The Role of Ki-67 Immunoexpression in Diagnosis of Molar Pregnancy and Differentiating its Subtypes

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Sanarya M. Ali
Nadya Y. Ahmed
Tenya T. Abdul Al-Hameed
Tara MA Shalal

Abstract

Objectives: The study is intended to evaluate the role of Ki-67 immunoexpression in the diagnosis of molar pregnancy & differential diagnosis of its subgroups from miscarriage.


Methods: Sixty eight formalin-fixed, paraffin- embedded specimens of products of conception , including 1st trimester miscarriage (n=15), partial hydatidiform mole PHM (n=24), complete hydatidiform CHM (n=24) and full term placenta (n=5), all were examined at Histopathology Department of Maternity Teaching Hospital in Erbil, Iraq during the period Sep.2012-Sep.2013. Ki-67 immunohistochemical staining was performed by using the monoclonal antibody MIB-1 and the standard streptavidin-biotin immunoperoxidase method. The labeling index (number of positive nuclei/total number of nuclei) for villous, cytotrophoblasts , syncytiotrophoblasts and stromal cells were evaluated separately. Statistical analysis was carried out by Fisher’s exact test & statistical significance was determined at p < 0.05.


Results: The study shows that all villous trophoblastic lesions showed high Ki-67 in all villous components especially cytotrophoblasts, being the highest in CHM mole(>50%) followed by PHM (>20%). Also found a statistically significant differences in immunoexpressins of Ki-67 that was useful in separating miscarriage from CHM, p<0.01 (highly significant), and partial hydatidiform mole p<0.05, (significant).


Conclusion: Ki-67 labeling index of villous cells ,especially cytotrophoblasts, is valuable in diagnosis and differentiation of hydatidiform mole from 1st trimester miscarriage as well as between different subgroups of hydatidiformmoles (CHM & PHM).

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How to Cite
[1]
S. M. Ali, N. Y. Ahmed, T. T. Abdul Al-Hameed, and T. M. Shalal, “The Role of Ki-67 Immunoexpression in Diagnosis of Molar Pregnancy and Differentiating its Subtypes”, JUBPAS, vol. 26, no. 9, pp. 21-28, Dec. 2018.
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