Evaluation of p16 immunostaining to predict high-grade cervical intraepithelial neoplasia in women with Pap results of atypical squamous cells of undetermined significance - PubMed (original) (raw)
doi: 10.1002/dc.21415. Epub 2010 Jul 6.
Affiliations
- PMID: 20607682
- DOI: 10.1002/dc.21415
Evaluation of p16 immunostaining to predict high-grade cervical intraepithelial neoplasia in women with Pap results of atypical squamous cells of undetermined significance
Ming Guo et al. Diagn Cytopathol. 2011 Jul.
Abstract
p16 immunostaining has been examined to detect high-grade cervical intraepithelial neoplasia grade (CIN2+) in Pap cytology specimens. However, the utility of p16 in predicting CIN2+ in Pap specimens with atypical squamous cells of undetermined significance (ASC-US) or atypical squamous cells, cannot exclude high-grade squamous intraepithelial neoplasm (ASC-H), is controversial. In this study, we evaluated the utility of p16 immunostaining for predicting CIN2+ in 78 Pap specimens with ASC-US/ASC-H and compared the results in high-risk HPV DNA and the follow-up biopsies. p16 immunostaining was positive in 47% (37/78) of the Pap specimens. Of the 13 Pap specimens with follow-up biopsy results of CIN2+, 7 (54%) were positive for p16. p16 positivity in the Pap specimens was not significantly associated with a CIN2+ biopsy result (P = 0.76). The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of p16 immunostaining for predicting CIN2+ were 54%, 52%, 19%, and 85%, respectively. High-risk HPV DNA was detected in 40% (31/78) of the Pap specimens. The sensitivity, specificity, PPV, and NPV of HPV DNA for predicting CIN2+ were 100%, 72%, 42%, and 100%, respectively. High-risk HPV genotypes were detected in six p16-negative specimens with follow-up biopsy results of CIN2+. Our findings suggest that the utility of p16 immunostaining for predicting CIN2+ in Pap specimens with ASC-US/ASC-H is limited. Scant abnormal cells in Pap specimens with ASC-US/ASC-H may have contributed to the low p16 sensitivity.
Copyright © 2010 Wiley-Liss, Inc.
Similar articles
- p16INK4a immunocytochemistry versus human papillomavirus testing for triage of women with minor cytologic abnormalities: a systematic review and meta-analysis.
Roelens J, Reuschenbach M, von Knebel Doeberitz M, Wentzensen N, Bergeron C, Arbyn M. Roelens J, et al. Cancer Cytopathol. 2012 Oct 25;120(5):294-307. doi: 10.1002/cncy.21205. Epub 2012 Jun 14. Cancer Cytopathol. 2012. PMID: 22700382 Free PMC article. Review. - Role of p16(INK4a) cytology testing as an adjunct to enhance the diagnostic specificity and accuracy in human papillomavirus-positive women within an organized cervical cancer screening program.
Gustinucci D, Passamonti B, Cesarini E, Butera D, Palmieri EA, Bulletti S, Carlani A, Staiano M, D'Amico MR, D'Angelo V, Di Dato E, Martinelli N, Malaspina M, Spita N, Tintori B, Fulciniti F. Gustinucci D, et al. Acta Cytol. 2012;56(5):506-14. doi: 10.1159/000338979. Epub 2012 Sep 27. Acta Cytol. 2012. PMID: 23075891 - Liquid-based cytology--new possibilities in the diagnosis of cervical lesions.
Juric D, Mahovlić V, Rajhvajn S, Ovanin-Rakić A, Skopljanac-Macina L, Barisić A, Projić IS, Babić D, Susa M, Corusić A, Oresković S. Juric D, et al. Coll Antropol. 2010 Mar;34(1):19-24. Coll Antropol. 2010. PMID: 20432728 - Triage of ASC-H: A meta-analysis of the accuracy of high-risk HPV testing and other markers to detect cervical precancer.
Xu L, Verdoodt F, Wentzensen N, Bergeron C, Arbyn M. Xu L, et al. Cancer Cytopathol. 2016 Apr;124(4):261-72. doi: 10.1002/cncy.21661. Epub 2015 Nov 30. Cancer Cytopathol. 2016. PMID: 26618614 Free PMC article. Review.
Cited by
- Combined detection of p16(INK4a) and IMP3 increase the concordance rate between cervical cytologic and histologic diagnosis.
Wei Q, Fu B, Liu J, Xu J, Zhao T. Wei Q, et al. Int J Clin Exp Pathol. 2013 Jul 15;6(8):1549-57. Print 2013. Int J Clin Exp Pathol. 2013. PMID: 23923073 Free PMC article. - Human papillomavirus DNA methylation as a potential biomarker for cervical cancer.
Clarke MA, Wentzensen N, Mirabello L, Ghosh A, Wacholder S, Harari A, Lorincz A, Schiffman M, Burk RD. Clarke MA, et al. Cancer Epidemiol Biomarkers Prev. 2012 Dec;21(12):2125-37. doi: 10.1158/1055-9965.EPI-12-0905. Epub 2012 Oct 3. Cancer Epidemiol Biomarkers Prev. 2012. PMID: 23035178 Free PMC article. Review. - p16INK4a immunocytochemistry versus human papillomavirus testing for triage of women with minor cytologic abnormalities: a systematic review and meta-analysis.
Roelens J, Reuschenbach M, von Knebel Doeberitz M, Wentzensen N, Bergeron C, Arbyn M. Roelens J, et al. Cancer Cytopathol. 2012 Oct 25;120(5):294-307. doi: 10.1002/cncy.21205. Epub 2012 Jun 14. Cancer Cytopathol. 2012. PMID: 22700382 Free PMC article. Review. - Human papillomavirus and cervical cancer: biomarkers for improved prevention efforts.
Sahasrabuddhe VV, Luhn P, Wentzensen N. Sahasrabuddhe VV, et al. Future Microbiol. 2011 Sep;6(9):1083-98. doi: 10.2217/fmb.11.87. Future Microbiol. 2011. PMID: 21958146 Free PMC article. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Research Materials
Miscellaneous