Department of Pathology, Faculty of Medicine, Cairo University,Cairo, Egypt.
Asian Pac J Cancer Prev. 2023 Jun 1;24(6):2135-2139. doi: 10.31557/APJCP.2023.24.6.2135.
the aim of this study is evaluation of Topo IIa expression in laryngeal squamous cell carcinomas and correlation of this expression with various clinicopathological parameters.
ninety cases of laryngeal squamous cell carcinoma archived paraffin blocks were collected in the form of total laryngectomies. Each paraffin block was re-cut by rotatory microtome at 4 μm thickness and stained by hematoxylin and eosin for routine histopathological examination and on charged slides for immunohistochemistry using an automated staining system with antibodies against Topo IIa. Mainly nuclear and slightly cytoplasmic staining was considered positive. Percentage of positive Topo IIa cells was graded then grouped into low expression and overexpression.
Topo IIa overexpression was seen in 91.1% of cases, while low expression was noticed in the remaining 8.9% of cases. There were statistically significant correlations between Topo IIa expression and tumor histological grade, lymph node metastasis and T stage as well as statistically significant positive correlation between Topo IIa expression as we progress from normal to dysplastic/in situ up to malignant transformation.
High expression of Topo IIa may indicate more aggressive tumor and may play a role in tumorogenesis in laryngeal squamous cell carcinoma.
本研究旨在评估喉鳞状细胞癌中 Topo IIa 的表达,并探讨其与各种临床病理参数的相关性。
本研究收集了 90 例接受全喉切除术的喉鳞状细胞癌存档石蜡块。每个石蜡块均通过旋转式切片机以 4μm 的厚度进行重新切割,并通过苏木精和伊红染色进行常规组织病理学检查,以及通过免疫组织化学染色,使用自动染色系统对 Topo IIa 抗体进行 charged 载玻片染色。主要观察细胞核和轻微的细胞质染色为阳性。将阳性 Topo IIa 细胞的百分比进行分级,然后分为低表达和过表达。
91.1%的病例中观察到 Topo IIa 过表达,而在其余 8.9%的病例中观察到低表达。Topo IIa 表达与肿瘤组织学分级、淋巴结转移和 T 分期之间存在统计学显著相关性,并且随着正常到异型增生/原位癌再到恶性转化的进展,Topo IIa 表达呈统计学显著正相关。
Topo IIa 的高表达可能表明肿瘤更具侵袭性,并可能在喉鳞状细胞癌的肿瘤发生中发挥作用。