Dachez R
Faculté de Medecine Paris-7-Denis-Diderot, Paris, France.
J Gynecol Obstet Biol Reprod (Paris). 2008 Feb;37 Suppl 1:S152-4. doi: 10.1016/j.jgyn.2007.11.023. Epub 2008 Jan 11.
The difficulties of cytological identification of abnormal cells, especially in case of "minor atypias", have led to search for new markers able to make cytological screening more sensitive without decrease of specificity. To date, p16 seems to be the most interesting one. It is currently used in immunohistochemistry on cervical biopsies to distinguish immature metaplasias from high-grade lesions. In cytology, its interest is not yet well defined. According to recent papers, p16 overexpression could improve the efficacy of cytological diagnosis. Further studies are required to make positive recommendations.
异常细胞的细胞学鉴定存在困难,尤其是在“轻度异型性”情况下,这促使人们寻找新的标志物,以便在不降低特异性的情况下使细胞学筛查更敏感。迄今为止,p16似乎是最具吸引力的标志物。目前它被用于宫颈活检的免疫组织化学,以区分未成熟化生和高级别病变。在细胞学中,其作用尚未明确界定。根据最近的论文,p16过表达可能会提高细胞学诊断的效能。还需要进一步研究以给出肯定的建议。