Prognostic significance of a comprehensive histological evaluation of reticulin fibrosis, collagen deposition and osteosclerosis in primary myelofibrosis patients.

Abstract:

AIMS:To evaluate whether a comprehensive histological evaluation of reticulin fibrosis, collagen deposition and osteosclerosis in bone marrow trephine biopsies (BMBs) of primary myelofibrosis (PMF) patients may have prognostic implications. METHODS AND RESULTS:Reticulin fibrosis, collagen deposition and osteosclerosis were graded from 0 to 3 in a series of 122 baseline BMBs. Then, we assigned to each case a comprehensive score [reticulin, collagen, osteosclerosis (RCO) score, ranging from 0 to 9] that allowed us to distinguish two groups of patients, with low-grade (RCO score 0-4) and high-grade (RCO score 5-9) stromal changes. Of 122 patients, 88 displayed a low-grade and 34 a high-grade RCO score. The latter was associated more frequently with anaemia, thrombocytopenia, peripheral blood blasts and increased lactate dehydrogenase levels. The RCO score was correlated strictly with overall mortality (P = 0.013) and International Prognostic Scoring System (IPSS) risk categories, and was able to discriminate the overall survival of both low- and high-grade patients (log-rank test: P < 0.001). Moreover, it proved to be more accurate than the European Consensus on Grading of Bone Marrow Fibrosis (ECGMF grade) in identifying high-risk patients with poor prognosis. Finally, a combined analysis of RCO scores and IPSS risk categories in an integrated clinical-pathological evaluation was able to increase the positive predictive value (PPV) for mortality in high-risk patients. CONCLUSION:The comprehensive RCO score, obtained by histological evaluation of reticulin fibrosis, collagen deposition and osteosclerosis was prognostically significant and more accurate than ECGMF grade in identifying high-risk patients and improved PPV when applied in addition to IPSS.

journal_name

Histopathology

journal_title

Histopathology

authors

Gianelli U,Fiori S,Cattaneo D,Bossi A,Cortinovis I,Bonometti A,Ercoli G,Bucelli C,Orofino N,Bulfamante G,Iurlo A

doi

10.1111/his.13309

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

897-908

issue

6

eissn

0309-0167

issn

1365-2559

journal_volume

71

pub_type

杂志文章
  • Raf kinase inhibitor protein expression combined with peritoneal involvement and lymphovascular invasion predicts prognosis in Dukes' B colorectal cancer patients.

    abstract:AIMS:There is controversy regarding the use of adjuvant therapy in patients with Dukes' B colorectal cancer (CRC). New markers, identifying high-risk Dukes' B patients, are needed. Here, we examine the utility of Raf kinase inhibitor protein (RKIP) as such a marker and promoter methylation as a mechanism of RKIP down-r...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12014

    authors: Doyle B,Hagan S,Al-Mulla F,Scott L,Harden S,Paul J,Mulcahy H,Murray GI,Sheahan K,O'Sullivan J,Kolch W

    更新日期:2013-02-01 00:00:00

  • Whole-mount evaluation of penectomies for penile cancer: feasibility, cost and comparison to routine sectioning.

    abstract:AIMS:Pathological staging in penectomies may be difficult due to the anatomical complexity of penile anatomy, and may be additionally challenging due to the low volume at most institutions. Our study aimed to assess the feasibility of whole-mount processing for penectomy specimens. METHODS AND RESULTS:A 7-year retrosp...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12149

    authors: Ebel JJ,Shabsigh A,Sharp DS,Zynger DL

    更新日期:2013-07-01 00:00:00

  • Carcinosarcoma of the oesophagus with rhabdomyoblastic differentiation.

    abstract::We report a case of oesophageal carcinosarcoma with prominent rhabdomyoblastic differentiation. Immunohistochemically, the rhabdomyblasts were mainly reactive to vimentin, cytokeratin, desmin, muscle-specific actin, myosin, and myoglobin, and were surrounded by laminin and type IV collagen-positive basement membranes....

