Abadie J J, Amardeilh M A, Delverdier M E
Laboratoire d'Anatomie pathologique, Unité associée INRA Sécurité alimentaire, Ecole Nationale Vétérinaire de Toulouse, 23 chemin des Capelles, 31 076 Toulouse, France.
J Am Vet Med Assoc. 1999 Dec 1;215(11):1629-34.
To determine whether immunohistochemical detection of proliferating cell nuclear antigen (PCNA) and Ki-67 correlated with prognosis for dogs with cutaneous mast cell tumors (MCT).
Case series.
120 dogs with solitary cutaneous MCT that were excised.
Information on signalment, history, and outcome was obtained by sending a questionnaire to referring veterinarians. Tumors were graded histologically, and immunohistochemical staining for Ki-67 and PCNA was performed.
Survival rates 12, 18, and 24 months after surgery were significantly different among groups when dogs were grouped on the basis of histologic grade. Although mean number of PCNA-positive nuclei/1,000 tumor nuclei was significantly higher for dogs that died of MCT than for those that survived, there was great overlap in values. Mean number of Ki-67-positive nuclei/1,000 tumor nuclei was significantly higher for dogs that died of MCT than for those that survived, without any overlap in values between groups, and number of Ki-67-positive nuclei/1,000 tumor nuclei was significantly different among groups when tumors were grouped on the basis of histologic grades. For dogs with grade-II tumors, number of Ki-67-positive nuclei/1,000 tumor nuclei (< 93 vs > or = 93) was significantly associated with outcome (survived vs died).
Results suggest that for dogs with solitary cutaneous MCT, determining number of Ki-67-positive nuclei may be useful in predicting prognosis, particularly for dogs with grade-II tumors.
确定增殖细胞核抗原(PCNA)和Ki-67的免疫组织化学检测结果是否与犬皮肤肥大细胞瘤(MCT)的预后相关。
病例系列研究。
120只接受了手术切除的单发皮肤MCT犬。
通过向转诊兽医发送调查问卷来获取有关动物特征、病史和预后的信息。对肿瘤进行组织学分级,并进行Ki-67和PCNA的免疫组织化学染色。
根据组织学分级对犬进行分组时,各手术组术后12、18和24个月的生存率有显著差异。虽然死于MCT的犬的PCNA阳性细胞核平均数量/每1000个肿瘤细胞核显著高于存活犬,但数值有很大重叠。死于MCT的犬的Ki-67阳性细胞核平均数量/每1000个肿瘤细胞核显著高于存活犬,两组间数值无重叠,且根据组织学分级对肿瘤进行分组时,各手术组间的Ki-67阳性细胞核数量/每1000个肿瘤细胞核有显著差异。对于II级肿瘤犬,Ki-67阳性细胞核数量/每1000个肿瘤细胞核(<93与≥93)与预后(存活与死亡)显著相关。
结果表明,对于单发皮肤MCT犬,确定Ki-67阳性细胞核数量可能有助于预测预后,特别是对于II级肿瘤犬。