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. Author manuscript; available in PMC: 2013 May 1.
Published in final edited form as: Int J Gynecol Pathol. 2012 May;31(3):243–253. doi: 10.1097/PGP.0b013e31823b8831

Table 3.

Histologic and immunohistochemical criteria/features of serous tubal intraepithelial carcinoma in prior studies

Study* Histology Immunohistochemistry
Sehdev et al [23] (n=37) See Przybycin et al (22) for histologic features
  • p53:

    • Positive in 75% of cases (mean, 93% positive cells; range, 60–100%)

    • Completely negative in 14% (corresponding to “0% labeling index”)

    • Negative in 11% (corresponding to “wild-type” pattern)

  • Ki-67 proliferation index: Mean, 38% positive cells (range, 2–90%)

Jarboe et al [3] (n=34)
  • Invariably present features: Discrete population of cells replacing tubal mucosa, increased nuclear-to-cytoplasmic ratio with round nuclei, loss of polarity, prominent nucleoli, and absence of ciliated cells

  • Common but not invariably present features: Epithelial stratification, cleavage planes within the epithelium, and exfoliation of cell clusters

  • Specific p53 data not detailed

  • Ki-67 proliferation index: Mean, 72% positive cells (range, 40–95%)

Przybycin et al [22] (n=28)
  • Main features: Loss of polarity, increased nuclear size, increased nuclear-to-cytoplasmic ratio, hyperchromasia, irregular nuclear membranes and chromatin distribution, mitotic figures, and loss of cilia

  • Other features occasionally present: Epithelial stratification and nuclear molding

See Sehdev et al [23] for immunohistochemical features
Wei et al [8] (n=24) ≥20 consecutive neoplastic secretory cells (high-grade atypia and/or at least moderate atypia with intraepithelial proliferation [stratification, tufting, and papillae]) with or without p53 immunoreactivity
  • p53 expression in 71% of cases (exact extent of p53 staining not provided for positive cases)

  • p53 negative in 29% of cases

Shaw et al [7] (n=17) Stratification, increased nuclear size, nuclear pleomorphism, loss of polarity, and prominent nucleoli
  • Overexpression of p53 (>75% positive cells) present in majority of cases, and Ki-67 increased; however, specific Ki-67 proliferation indices not provided

  • 24% of cases without p53 overexpression, but Ki-67 indices described as being sufficient for diagnosis of STIC

Salvador et al [16] (n=8) Loss of cell polarity, increased nuclear-to-cell ratio, prominent nucleoli, and absence of ciliated cells
  • p53 immunohistochemical index:

    • Low (≤50% positive cells) in 25% of cases

    • High (>50% positive cells) in 75%

  • Ki-67 proliferation index:

    • Intermediate (6–50% positive cells) in 63%

    • High (>50% positive cells) in 38%

Maeda et al [5] (n=7) Malignant epithelial cells with pleomorphic nuclei, stratification, and loss of polarity
  • p53:

    • Diffuse expression in 43% of cases

    • Completely negative in 29% (corresponding to “0% labeling index”)

    • Negative in 29% (corresponding to “wild-type” pattern)

  • Ki-67 proliferation index: Mean, 39% positive cells (range, 9–72%)

Key:

*

Multiple studies from the same institution are listed only once except where noted above.