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1993.tb00164.x

    authors: Guarino M,Reale D,Micoli G,Forloni B

    更新日期:1993-05-01 00:00:00

  • Gene-expression signature of adhesion/growth-regulatory tissue lectins (galectins) in transitional cell cancer and its prognostic relevance.

    abstract:AIMS:Lectins, and especially galectins, appear to be important in malignancy-associated processes. The aim was to analyse comprehensively the presence of galectins in urothelial tumours. METHODS AND RESULTS:Non-cross-reactive antibodies against seven family members from the three subgroups (prototype: galectin-1, -2 a...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2007.02852.x

    authors: Langbein S,Brade J,Badawi JK,Hatzinger M,Kaltner H,Lensch M,Specht K,André S,Brinck U,Alken P,Gabius HJ

    更新日期:2007-11-01 00:00:00

  • Carbonic anhydrase VI: a novel marker for salivary serous acinar differentiation and its application to discriminate acinic cell carcinoma from mammary analogue secretory carcinoma of the salivary gland.

    abstract:AIMS:Carbonic anhydrase VI (CA6) is present in serous acinar cells of human salivary glands. The aim of this study was to investigate the diagnostic utility of CA6 in differentiating acinic cell carcinoma (AciCC) from its morphological mimic mammary analogue secretory carcinoma (MASC) of the salivary gland. METHODS AN...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12792

    authors: Hsieh MS,Jeng YM,Jhuang YL,Chou YH,Lin CY

    更新日期:2016-04-01 00:00:00

  • The role of matrix metalloproteinases-2, -7 and -9 and beta-catenin in high grade endometrial carcinoma.

    abstract:AIMS:To determine the expression of matrix metalloproteinases (MMPs)-2, -7 and -9 and beta-catenin in uterine serous carcinoma (USC) and endometrioid endometrial carcinoma (EEC) and to investigate any difference in expression between EEC and USC which might explain the mechanism of invasion and aggressive behaviour of ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2007.02612.x

    authors: Monaghan H,MacWhinnie N,Williams AR

    更新日期:2007-02-01 00:00:00

  • Squamous carcinoma arising in a giant peri-anal condyloma associated with human papillomavirus types 6 and 11.

    abstract::A case is reported of squamous carcinoma of the peri-anal region arising in a giant condyloma. In situ DNA hybridization showed human papillomavirus (HPV) types 6 and 11. These HPV types are commonly demonstrated in ano-genital condylomas but have not previously been reported in association with malignant change at th...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1988.tb01946.x

    authors: Wells M,Robertson S,Lewis F,Dixon MF

    更新日期:1988-03-01 00:00:00

  • Primary and recurrent embryonal sarcoma of the liver: clinicopathological and immunohistochemical analysis.

    abstract:AIMS:To evaluate primary and recurrent embryonal sarcoma of the liver and to improve recognition of its morphological variants and immunohistochemical features. METHODS AND RESULTS:Fourteen primary and two recurrent cases of hepatic embryonal sarcoma were evaluated histologically and investigated immunohistochemically...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2007.02746.x

    authors: Zheng JM,Tao X,Xu AM,Chen XF,Wu MC,Zhang SH

    更新日期:2007-08-01 00:00:00

  • Histopathology and the 'third great lie'. When is an image not a scientifically authentic image?

    abstract::This article considers the issues of image manipulation within the context of electronic/digital images. The possibility for such alterations has occurred with the increasing availability of simple and cheap computer software, permitting modification of digitized images as a whole, or in part. The concepts of acceptab...

    journal_title:Histopathology

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2559.2001.01312.x

    authors: Suvarna SK,Ansary MA

    更新日期:2001-11-01 00:00:00

  • Atypical lobular hyperplasia and lobular carcinoma in situ: surgical and molecular pathology.

    abstract::Lobular carcinoma in situ and atypical lobular hyperplasia were first described over 50 years ago. Despite this long incubation period, the biological nature of the lesions remains controversial. They are generally regarded as 'risk indicators' of invasive cancer rather than true precursor lesions. When first describe...

    journal_title:Histopathology

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2559.1999.00815.x

    authors: Lishman SC,Lakhani SR

    更新日期:1999-09-01 00:00:00

  • Immunocytochemical study of 12E7 in small round-cell tumours of childhood: an assessment of its sensitivity and specificity.

