Anal intraepithelial neoplasia, AIN

Human papilloma virus is a major factor in the aetiology of anal intraepithelial neoplasia.

Epidemiology

The incidence of both anal intraepithelial neoplasia and invasive carcinoma is increasing in sexually active homosexual men.

Immunohistochemistry

p16 and Ki67 may be useful in the identification of AIN:

   

 

Normal

Condyloma

AIN I

AIN II

AIN III

 

p16

spotty staining of more than 10% of squamous cells

3/371

1/121

2/141

3/251

2/161

contiguous staining of more than 90% of squamous cells

1/371

0/121

3/141

20/251

14/161

Ki67

<25% positive nuclei

35/371

7/121

6/141

3/251

1/161

25-50% positive nuclei

3/271

5/121

4/141

10/251

3/161

50-75% positive nuclei

 

 

4/141

7/251

7/161

75-100% positive nuclei

 

 

 

5/251

5/161

             

References

1 Walts AE, Lechago J,Bose S. P16 and Ki67 Immunostaining is a Useful Adjunct in the Assessment of Biopsies for HPV-Associated Anal Intraepithelial Neoplasia. Am J Surg Pathol 2006; 30:795-801

This page last revised 23.7.2006.

©SMUHT/PW Bishop