Table 4.
Features | Benign epidermal lesions, n (%) | Malignant/premalignant epidermal lesions, n (%) | Differences in frequency of features*, p-value | Correlation† r; p-value | Sensitivity | Specificity | LR (+) | LR (−) |
---|---|---|---|---|---|---|---|---|
Pleomorphic parakeratosis | 5 (6.02) | 43 (62.32) | <0.0001 | — | 0.62 | 0.94 | 10.34 | 0.40 |
Mitotic figures | 46 (55.42) | 60 (86.96) | <0.0001 | 0.40; <0.05 | 0.87 | 0.45 | 1.57 | 0.29 |
Abnormal mitotic figures | 0 | 14 (20.29) | <0.0001 | — | 0.20 | 1.0 | Infinity** | 0.80 |
Nuclear overlap (crowding) | 11 (13.25) | 62 (89.86) | <0.0001 | 0.82; <0.05 | 0.90 | 0.87 | 6.78 | 0.12 |
Irregular nuclei | 1 (1.20) | 61(88.41) | <0.0001 | 0.85; <0.05 | 0.88 | 0.99 | 73.38 | 0.12 |
Increased nuclear–cytoplasmic ratio | 12 (14.46) | 69 (100) | <0.0001 | 0.89; <0.05 | 1.0 | 0.86 | 6.92 | 0** |
Nuclear hyperchromasia | 44 (53.01) | 65 (94.20) | <0.0001 | 0.70; <0.05 | 0.94 | 0.47 | 1.78 | 0.12 |
Conspicuous nucleoli | 14 (16.87) | 67 (97.10) | <0.0001 | 0.86; <0.05 | 0.97 | 0.83 | 5.76 | 0.03** |
Inconspicuous nucleoli | 83 (100) | 50 (72.46) | <0.0001 | −0.81; <0.05 | 0.72 | 0 | 0.72 | Infinity |
Coarse chromatin | 65 (78.31) | 67 (97.10) | 0.0015 | 0.39; <0.05 | 0.97 | 0.22 | 1.24 | 0.13 |
Necrotic cells | 53 (63.86) | 66 (95.65) | <0.0001 | 0.48; <0.05 | 0.97 | 0.36 | 1.52 | 0.08** |
LR, likelihood ratio.
Chi-square test and Yates-corrected chi-square test.
Spearman correlation.
Significant diagnostic evidence.