Correlation of p63 immunoreactivity with tumor grade in meningiomas

Int J Surg Pathol. 2008 Jan;16(1):38-42. doi: 10.1177/1066896907306772.

Abstract

Predicting tumor behavior in meningiomas based on morphologic features alone remains difficult. The present study was undertaken to assess the correlation between p63 expression and histological grade of meningiomas. A total of 37 archival intracranial meningiomas were classified into 20 grade I, 13 grade II, and 4 grade III meningiomas. Using immunohistochemical methods, staining was scored based on nuclear and/or cytoplasmic distribution as follows: 0, no staining; 1, 50% or less of the cells; 2, more than 50% of the cells. Of grade I meningiomas, 95% (19/20) lacked nuclear p63 expression and none exhibited cytoplasmic staining. Overall, 92% of grade II tumors showed nuclear expression and 31% (4/13) showed cytoplasmic expression. Grade III tumors showed an overall nuclear expression of 75% (3/4) with all exhibiting cytoplasmic staining. Our results indicate a good correlation exists between histological grade and p63 protein expression, suggesting that p63 expression might be correlated with the clinical outcome.

MeSH terms

  • Biomarkers, Tumor / analysis
  • Humans
  • Immunohistochemistry
  • Ki-67 Antigen / metabolism
  • Membrane Proteins / biosynthesis*
  • Meningeal Neoplasms / metabolism*
  • Meningeal Neoplasms / pathology*
  • Meningioma / metabolism*
  • Meningioma / pathology*
  • Prognosis

Substances

  • Biomarkers, Tumor
  • CKAP4 protein, human
  • Ki-67 Antigen
  • Membrane Proteins