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Dave et al. J Cancer Metastasis Treat 2016;2:436-42                                 Journal of
           DOI: 10.20517/2394-4722.2015.82
                                                             Cancer Metastasis and Treatment

                                                                                               www.jcmtjournal.com
            Original Article                                                                    Open Access


           Nibrin expression in oral squamous

           cell carcinoma: association with

           clinicopathological parameters



           Jigna H. Dave, Hemangini H. Vora, Trupti I. Trivedi, Nandita R. Ghosh

           Division of Molecular Endocrinology, Department of Cancer Biology, the Gujarat Cancer and Research Institute, Asarwa, Ahmedabad 380016, India.

           Correspondence to: Dr. Nandita R. Ghosh, Division of Molecular Endocrinology, Department of Cancer Biology, the Gujarat Cancer and Research
           Institute, Asarwa, Ahmedabad 380016, India. E-mail: nandita.ghosh@gcriindia.org
           How to cite this article: Dave JH, Vora HH, Trivedi TI, Ghosh NR. Nibrin expression in oral squamous cell carcinoma: association with
           clinicopathological parameters. J Cancer Metastasis Treat 2016;2:436-42.

                                         ABSTRACT
            Article history:              Aim: The present study sought to discover the role of Nibrin protein in 100 patients with oral
            Received: 02-11-2015          squamous cell carcinoma (OSCC) and its potential relationship with clinicopathological
            Accepted: 08-11-2016          parameters. Methods: Nibrin expression was evaluated immunohistochemically using the
            Published: 25-11-2016         modified H-score method. Results: The present study included 20% of patients with stage
                                          I disease, 22% of patients with stage II disease, 18% of patients with stage III disease, and
            Key words:                    40% of patients with stage IV disease. Nibrin showed a significant positive correlation
            Nibrin protein expression,    with moderately/poorly differentiated tumor tissues (P = 0.028), while significant inverse
            oral squamous cell carcinoma,  correlation of Nibrin expression was observed with tumor size (P = 0.018) and tumor stage
            clinicopathological parameters  (P = 0.039). Further, using univariate survival analysis it was observed that strong Nibrin
                                          expression was significantly associated with disease relapse in early stage OSCC patients
                                          (P = 0.049). Conclusion: Thus, the present study revealed that Nibrin could be used as a
                                          prognostic marker in patients with early stage OSCC.

           INTRODUCTION                                       cell carcinoma (OSCC) is the leading cause of death
                                                              which stands for 35-40% of all malignancies which is
           Carcinomas of  the  oral cavity,  including  cancer   owed to the increased prevalence of lifestyle habits like
           originating  from  the buccal mucosa and tongue are   chewing areca-nut/betel nut quid/tobacco and smoking
           of 10 most common cancers in the world with an     with heavy alcohol consumption serving as a potent
           increasing  trend of incidence. [1,2]  Squamous cell   cofactor. [4-6]   The survival of patients with oral cancer
           carcinoma  (SCC) is the most common  type of oral   has remained unchanged  even with the improved
           cancer  which  accounts  for more than 90%  of oral   therapeutic modalities, over the last 3 decades.
                                                                                                             [4]
           malignancies which is characterized by an aggressive   The resultant poor prognosis is owed to a late stage
           growth pattern, high-degree of local invasiveness, and   diagnosis, low  response rate  to  current therapeutic
           cervical lymph node spread. [1,3]  In India, oral squamous   strategies, high risk of primary site recurrence and

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