    abstract::12E7 is a monoclonal antibody to the MIC2 gene product and can be applied to formalin-fixed, paraffin-embedded tissue. The diagnostic utility of 12E7 as a marker of Ewing's sarcoma and peripheral neuroectodermal tumour was assessed. Immunocytochemical studies were performed on 120 small round-cell tumours from childre...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1993.tb01243.x

    authors: Ramani P,Rampling D,Link M

    更新日期:1993-12-01 00:00:00

  • CD 30-positive transformed follicular lymphoma: two case reports and literature review.

    abstract:AIMS:Here we report two cases of follicular lymphoma that transformed to CD30 positive diffuse large B cell lymphoma and review the literature on this topic. RESULTS:The first case represents an example of early transformation of conventional low-grade follicular lymphoma to CD30-positive large B cell lymphoma. Immuno...

    journal_title:Histopathology

    pub_type: 杂志文章,评审

    doi:10.1111/his.12733

    authors: Montes-Moreno S,Climent F,González de Villambrosía S,González Barca EM,Batlle A,Insunza A,Pané-Foix M,Colorado M,Martin-Sánchez G,Espiga CR,Conde E,Piris MA

    更新日期:2015-12-01 00:00:00

  • Correlation between invasive pattern and immunophenotypic alterations in endocervical adenocarcinoma.

    abstract:AIMS:To assess the immunophenotypic changes associated with epithelial-mesenchymal transition (EMT) in endocervical adenocarcinoma, and correlate the findings with tumour morphology including growth pattern. METHODS AND RESULTS:Twenty-seven endocervical adenocarcinomas were studied using a panel of immunohistochemical...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2011.03787.x

    authors: Stewart CJ,Crook ML,Little L,Louwen K

    更新日期:2011-04-01 00:00:00

  • Na+/H+ exchanger regulatory factor 1 expression levels in blood and tissue predict breast tumour clinical behaviour.

    abstract:AIMS:Several studies have demonstrated that Na(+) /H(+) exchanger regulatory factor 1 (NHERF1) protein, which is overexpressed and heterogeneously distributed in different stages of breast cancer, could be used as a tumour marker for prognosis in molecular detection strategies. We observed that tumour-infiltrated lymph...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2011.03844.x

    authors: Bellizzi A,Mangia A,Malfettone A,Cardone RA,Simone G,Reshkin SJ,Paradiso A

    更新日期:2011-06-01 00:00:00

  • Granular cell tumours of the lower respiratory tract.

    abstract::Granular cell tumours rarely involve the lower respiratory tract. We report eight cases surgically resected at our institution. There were four females and four males, aged between 18 to 56 years (mean 40). One tumour associated with a peripheral lung adenocarcinoma was asymptomatic. The other lesions presented with o...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1995.tb00218.x

    authors: Thomas de Montpréville V,Dulmet EM

    更新日期:1995-09-01 00:00:00

  • Smoking-related changes in the background lung of specimens resected for lung cancer: a semiquantitative study with correlation to postoperative course.

    abstract:AIMS:To assess the pathological findings in lobectomy specimens, to correlate them with smoking history and postoperative course and to compare the findings with those in smoking-related interstitial lung disease. METHODS AND RESULTS:Patients who had undergone lobectomy for lung cancer were reviewed. Subjects included...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2008.03183.x

    authors: Kawabata Y,Hoshi E,Murai K,Ikeya T,Takahashi N,Saitou Y,Kurashima K,Ubukata M,Takayanagi N,Sugita H,Kanauchi S,Colby TV

    更新日期:2008-12-01 00:00:00

  • Napsin A is a useful marker for metastatic adenocarcinomas of pulmonary origin.

    abstract:AIMS:To address whether napsin A is useful for identifying metastatic adenocarcinomas of pulmonary origin. METHODS AND RESULTS:Fifty-four cases of adenocarcinoma that metastasized from the lungs to various sites and 1762 cases of carcinoma from various organs were immunostained for napsin A, TTF-1, CK7, CK20 and CDX2 ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12383

    authors: Kim MY,Go H,Koh J,Lee K,Min HS,Kim MA,Jeon YK,Lee HS,Moon KC,Park SY,Kim WH,Chung DH

