The identification of the proliferative activity in tumours may be use
ful to predict the biological behaviour of different lesions. Prolifer
ating cell nuclear antigen (PCNA) has been used for the evaluation of
the proliferative ability of many lesions. In this study 22 ameloblast
omas (4 follicular, 5 plexiform, 4 acanthomatous, 5 unicystic, 3 recur
rent), 12 odontogenic keratocysts (OKC), 8 dentigerous cysts (DC), and
12 radicular cysts (RC) were analysed. PCNA+ cells were present in al
l cyst types but the OKC contained the highest number of PCNA + cells.
In OKC the location of PCNA + cells was mainly suprabasal. In amelobl
astoma PCNA+ cells were located mainly in the peripheral portion of th
e tumour islands. Statistical analysis showed that ameloblastoma had h
igher PCNA + cell counts than OKC (P < 0.0001); OKC had higher values
than DC and RC (P < 0.0001). Recurrent ameloblastoma presented higher
PCNA + cell counts than other types of ameloblastoma, while unicystic
ameloblastoma showed lower values than acanthomatous, plexiform and fo
llicular ameloblastomas tin this latter case the difference was not st
atistically significant). These data could help to explain the differe
nt biological behaviour of these lesions. (C) 1998 Elsevier Science Lt
d. All rights reserved.