The importance of Ki-67 proliferation index in small cell lung cancer

Abstract Background As in numerous cancers, the connection between the Ki-67 proliferation index and response to treatment in cellular breakdown in the lungs is underlined. The purpose of this study was to investigate the connection between the Ki-67 proliferation index and radiotherapy’s therapeuti...

Full description

Saved in:
Bibliographic Details
Main Authors: Seda Beyhan Sağmen, Coşkun Doğan, Sevda Cömert, Nesrin Kıral, Elif Torun Parmaksız, Ali Fidan, Nagehan Ozdemir Barisik, Sule Karabulut Gul
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:The Egyptian Journal of Bronchology
Subjects:
Online Access:https://doi.org/10.1186/s43168-024-00357-z
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841544887072194560
author Seda Beyhan Sağmen
Coşkun Doğan
Sevda Cömert
Nesrin Kıral
Elif Torun Parmaksız
Ali Fidan
Nagehan Ozdemir Barisik
Sule Karabulut Gul
author_facet Seda Beyhan Sağmen
Coşkun Doğan
Sevda Cömert
Nesrin Kıral
Elif Torun Parmaksız
Ali Fidan
Nagehan Ozdemir Barisik
Sule Karabulut Gul
author_sort Seda Beyhan Sağmen
collection DOAJ
description Abstract Background As in numerous cancers, the connection between the Ki-67 proliferation index and response to treatment in cellular breakdown in the lungs is underlined. The purpose of this study was to investigate the connection between the Ki-67 proliferation index and radiotherapy’s therapeutic and survival effects in small cell lung cancer. Methods The limited-stage small cell lung cancer patients in our hospital were retrospectively reviewed. Patients receiving standard chemoradiotherapy were included in the study. Age, sex, cancer stage, comorbidities, response to treatment, and survival time were recorded. Bronchoscopic or transthoracic lung biopsy specimens which were taken at the time of diagnosis were stained with the Ki-67 immunohistochemical stain. Survival of patients and treatment response were compared statistically with the Ki-67 values. Results The Ki-67 proliferation index (62.29 ± 7.52) was lower in patients with partial response than in patients with complete response (77.08 ± 2.84) (p < 0.001). When the correlation between survival time and Ki-67 was examined, there was a positive correlation between the Ki-67 and survival time (p: 0.019; r: 0.426). The patients were divided into two groups: Ki-67 < 68.70 and Ki-67 ≥ 68.70. In patients with Ki-67 ≥ 68.70, the survival rate was better than that of patients with Ki-67 < 68.70 (p: 0.012). In Cox regression analysis, Ki-67 PI < 68.7 was found that increased mortality by 2742 times independently. Conclusions Patients with a high Ki-67 had a better survival effect than those with low Ki-67, and patients with complete responses had a higher Ki-67 value.
format Article
id doaj-art-59afec93f49341859df481d7187fa87c
institution Kabale University
issn 2314-8551
language English
publishDate 2025-01-01
publisher SpringerOpen
record_format Article
series The Egyptian Journal of Bronchology
spelling doaj-art-59afec93f49341859df481d7187fa87c2025-01-12T12:11:14ZengSpringerOpenThe Egyptian Journal of Bronchology2314-85512025-01-011911710.1186/s43168-024-00357-zThe importance of Ki-67 proliferation index in small cell lung cancerSeda Beyhan Sağmen0Coşkun Doğan1Sevda Cömert2Nesrin Kıral3Elif Torun Parmaksız4Ali Fidan5Nagehan Ozdemir Barisik6Sule Karabulut Gul7Department of Pulmonary Medicine, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Health Science UnvDepartment of Pulmonary Medicine, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Health Science UnvDepartment of Pulmonary Medicine, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Health Science UnvDepartment of Pulmonary Medicine, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Health Science UnvDepartment of Pulmonary Medicine, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Health Science UnvDepartment of Pulmonary Medicine, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Health Science