    更新日期:2014-08-01 00:00:00

  • Congenital absence of insulin-secreting cells.

    abstract::A male infant was diagnosed as having diabetes mellitus 1 d after birth and died on the third day. Histological examination of the pancreas showed small and inconspicuous islets of Langerhans that were completely devoid of insulin-secreting cells. There was no evidence of insulitis. ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1988.tb01974.x

    authors: Wong KC,Tse K,Chan JK

    更新日期:1988-05-01 00:00:00

  • Myelosarcoma without acute leukaemia: immunohistochemical and clinico-pathologic characterization of eight cases.

    abstract::Eight cases of myelosarcoma without acute leukaemia at time of diagnosis were reviewed and biopsies were immunostained using antibodies reacting with myeloid/monocytic markers. Initial tumour location included lymph nodes, paranasal sinuses, nasopharyngeal and/or orbital regions and other extranodal locations. Three c...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1990.tb01110.x

    authors: Furebring-Fredén M,Martinsson U,Sundström C

    更新日期:1990-03-01 00:00:00

  • Expression of Bcl-2 family members and presence of Epstein-Barr virus in the regulation of cell growth and death in classical Hodgkin's lymphoma.

    abstract:AIMS:To examine the expression of the Bcl-2 family of proteins (Bcl-2, Bcl-x, Bcl-xL and Bax) in classical Hodgkin's lymphoma (cHL) and to correlate the expression of these proteins with proliferation, apoptosis and the presence of Epstein-Barr virus (EBV). METHODS AND RESULTS:Expression of the Bcl-2 family of protein...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.0309-0167.2004.01829.x

    authors: Kim LH,Nadarajah VS,Peh SC,Poppema S

    更新日期:2004-03-01 00:00:00

  • Identification of oncocytic lesions of salivary glands by anti-mitochondrial immunohistochemistry.

    abstract:AIMS:To evaluate the immunohistochemistry using an anti-mitochondria antibody in the investigation of various oncocytic lesions of the salivary glands. METHODS AND RESULTS:Ten cases of adenolymphoma (Warthin's tumour) and one case each of benign oncocytoma and oncocytic carcinoma of the salivary glands were examined. ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.1997.2870891.x

    authors: Shintaku M,Honda T

    更新日期:1997-11-01 00:00:00

  • Increased IgG4-positive plasma cells in nodular-sclerosing Hodgkin lymphoma: a diagnostic pitfall.

    abstract:AIMS:Despite increasing interest in the recently established immunoglobulin 4-related disease (IgG4-RD), its pathogenesis and aetiology remain largely unclear. Characteristic histopathological features are one of the key elements of diagnosis, including 'storiform' fibrosis, obliterative phlebitis, increased lymphoplas...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.13965

    authors: Nowak V,Agaimy A,Kristiansen G,Gütgemann I

    更新日期:2020-01-01 00:00:00

  • Abnormalities of differentiation and maturation in the oesophageal squamous epithelium of patients with tylosis: morphological features.

    abstract::Tylosis is an autosomal dominant inherited defect of keratinization, associated in two Liverpool families with a high risk of developing oesophageal squamous carcinoma. In 29 individuals, followed by regular endoscopy and biopsy, we have noted several morphological abnormalities of the epithelium in this pre-cancerous...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1991.tb00044.x

    authors: Ashworth MT,Nash JR,Ellis A,Day DW

    更新日期:1991-10-01 00:00:00

  • Gleason drift in the NIHR ProtecT study.

    abstract:AIMS:There is increasing evidence of Gleason score (GS) drift in prostatic core biopsies during the last two decades. The ProtecT study is a randomized controlled study and provides an excellent cohort to study the effect of time, prostate-specific antigen (PSA) level, perineural invasion, tumour length and age on GS. ...

