TABLE 4.
Comparison of Studies That Investigated the Use of p16 Immunohistochemistry in Cytology Specimens
| No. of Cases | Cytologic Preparation | Tumor Cellularity | Clusters/Single Cells Scored | Positivity Criteria | Reference Test | P16 Performance | ||
|---|---|---|---|---|---|---|---|---|
| Sensitivity (%) | Specificity (%) | |||||||
| Begum 200731 | 77 | CB | Any | Both | Any staining | HPV16-ISH in cytology specimens | 92 | 94 |
| Jannapureddy 201034 | 40 | CB | Adequate material, NOS | Both | Any nuclear and cytoplasmic staining | HPV-ISH in cytology specimens | 100 | 77 |
| Jakscha 201330 | 25 | Smears | Adequate material, NOS | Both | Strong cytoplasmic staining in ≥5% of tumor cells | P16 IHC in surgical specimens | 88 | 100 |
| Jalaly 201529 | 48 | CB | Any | Clusters only | Strong staining in ≥15% of tumor cells | P16 IHC in surgical specimens | 97 | 100 |
| HPV-ISH in cytology specimens | 90 | 100 | ||||||
| Xu 201623 | 60 | CB, smear, ThinPrep slide | Any | Both | Moderate-strong staining in ≥1 % of tumor cells | P16 IHC in surgical specimens | 95 | 100 |
| Moderate-strong staining in ≥10% of tumor cells | HPV-ISH in cytology specimens | 94 | 75 | |||||
| Hou 201633 | 73 | CB | At least 100 cells | Both | Strong nuclear and cytoplasmic staining in ≥70% of tumor cells | HPV-ISH in cytology specimens | 98 | 52 |
| Wong 201932 | 97 | CB | Any | Both | Any staining | HPV-ISH/PCR in cytology CBs | 93 | 92 |
| Yang 201922 | 50 | Smear | Not reported | Both | Weak nuclear and cytoplasmic staining ≥50% of tumor cells | P16 IHC in surgical specimens | 74 | 100 |
| Current study | 42 | CB | At least 10 cells | Clusters | Moderate nuclear and cytoplasmic staining in 40% of tumor cells (at least) | P16 IHC in surgical specimens | 100 | 100 |
Abbreviations: CB, cellblock; HPV, human papillomavirus; IHC, immunohistochemistry; ISH, in situ hybridization.