Jc. Cheville et al., EVALUATION OF KI-67 (MIB-1) IN PLACENTAS WITH HYDROPIC CHANGE AND PARTIAL AND COMPLETE HYDATIDIFORM MOLE, PEDIATRIC PATHOLOGY & LABORATORY MEDICINE, 16(1), 1996, pp. 41-50
The separation of complete from partial hydatidiform mole and of parti
al mole from placentas with hydropic change on gross and microscopic e
valuation can be difficult, and ploidy provides important diagnostic i
nformation. We applied an immunohistochemical marker of proliferation,
Ki-67 (MIB-1), to 10 complete moles, 11 partial moles, and 8 placenta
s with hydropic change to determine whether growth fraction differs in
these three placentas and can aid in diagnosis. Ploidy was confirmed
using flow cytometry and fluorescence in situ hybridization with probe
s to chromosomes 7 and 2. The Ki-67-determined growth fractions (numbe
r of positive cells/total number of cells) for villous stromal cells,
cytotrophoblast, and proliferating trophoblast were evaluated separate
ly by counting 200 cells of each population. Growth fraction on stroma
did not differ among the three entities. Mean percent growth fraction
for cytotrophoblast was 13.3% for hydropic change, 14.6% in partial m
oles and 38.7% in complete moles (P = .004 hydropic change to complete
moles, P = .003 partial moles to complete moles). There was no signif
icant difference between hydropic change and partial mole. Mean percen
t growth fraction for proliferating trophoblast was 38.5% in hydropic
change, 25.9% in partial moles, and 67.1% in complete moles (P = .08 h
ydropic change to complete moles, P = .004 partial moles to complete m
oles). Again, no significant difference was identified between hydropi
c change and partial moles. Ploidy analysis using fluorescence in situ
hybridization and flow cytometry confirmed diploidy in hydropic chang
e and complete moles and triploidy in partial moles. Ki-67 may be usef
ul in separating complete moles from partial moles but not partial mol
es from hydropic change.