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Prognostic significance of Ki67 evaluated by flow cytometry in dogs with high‐grade B‐cell lymphoma
Authors:A Poggi  B Miniscalco  E Morello  F Gattino  A Delaude  L Ferrero Poschetto  L Aresu  M E Gelain  V Martini  S Comazzi  F Riondato
Affiliation:1. Department of Veterinary Sciences, University of Turin, Grugliasco, Italy;2. Department of Comparative Biomedicine and Food Science, University of Padua, Legnaro, Italy;3. Department of Veterinary Sciences and Public Health, University of Milan, Milan, Italy
Abstract:Ki67 can discriminate between high‐ and low‐grade canine lymphomas, but its prognostic role in specific subtypes of the neoplasm is unknown. We assessed the prognostic significance of Ki67% (percentage of Ki67‐positive cells), evaluated by flow cytometry, in 40 dogs with high‐grade B‐cell lymphoma, treated with a modified Wisconsin–Madison protocol (UW‐25). The following variables were investigated for association with lymphoma specific survival (LSS) and relapse free interval (RFI): Ki67%, breed, sex, age, stage, substage, complete remission (CR). By multivariate analysis, Ki67% (P = 0.009) and achievement of CR (P = 0.001) were independent prognostic factors for LSS. Dogs with intermediate Ki67% (20.1–40%) presented longer LSS and RFI (median = 866 and 428 days, respectively) than dogs with low (median = 42 days, P < 0.001; median = 159 days, P = 0.014) or high (median = 173 days, P = 0.038; median = 100 days, P = 0.126) values. Determination of Ki67 is a prognostic tool that improves the clinical usefulness of flow cytometric analysis in canine high‐grade B‐cell lymphoma.
Keywords:dog  flow cytometry  Ki67  lymphoma  prognosis
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