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A New Ki-67 / E-Cadherin Cocktail Reduces Inter-observer Variation of the Calculated Proliferative Index

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Pathology & Oncology Research

Abstract

The proliferative index in breast carcinoma is usually calculated by the percentage of the Ki-67 positive cells out of the total number of malignant cells. In order to reduce the inter-observer variability of the calculated proliferative index a cocktail of antibodies against E-Cadherin and Ki-67 (Ki/Cad Cocktail) is presented. The cocktail was applied on 59 cases of infiltrating duct carcinoma of breast and compared to the consecutive slides stained for Ki-67 alone. The Ki/Cad cocktail has the advantage that by adding the anti E-Cadherin antibody, all the malignant epithelial cells are highlighted and can be differentiated from other proliferating cells. Statistical analysis proved that the cocktail increases the inter-observer agreement from 89 % to 97 % as compared to the Ki-67 alone and also reduces the overlap between the cancer grades.

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Acknowledgments

Mrs. Hanna Gertzmann and Mr. Faher Atili for thier technical support.

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Correspondence to Ohad Hilly.

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Bubis, G., Hilly, O., Bubis, R. et al. A New Ki-67 / E-Cadherin Cocktail Reduces Inter-observer Variation of the Calculated Proliferative Index. Pathol. Oncol. Res. 19, 875–879 (2013). https://doi.org/10.1007/s12253-013-9655-8

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  • DOI: https://doi.org/10.1007/s12253-013-9655-8

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