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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1986 Jun;39(6):590–593. doi: 10.1136/jcp.39.6.590

New approach to assessing lung tumours in man.

K C Gatter, M S Dunnill, J Gerdes, H Stein, D Y Mason
PMCID: PMC499955  PMID: 3013945

Abstract

One hundred and four surgically resected lung tumours were labelled in either cryostat or freeze dried sections with a monoclonal antibody (Ki67), which reacts with a nuclear antigen expressed by proliferating cells. The tumours were categorised semiquantitatively into four proliferative grades, a classification that can be performed rapidly and reproducibly by the pathologist. In keeping with previous cell kinetic studies all small cell carcinomas had high proliferation rates, whereas the carcinoid tumours were in the lowest grade. In contrast, the adenocarcinomas (27 cases) and squamous cell carcinomas (63 cases) varied widely in their proliferative state, in keeping with their heterogeneous, morphological, and clinical behaviour. Immunocytochemical labelling of lung tumour biopsy specimens with antibody Ki67 is a simple technique within the scope of routine surgical pathology laboratories, which might enable these tumours to be classified according to their proliferative status and treatment to be selected accordingly.

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Selected References

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  1. Broder L. E., Cohen M. H., Selawry O. S. Treatment of bronchogenic carcinoma. II. Small cell. Cancer Treat Rev. 1977 Dec;4(4):219–260. doi: 10.1016/s0305-7372(77)80001-7. [DOI] [PubMed] [Google Scholar]
  2. Charbit A., Malaise E. P., Tubiana M. Relation between the pathological nature and the growth rate of human tumors. Eur J Cancer. 1971 Aug;7(4):307–315. doi: 10.1016/0014-2964(71)90073-9. [DOI] [PubMed] [Google Scholar]
  3. Cohen M. H., Matthews M. J. Small cell bronchogenic carcinoma: a distinct clinicopathologic entity. Semin Oncol. 1978 Sep;5(3):234–243. [PubMed] [Google Scholar]
  4. Cordell J. L., Falini B., Erber W. N., Ghosh A. K., Abdulaziz Z., MacDonald S., Pulford K. A., Stein H., Mason D. Y. Immunoenzymatic labeling of monoclonal antibodies using immune complexes of alkaline phosphatase and monoclonal anti-alkaline phosphatase (APAAP complexes). J Histochem Cytochem. 1984 Feb;32(2):219–229. doi: 10.1177/32.2.6198355. [DOI] [PubMed] [Google Scholar]
  5. Gatter K. C., Dunnill M. S., Pulford K. A., Heryet A., Mason D. Y. Human lung tumours: a correlation of antigenic profile with histological type. Histopathology. 1985 Aug;9(8):805–823. doi: 10.1111/j.1365-2559.1985.tb02868.x. [DOI] [PubMed] [Google Scholar]
  6. Gerdes J., Lemke H., Baisch H., Wacker H. H., Schwab U., Stein H. Cell cycle analysis of a cell proliferation-associated human nuclear antigen defined by the monoclonal antibody Ki-67. J Immunol. 1984 Oct;133(4):1710–1715. [PubMed] [Google Scholar]
  7. Gerdes J., Schwab U., Lemke H., Stein H. Production of a mouse monoclonal antibody reactive with a human nuclear antigen associated with cell proliferation. Int J Cancer. 1983 Jan 15;31(1):13–20. doi: 10.1002/ijc.2910310104. [DOI] [PubMed] [Google Scholar]
  8. Hainau B., Dombernowsky P., Hansen H. H., Borgeskov S. Cell proliferation and histologic classification of bronchogenic carcinoma. J Natl Cancer Inst. 1977 Oct;59(4):1113–1118. doi: 10.1093/jnci/59.4.1113. [DOI] [PubMed] [Google Scholar]