    journal_title:Histopathology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/his.12549

    authors: Oxley J,Simpkin A,Goepel J,Varma M,Griffiths D,Grigor K,Mayer N,Warren A,Deshmukh N,Bhattarai S,Dormer J,Hounsome L,Adamczyk LA,Metcalfe C,Lane JA,Davis M,Donovan JL,Neal DE,Hamdy FC,Robinson MC,ProtecT Study Grou

    更新日期:2015-02-01 00:00:00

  • Immunohistochemical analysis of p53, APE1, hMSH2 and ERCC1 proteins in actinic cheilitis and lip squamous cell carcinoma.

    abstract:AIMS:This study has compared the tissue expression of the p53 tumour suppressor protein and DNA repair proteins APE1, hMSH2 and ERCC1 in normal, dysplastic and malignant lip epithelium. METHODS AND RESULTS:Morphological analysis and immunohistochemistry were performed on archived specimens of normal lip mucosa (n=15),...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2011.03756.x

    authors: Souza LR,Fonseca-Silva T,Pereira CS,Santos EP,Lima LC,Carvalho HA,Gomez RS,Guimarães AL,De Paula AM

    更新日期:2011-02-01 00:00:00

  • BNIP3 expression in follicular lymphoma.

    abstract:AIMS:To investigate the role of BNIP3, a 19-kDa interacting protein of the Bcl-2 family, alongside Bcl-2 in follicular lymphoma in comparison with reactive lymphoid hyperplasia. The results were compared with those from p53 and caspase-3 (apoptotic markers) and Ki67 (proliferation marker). METHODS AND RESULTS:Immunohi...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2007.02657.x

    authors: Sington J,Giatromanolaki A,Campo L,Turley H,Pezzella F,Gatter KC

    更新日期:2007-04-01 00:00:00

  • Pulmonary metastatic nodules of uterine low-grade endometrial stromal sarcoma: histopathological and immunohistochemical analysis of 10 cases.

    abstract:AIMS:To identify histopathological and immunohistochemical findings that aid diagnosis of metastatic endometrial stromal sarcoma (ESS) in small biopsy specimens of the lung. METHODS AND RESULTS:We reviewed the histology of 46 lung nodules from 10 cases of pulmonary metastatic ESS. Biopsy sections were analysed by immu...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12232

    authors: Park JY,Sung CO,Jang SJ,Song SY,Han JH,Kim KR

    更新日期:2013-12-01 00:00:00

  • Simple mucin-type carbohydrate antigens (T, Tn and sialosyl-Tn) in mucoepidermoid carcinoma of the salivary glands.

    abstract::Thirty-two cases of mucoepidermoid carcinoma of the salivary glands were studied in order to characterize the expression of simple mucin-type carbohydrate antigens T, Tn and sialosyl-Tn and to evaluate its implication for tumour histogenesis. Monoclonal antibodies of known specificity were used on formalin-fixed, para...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1994.tb01372.x

    authors: Fonseca I,Costa Rosa J,Félix A,Therkildsen MH,Mandel U,Soares J

    更新日期:1994-12-01 00:00:00

  • Intestinal metaplasia subtyping: evaluation of Gomori's aldehyde fuchsin for routine diagnostic use.

    abstract:AIMS:Intestinal metaplasia (IM) has been implicated in the pathogenesis of gastro-oesophageal carcinoma, but because of its common occurrence, its specificity for use in cancer surveillance is low. IM subtypes characterized by mucin phenotype have been studied to try and improve specificity. METHODS AND RESULTS:On bal...

    journal_title:Histopathology

    pub_type: 临床试验,杂志文章

    doi:10.1046/j.1365-2559.1997.2110847.x

    authors: Shah KA,Deacon AJ,Dunscombe P,Price AB

    更新日期:1997-09-01 00:00:00

  • Current diagnostic strategies for undifferentiated tumours of the nasal cavities and paranasal sinuses.

    abstract::Several malignant tumours occurring in the sinonasal tract may present with an undifferentiated morphology. Overall, these lesions pose significant diagnostic difficulties for the surgical pathologist, especially in limited biopsy material, but their correct classification is becoming increasingly important for an app...

    journal_title:Histopathology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2559.2011.03813.x

    authors: Franchi A,Palomba A,Cardesa A

    更新日期:2011-12-01 00:00:00