163637

Application of EGFR, ki 67 and GFAP as a panel for the diagnosis and grading of astrocytomas

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Cellular and molecular targeting

Abstract

Background: Astrocytic tumors are the most common primary central nervous system tumors. WHO grading scheme is based on the presence or absence of the following four histological parameters using haematoxylin and eosin (H&E) staining:  cellular atypia (WHO grade II), mitotic figures (WHO grade III), endothelial proliferation, and/or necrosis (WHO grade IV). Immunohistochemistry (IHC) has become an essential tool in diagnosis of brain tumors and helps in predicting the prognosis of certain brain including astrocytomas. Aim: Study the immunohistochemical expressions of (Epidermal growth factor receptor (EGFR), Ki67 and Glial fibrillary acidic protein (GFAP)) in different grades of astrocytomas. Materials and Methods: This study included 44 cases of astrocytomas classified as: 3 pilocytic astrocytomas, 6 diffuse low grade astrocytomas, 15 anaplastic astrocytomas and 20 glioblastoma multiforms. Immunohistochemical staining of all cases using EGFR, Ki67 and GFAP was done. Results: EGFR showed positive membranous and cytoplasmic expression in 33 (75%) cases, GFAP positive staining was detected in 38 (86.4%) of studied cases while all astrocytomas of different grades showed ki67 positivity with variable degrees with the mean ±  SEM of Ki67 LI 17.76% ± 2.46. There was statistically significant relation between EGFR, Ki 67 and GFAP expression and tumor grade. Conclusions: EGFR, Ki 67 and GFAP should be used in combination as a panel side by side with established histological criteria of malignancy and WHO grading system for accurate diagnosis and grading of astrocytic tumors.

DOI

10.21608/jcbr.2020.47290.1085

Keywords

astrocytoma, eGFR, Ki 67, GFAP

Authors

First Name

Aliaa

Last Name

Atef

MiddleName

-

Affiliation

Ass. Professor of Pathology, Faculty of medicine, Tanta university

Email

dr-aliaaatef@hotmail.com

City

Tanta

Orcid

-

First Name

Mohamed

Last Name

El-Rashidy

MiddleName

Ali

Affiliation

Pathology department, Faculty of medicine, Tanta university , Tanta, Egypt.

Email

mohamedrashidy@yahoo.com

City

tanta

Orcid

-

Volume

5

Article Issue

2

Related Issue

24923

Issue Date

2021-06-01

Receive Date

2020-10-21

Publish Date

2021-06-01

Page Start

123

Page End

132

Print ISSN

2682-261X

Online ISSN

2682-2628

Link

https://jcbr.journals.ekb.eg/article_163637.html

Detail API

https://jcbr.journals.ekb.eg/service?article_code=163637

Order

10

Type

Original Article

Type Code

885

Publication Type

Journal

Publication Title

International Journal of Cancer and Biomedical Research

Publication Link

https://jcbr.journals.ekb.eg/

MainTitle

Application of EGFR, ki 67 and GFAP as a panel for the diagnosis and grading of astrocytomas

Details

Type

Article

Created At

22 Jan 2023