
To evaluate the role of the Ki‐67 proliferation antigen and c‐erbB‐2/neu oncogene expression in the clinical assessment of salivary gland tumors, we followed up 71 patients with minor salivary tumors of the palate. All benign neoplasms (n= 18) showed low Ki‐67 scores (< 12%), whereas 26% (14 of 53) of malignant neoplasms manifested high Ki‐67 scores (<12%). A significant statistical difference between Ki‐67 scores for benign and malignant neoplasms was observed (p < 0.001). Ki‐67 index also correlated significantly with malignant tumor grade (p = 0.04) and patient survival (p = 0.02). Only 1 of the 18 benign tumors had c‐erbB‐2/neu oncogene overexpression. A significant difference between c‐erbB‐2/neu overexpression in benign and malignant tumors was observed (p = 0.01). Overexpression of c‐erbB‐2/neu oncogene was noted in 38% (16 of 42) of malignant tumors and was significantly associated with aggressive tumor behavior (p <0.001). Multivariate analysis of significant factors revealed that gender, tumor stage, and c‐erbB‐2/neu oncogene overexpression were jointly predictive of survival. Our data indicate that although the Ki‐67 proliferating antigen and c‐erbB‐2/neu oncogene expression may reflect certain intrinsic biologic properties of these neoplasms, only c‐erbB‐2/neu overexpression is significantly associated with their biologic aggression.
Adult, Aged, 80 and over, Male, Palatal Neoplasms, Adolescent, Nuclear Proteins, Genes, erbB-2, Middle Aged, Salivary Gland Neoplasms, Carcinoma, Adenoid Cystic, Neoplasm Proteins, Cohort Studies, Gene Expression Regulation, Neoplastic, Ki-67 Antigen, Multivariate Analysis, Humans, Female, Aged, Follow-Up Studies, Forecasting
Adult, Aged, 80 and over, Male, Palatal Neoplasms, Adolescent, Nuclear Proteins, Genes, erbB-2, Middle Aged, Salivary Gland Neoplasms, Carcinoma, Adenoid Cystic, Neoplasm Proteins, Cohort Studies, Gene Expression Regulation, Neoplastic, Ki-67 Antigen, Multivariate Analysis, Humans, Female, Aged, Follow-Up Studies, Forecasting
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