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. Author manuscript; available in PMC: 2022 May 1.
Published in final edited form as: Cancer Cytopathol. 2020 Dec 28;129(5):394–404. doi: 10.1002/cncy.22399

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.