Khalesi Saeedeh, Eskandari Shahnaz, Jahanshahi Gholamreza, Nasr Faezeh
Dental Material Research Center, Department of Oral and Maxillofacial Pathology, Dental School, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Pathology, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran.
Dent Res J (Isfahan). 2023 Apr 26;20:56. eCollection 2023.
Due to the increasing prevalence of oral squamous cell carcinoma (OSCC) in Iran and especially in young people, this study aimed to identify human papillomavirus (HPV) using p16 in OSCC.
In this descriptive-analytical cross-sectional study, 40 samples from the archives of the Pathology Department of Kashani Hospital were selected by a definitive diagnosis of OSCC with neck dissection. Demographic information including age, gender, location, and size of the lesion was obtained. Samples were divided into two groups based on lymph node (LN) metastasis. Immunohistochemical staining was performed for p16. Data were entered into SPSS 24 software and statistically analyzed by -test, ANOVA, and Spearman nonparametric test. <0.05 was statistically significant.
The mean age of patients was 59.7 ± 17.11 which in terms of age and gender there was no significant difference between the two groups including with and without cervical LN metastasis ( > 0.05). There was no significant difference between the two groups based on the grade of tumor, perninural invasion, tumor size and location ( > 0.05). The only significant difference between the two groups was based on lymphovascular invasion and disease stage ( < 0.05). The p16 expression also showed a significant difference between the two groups ( < 0.05).
In OSCCs without cervical LN metastasis, a significant increase in p16 expression was observed compared to samples with cervical LNs metastasis. The presence of HPV was higher in samples with less LNs metastasis and possibly a better prognosis.
由于伊朗口腔鳞状细胞癌(OSCC)的患病率不断上升,尤其是在年轻人中,本研究旨在利用p16在OSCC中鉴定人乳头瘤病毒(HPV)。
在这项描述性分析横断面研究中,从卡沙尼医院病理科档案中选取40例经明确诊断为OSCC并进行颈部清扫的样本。获取包括年龄、性别、病变部位和大小在内的人口统计学信息。根据淋巴结(LN)转移情况将样本分为两组。对p16进行免疫组织化学染色。数据录入SPSS 24软件,并通过t检验、方差分析和Spearman非参数检验进行统计学分析。P<0.05具有统计学意义。
患者的平均年龄为59.7±17.11岁,就年龄和性别而言,包括有和无颈部LN转移的两组之间无显著差异(P>0.05)。基于肿瘤分级、神经周侵犯、肿瘤大小和位置,两组之间无显著差异(P>0.05)。两组之间唯一的显著差异基于淋巴管侵犯和疾病分期(P<0.05)。p16表达在两组之间也显示出显著差异(P<0.05)。
与有颈部LN转移的样本相比,在无颈部LN转移的OSCC中观察到p16表达显著增加。LN转移较少的样本中HPV的存在率较高,且预后可能较好。