UnvDepartment of Pathology, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Health Science UnvDepartment of Radiation Oncology, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Health Science UnvAbstract Background As in numerous cancers, the connection between the Ki-67 proliferation index and response to treatment in cellular breakdown in the lungs is underlined. The purpose of this study was to investigate the connection between the Ki-67 proliferation index and radiotherapy’s therapeutic and survival effects in small cell lung cancer. Methods The limited-stage small cell lung cancer patients in our hospital were retrospectively reviewed. Patients receiving standard chemoradiotherapy were included in the study. Age, sex, cancer stage, comorbidities, response to treatment, and survival time were recorded. Bronchoscopic or transthoracic lung biopsy specimens which were taken at the time of diagnosis were stained with the Ki-67 immunohistochemical stain. Survival of patients and treatment response were compared statistically with the Ki-67 values. Results The Ki-67 proliferation index (62.29 ± 7.52) was lower in patients with partial response than in patients with complete response (77.08 ± 2.84) (p < 0.001). When the correlation between survival time and Ki-67 was examined, there was a positive correlation between the Ki-67 and survival time (p: 0.019; r: 0.426). The patients were divided into two groups: Ki-67 < 68.70 and Ki-67 ≥ 68.70. In patients with Ki-67 ≥ 68.70, the survival rate was better than that of patients with Ki-67 < 68.70 (p: 0.012). In Cox regression analysis, Ki-67 PI < 68.7 was found that increased mortality by 2742 times independently. Conclusions Patients with a high Ki-67 had a better survival effect than those with low Ki-67, and patients with complete responses had a higher Ki-67 value.https://doi.org/10.1186/s43168-024-00357-zSmall cell lung cancerKi-67Survival
spellingShingle Seda Beyhan Sağmen
Coşkun Doğan
Sevda Cömert
Nesrin Kıral
Elif Torun Parmaksız
Ali Fidan
Nagehan Ozdemir Barisik
Sule Karabulut Gul
The importance of Ki-67 proliferation index in small cell lung cancer
The Egyptian Journal of Bronchology
Small cell lung cancer
Ki-67
Survival
title The importance of Ki-67 proliferation index in small cell lung cancer
title_full The importance of Ki-67 proliferation index in small cell lung cancer
title_fullStr The importance of Ki-67 proliferation index in small cell lung cancer
title_full_unstemmed The importance of Ki-67 proliferation index in small cell lung cancer
title_short The importance of Ki-67 proliferation index in small cell lung cancer
title_sort importance of ki 67 proliferation index in small cell lung cancer
topic Small cell lung cancer
Ki-67
Survival
url https://doi.org/10.1186/s43168-024-00357-z
work_keys_str_mv AT sedabeyhansagmen theimportanceofki67proliferationindexinsmallcelllungcancer
AT coskundogan theimportanceofki67proliferationindexinsmallcelllungcancer
AT sevdacomert theimportanceofki67proliferationindexinsmallcelllungcancer
AT nesrinkıral theimportanceofki67proliferationindexinsmallcelllungcancer
AT eliftorunparmaksız theimportanceofki67proliferationindexinsmallcelllungcancer
AT alifidan theimportanceofki67proliferationindexinsmallcelllungcancer
AT nagehanozdemirbarisik theimportanceofki67proliferationindexinsmallcelllungcancer
AT sulekarabulutgul theimportanceofki67proliferationindexinsmallcelllungcancer
AT sedabeyhansagmen importanceofki67proliferationindexinsmallcelllungcancer
AT coskundogan importanceofki67proliferationindexinsmallcelllungcancer
AT sevdacomert importanceofki67proliferationindexinsmallcelllungcancer
AT nesrinkıral importanceofki67proliferationindexinsmallcelllungcancer
AT eliftorunparmaksız importanceofki67proliferationindexinsmallcelllungcancer
AT alifidan importanceofki67proliferationindexinsmallcelllungcancer
AT nagehanozdemirbarisik importanceofki67proliferationindexinsmallcelllungcancer
AT sulekarabulutgul importanceofki67proliferationindexinsmallcelllungcancer