Comparison of the Ki-67 score and S-phase fraction as prognostic variables in soft-tissue sarcoma
1999

Ki-67 and S-phase as Prognostic Tools in Soft-Tissue Sarcoma

Sample size: 123 publication Evidence: moderate

Author Information

Author(s): Huuhtanen R L, Blomqvist C P, Wiklund T A, Böhling T O, Virolainen M J, Tukiainen E J, Tribukait B, Andersson L C

Primary Institution: Helsinki University Central Hospital

Hypothesis

Is Ki-67 a better prognostic variable than S-phase fraction in soft-tissue sarcoma?

Conclusion

Ki-67 is a useful prognostic tool for soft-tissue sarcoma patients, while S-phase fraction is less reliable at higher cut-point values.

Supporting Evidence

  • Ki-67 score correlated strongly with ploidy, S-phase fraction, and grade.
  • Ki-67 was a stronger predictor of metastasis-free survival and disease-specific overall survival than S-phase fraction.
  • S-phase fraction lost its prognostic power at higher cut-point values.

Takeaway

Doctors can use a test called Ki-67 to help predict how well patients with soft-tissue sarcoma will do, and it works better than another test called S-phase.

Methodology

Ki-67 scores were evaluated immunohistochemically and S-phase fractions were determined using flow cytometry from primary tumors.

Participant Demographics

All patients had either limb or superficial trunk tumors.

Statistical Information

P-Value

0.003 and 0.04

Statistical Significance

p=0.003 and p=0.04

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690151

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