Use este identificador para citar o ir al link de este elemento: http://hdl.handle.net/1843/72460
Tipo: Artigo de Periódico
Título: Reproducibility, repeatability and level of difficulty of two methods for tumor budding evaluation in oral squamous cell carcinoma
Autor(es): Priscila Laiza Rubim Leão
Helvécio Marangon Junior
Victória Vasconcellos Moreira Melo
Ângela Braga Caixeta
Paulo Eduardo Alencar Souza
Maria Cassia Ferreira de Aguiar
Martinho Campolina Rebello Horta
Resumen: Background: This study aimed to analyze the reproducibility, repeatability, and level of difficulty of two methods for tumor budding evaluation in oral squamous cell carcinoma (OSCC): staining by hematoxylin and eosin (HE) and immunostaining for multicytokeratin. Methods: The evaluation of tumor budding was performed by three examiners in 103 samples of OSCC, using the two methods. A Likert-type scale was used to measure the difficulty in the assessment. The interexaminer agreement (reproducibility) was estimated using Fleiss's kappa and the intra-examiner agreement (repeatability) was estimated using Cohen's kappa. The agreement between the two methods was evaluated using Cohen's Kappa. The Friedman test was used to compare the three examiners' perceived levels of difficulty of assessment. The Wilcoxon test was used to compare the level of difficulty of the evaluation between the two methods. Results: Reproducibility by the immunostaining method for multicytokeratin was substantial, being higher than the only fair agreement by the HE. Repeatability by the HE ranged from moderate to substantial among examiners, regardless of the examiner's experience. Repeatability by the immunostaining method for multicytokeratin did not vary among examiners, showing almost perfect agreement. The agreement between the two methods ranged from fair to moderate among examiners, being lower in the less experienced examiner. All the examiners presented greater difficulty in the evaluation by the HE. Conclusion: In view of the unsatisfactory agreement between the two methods of tumor budding evaluation in OSCC, it is recommended that this evaluation should be performed by the immunostaining method for multicytokeratin, considering its higher reproducibility, greater replicability, and lower difficulty compared to the HE.
Asunto: Mouth neoplasms
Squamous cell carcinoma of head and neck
Color
Immune system
Hematoxylin
Keratins
Reproducibility of results
Evaluation study
Replica techniques
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Institución: UFMG
Departamento: FAO - DEPARTAMENTO DE CLÍNICA
Tipo de acceso: Acesso Restrito
Identificador DOI: https://doi.org/10.1111/jop.12578
URI: http://hdl.handle.net/1843/72460
Fecha del documento: 2017
metadata.dc.url.externa: https://onlinelibrary.wiley.com/doi/10.1111/jop.12578
metadata.dc.relation.ispartof: Journal of Oral Pathology & Medicine
Aparece en las colecciones:Artigo de Periódico

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