Prognostic significance of Ki-67 expression in transitional cell bladder carcinoma after radical cystectomy

被引:20
作者
Suwa, Y
Takano, Y
Iki, M
Asakura, T
Noguchi, S
Masuda, M
机构
[1] YOKOHAMA CITY UNIV,SCH MED,DEPT UROL,KANAZAWA KU,YOKOHAMA,KANAGAWA 236,JAPAN
[2] KITASATO UNIV,SCH MED,DEPT PATHOL,SAGAMIHARA,KANAGAWA 228,JAPAN
[3] FUKUI MED SCHOOK,DEPT ENVIRONM HLTH,YOSHIDA,FUKUI 91001,JAPAN
关键词
bladder neoplasms; cystectomy; Ki-67; antibody;
D O I
10.1016/S0344-0338(97)80013-1
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
We evaluated the prognostic significance of the Ki-67 labeling index (Ki-67 LI) in 75 patients with transitional cell carcinoma of the bladder who underwent radical cystectomy. Immunohistochemical staining of archival material was performed by the streptavidin-biotin method. Univariate survival analysis showed that Ki-67 LI (p < 0.001), histologic grade (p < 0.05), tumor stage (p < 0.001) and the number of positive lymph nodes (p < 0.001) significantly con-elated with prognosis. Multivariate survival analysis indicated that the Ki-67 LI (p < 0.05), histologic grade (p < 0.01), tumor stage (p < 0.01), presence of lymph node metastases (p < 0.05) and use of neo-adjuvant therapy (p < 0.05) had independent prognostic value. The Ki-67 LI is an independent prognostic factor for patients with transitional cell bladder cancer treated by radical cystectomy.
引用
收藏
页码:551 / 556
页数:6
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