P16 and Ki67 Immunostains Decrease Intra- and Interobserver Variability in the Diagnosis and Grading of Anal Intraepithelial Neoplasia (AIN)
Author(s) -
Ann E. Walts,
Juan Lechago,
Bing Hu,
MaryBeth Shwayder,
Lynn Sandweiss,
Shikha Bose
Publication year - 2008
Publication title -
clinical medicine pathology
Language(s) - English
Resource type - Journals
ISSN - 1178-1181
DOI - 10.4137/cpath.s501
Subject(s) - medicine , grading (engineering) , immunostaining , medical diagnosis , pathology , immunohistochemistry , civil engineering , engineering
Significant variation is reported in the diagnosis of HPV-associated AIN. We previously observed that band-like positivity for p16 in >90% of contiguous cells coupled with Ki67 positivity in >50% of lesional cells is strongly associated with high grade AIN. This study was undertaken to determine if addition of p16 and Ki67 immunostaining would reduce inter- and intraobserver variability in diagnosis and grading of AIN.
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