Turkish Journal of Pathology

Türk Patoloji Dergisi

Turkish Journal of Pathology

Ankara Patoloji Bülteni Archive

2000, Vol 17, Num, 3     (Pages: 138-143)

Prognostic Significance of bcl-2, p53, Ki-67 Expressions and Basement Membrane Accumulation in Non-Small Cell Lung Carcinomas Treated by Surgically

Deniz Yamaç1, Ayşe Dursun2, Aylar Poyraz2, Can Öztürk3, Belgin Samurkaşoğlu4, Gülnur Önde4

1Gazi Üniversitesi Tıp Fakültesi Medikal Onkoloji Bilim Dalı, Ankara
2Gazi Üniversitesi Tıp Fakültesi Patoloji Anabilim Dalı, Ankara
3Gazi Üniversitesi Tıp Fakültesi Göğüs Hastalıkları Anabilim Dalı, Ankara
4Gazi Üniversitesi Tıp Fakültesi Göğüs Hastalıkları ve Göğüs Cerrahisi Merkezi, Ankara


Surgical treatment is essential for early stage non-small cell lung cancer (NSCLC). It is necessary to elucidate high risk patients in lung cancer because even patients operated in early stages admit with recurrences. In order to determine the prognosis besides clinicoptahologic parameters some molecular markers are currently used. The aim of this study is to evaluate the relation between p53, bcl-2 expressions, proliferation activity, basal membrane pattern and clinicopathological findings and prognosis. Histopathological properties of operated 40 patients were evaluated and immunohistochemical studies were done with p53, bcl-2, Ki-67 and collagen type IV. There were 9 adeno Ca, 2 adenosquamous Ca, 3 large cell Ca and 26 squamous cell carcinoma. The was a significant correlation between tumour differentiation, vascular invasion and survival (P=0,03, P=0,03). No relation was found between histopatological parameters and p53, bcl-2, Ki-67 immunoreactivity and basement membrane staining pattern. There was only correlation between Ki-67 immunoreactivity and survival (P=0,02). As a result besides some clinicopathological parameters proliferation activity was also found as a prognostic criterion. Prognostic significance of p53, bcl-2 basal membrane staining pattern are controversial.

Keywords : Küçük hücreli dışı akciğer kanserleri, p53, bcl-2, Ki-67, kollajen tip IV, prognoz.