Clinical Radiological and Immunohistochemical Profile of Non Small Cell Lung Carcinoma
Objectives: To evaluate clinical, radiological and immunohistochemichal profile of non small cell
lung carcinoma (NSCLC). Settings and study design: A cross sectional study conducted among
all diagnosed cases of primary lung malignancy in the Department of Respiratory
Medicine MES Medical College Perinthalmanna . Materials and methods: The 41 biopsy proven cases of NSCLC was
studied during a period of 1 ½ years, A detailed history, clinical evaluation
and the relevant investigation is done, small biopsy specimens are collected, a
histopathological evaluation was done and the markers Thyroid Transcription
Factor-1(TTF1), Epidermal Growth Factor
Receptor (EGFR) and p-63 status was determine by immunohistochemistry(IHC)
Results: Of the 41 cases, Squamous
cell carcinoma was the predominant histological type with a male predominance
and a peak incidence in 61-70 yrs of age. (58.53%) cases showed EGFR positivity.
TTF1 positivity was predominant with adenocarcinoma and p63 positivity with
squamous cell carcinoma. Smoking status and EGFR in adenocarcinoma shown that
there is a significant number of EGFR positivity associated with non-smokers
and all were females. The study could attain a 85.71% sensitivity and 92.59%
specificity for ttf1 in adenocarcinoma and 88% sensitivity and 100% specificity
for p63 in squamous cell carcinoma. Conclusion:
IHC can be used as a rapid and effective tool for diagnosing the histologic
type of NSCLC because of its high sensitivity and specificity. In
adenocarcinoma, there is a significant number of EGFR positivity associated
with non-smokers females.
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