"  >  author-information__contact u-icon-before"  >  mailto:makibyon@smail.plala.or.jp"   title="  makibyon@smail.plala.or.jp"   itemprop="  email"   data-track="  click"   data-track-action="  Email author"   data-track-label="  "  >Email author,Chie?Sotozono,Yasunari?Tsuchihashi,Shigeru?Kinoshita
Affiliation:(1) Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan;(2) Department of Clinical Pathology Research, Louis Pasteur Centre for Medical Research, Kyoto, Japan;(3) Department of Ophthalmology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Hirokoji-agaru, Kawaramachi-dori, Kamigyo-ku, Kyoto 602-8566, Japan
Abstract:Purpose To evaluate the relationships among histopathological type, clinical malignant grade, and Ki-67 labeling index (LI) in sebaceous gland carcinoma (SGC), conjunctival squamous cell carcinoma (SCC), and conjunctival intraepithelial neoplasia (CIN), with pterygium and normal conjunctiva as controls.Methods This retrospective study was conducted at the Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan. We used tissue specimens obtained from 20 patients (four SGC, four SCC, four CIN, four pterygium, and four normal conjunctiva). Ki-67 immunohistochemical analysis was performed in all 20 cases.Results The Ki-67 labeling index (LI) was 46.1 ± 3.0% (average ± SD) in SGC, 28.4 ± 4.5% in SCC, 20.0 ± 7.2% in CIN, 9.0 ± 2.2% in pterygium, and 6.8 ± 2.3% in normal conjunctiva. Ki-67 LI was significantly (Mann-Whitney U test, P < 0.05) higher in SGC than in SCC, and higher, but not significantly, in SCC than in CIN. Ki-67 LI was significantly (P < 0.05) higher in SCC and CIN than in pterygium.Conclusions These results suggest that Ki-67 LI may be a sensitive marker for ocular malignant tumor grading. Jpn J Ophthalmol 2004;48:524–529 © Japanese Ophthalmological Society 2004
Keywords:conjunctival intraepithelial neoplasia  conjunctival squamous cell carcinoma  Ki-67 labeling index  sebaceous gland carcinoma  5-fluorouracil
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