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Ki-67 marker useful for classification of malignant invasive ductal breast cancer

Irmawati Hassan, Twidy Tarcisia, Agnestina Agnestina, Santoso Cornain, I Made Nasar
Submission date: Monday, 07 December 2015
Published date: Monday, 07 December 2015
DOI: http://dx.doi.org/10.18051/UnivMed.2013.v32.179-186

Abstract


BACKGROUND
Breast cancer is an important health problem in the world. Uncontrolled cell proliferation represents a malignant characteristic of neoplasia such as breast cancer, and can be examined immunohistochemically by measuring the Ki-67 proliferative marker. The objective of this study was to determine the role of Ki-67 for classification of the degree of malignancy in women with invasive ductal breast cancer.

METHODS
A cross-sectional study was conducted on 20 women with invasive ductal breast cancer. The samples were immuno-histochemically tested for Ki-67 using anti-Ki-67 primary antibody. The Ki-67 proliferative index was determined by enumerating the proportion of Ki-67 positive nuclei among the total number of cells in ten areas observed at 400x magnification, using a 20% cut-off value to distinguish between low and high proliferative indices. Statistical analysis was by means of the chi-square test.
    
RESULTS
Seventy five persent of the high grade malignancies had a high Ki-67 proliferative index (>20%), while only 12.5% of the low grade malignancies had a high Ki-67 index (>20%). The difference in grade malignancy was statistically significant (p=0.022), whereas tumor size was not associated with a statistically significant difference in Ki-67 index (p=0.648).

CONCLUSION
The study showed that invasive ductal breast cancer with high Ki-67 index was significantly associated with high grade of malignacy. The high Ki-67 marker index can be used for classification of the grade of malignancy of invasive ductal breast cancer.

Keywords


Ki-67 proliferative index; grading; ductal invasive breast cancer

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