  9. Hirsch F. R., Ottesen G., Pødenphant J., Olsen J. Tumor heterogeneity in lung cancer based on light microscopic features. A retrospective study of a consecutive series of 200 patients, treated surgically. Virchows Arch A Pathol Anat Histopathol. 1983;402(2):147–153. doi: 10.1007/BF00695056. [DOI] [PubMed] [Google Scholar]
  10. Li W., Hammar S. P., Jolly P. C., Hill L. D., Anderson R. P. Unpredictable course of small cell undifferentiated lung carcinoma. J Thorac Cardiovasc Surg. 1981 Jan;81(1):34–43. [PubMed] [Google Scholar]
  11. Livingston R. B., Ambus U., George S. L., Freireich E. J., Hart J. S. In vitro determination of thymidine-3H labeling index in human solid tumors. Cancer Res. 1974 Jun;34(6):1376–1380. [PubMed] [Google Scholar]
  12. McDowell E. M., McLaughlin J. S., Merenyl D. K., Kieffer R. F., Harris C. C., Trump B. F. The respiratory epithelium. V. Histogenesis of lung carcinomas in the human. J Natl Cancer Inst. 1978 Aug;61(2):587–606. [PubMed] [Google Scholar]
  13. Miller A. B., Fox W., Tall R. Five-year follow-up of the Medical Research Council comparative trial of surgery and radiotherapy for the primary treatment of small-celled or oat-celled carcinoma of the bronchus. Lancet. 1969 Sep 6;2(7619):501–505. doi: 10.1016/s0140-6736(69)90212-8. [DOI] [PubMed] [Google Scholar]
  14. Muggia F. M., Krezoski S. K., Hansen H. H. Cell kinetic studies in patients with small cell carcinoma of the lung. Cancer. 1974 Nov;34(5):1683–1690. doi: 10.1002/1097-0142(197411)34:5<1683::aid-cncr2820340516>3.0.co;2-w. [DOI] [PubMed] [Google Scholar]
  15. OLCOTT C. R. Cell types and histologic patterns in carcinoma of the lung; observations on the significance of tumors containing more than one type of cell. Am J Pathol. 1955 Nov-Dec;31(6):975–995. [PMC free article] [PubMed] [Google Scholar]
  16. REID J. D. The validity and value of histological and cytological classifications of lung cancer. Cancer. 1961 Jul-Aug;14:673–698. doi: 10.1002/1097-0142(199007/08)14:4<673::aid-cncr2820140403>3.0.co;2-q. [DOI] [PubMed] [Google Scholar]
  17. Roggli V. L., Vollmer R. T., Greenberg S. D., McGavran M. H., Spjut H. J., Yesner R. Lung cancer heterogeneity: a blinded and randomized study of 100 consecutive cases. Hum Pathol. 1985 Jun;16(6):569–579. doi: 10.1016/s0046-8177(85)80106-4. [DOI] [PubMed] [Google Scholar]
  18. Saba S. R., Espinoza C. G., Richman A. V., Azar H. A. Carcinomas of the lung: an ultrastructural and immunocytochemical study. Am J Clin Pathol. 1983 Jul;80(1):6–13. doi: 10.1093/ajcp/80.1.6. [DOI] [PubMed] [Google Scholar]
  19. Said J. W., Nash G., Tepper G., Banks-Schlegel S. Keratin proteins and carcinoembryonic antigen in lung carcinoma: an immunoperoxidase study of fifty-four cases, with ultrastructural correlations. Hum Pathol. 1983 Jan;14(1):70–76. doi: 10.1016/s0046-8177(83)80048-3. [DOI] [PubMed] [Google Scholar]
  20. Stein H., Gatter K., Asbahr H., Mason D. Y. Use of freeze-dried paraffin-embedded sections for immunohistologic staining with monoclonal antibodies. Lab Invest. 1985 Jun;52(6):676–683. [PubMed] [Google Scholar]
  21. Vollmer R. T., Ogden L., Crissman J. D. Separation of small-cell from non-small-cell lung cancer. The Southeastern Cancer Study Group pathologists' experience. Arch Pathol Lab Med. 1984 Oct;108(10):792–794. [PubMed] [Google Scholar]
  22. Weiss R. B. Small-cell carcinoma of the lung: therapeutic management. Ann Intern Med. 1978 Apr;88(4):522–531. doi: 10.7326/0003-4819-88-4-522. [DOI] [PubMed] [Google Scholar]

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