{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T19:33:14Z","timestamp":1776108794171,"version":"3.50.1"},"reference-count":37,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T00:00:00Z","timestamp":1603929600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"ERDF &quot;One day to Europe&quot;","award":["PI17\/00772"],"award-info":[{"award-number":["PI17\/00772"]}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI17\/00772"],"award-info":[{"award-number":["PI17\/00772"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJMS"],"abstract":"<jats:p>Human papillomavirus (HPV)-independent vulvar squamous cell carcinomas (VSCC) and its precursors frequently harbour TP53 mutations. Recently, six p53 immunohistochemical (IHC) patterns have been defined, which have shown strong correlation with TP53 mutation status. However, few studies have applied this new six-pattern framework and none of them exhaustively compared p53 IHC positivity and patterns between invasive VSCC and adjacent skin lesion. We performed p53 IHC in a series of 779 HPV-independent VSCC with adjacent skin and evaluated the IHC slides following the newly described classification. Some 74.1% invasive VSCC showed abnormal p53 IHC staining. A skin lesion was identified in 450 cases (57.8%), including 254 intraepithelial precursors and 196 inflammatory\/reactive lesions. Two hundred and ten of 450 (47%) VSCC with associated skin lesions showed an abnormal p53 IHC stain, with an identical staining pattern between the VSCC and the adjacent skin lesion in 80% of the cases. A total of 144\/450 (32%) VSCC showed wild-type p53 IHC both in the invasive VSCC and adjacent skin lesion. Finally, 96\/450 (21%) VSCC showed p53 IHC abnormal staining in the invasive VSCC but a wild-type p53 staining in the skin lesion. Most of the discordant cases (70\/96; 73%) showed adjacent inflammatory lesions. In conclusion, the p53 IHC staining and pattern are usually identical in the VSCC and the intraepithelial precursor.<\/jats:p>","DOI":"10.3390\/ijms21218091","type":"journal-article","created":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T21:21:00Z","timestamp":1604006460000},"page":"8091","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["p53 Immunohistochemical Patterns in HPV-Independent Squamous Cell Carcinomas of the Vulva and the Associated Skin Lesions: A Study of 779 Cases"],"prefix":"10.3390","volume":"21","author":[{"given":"Natalia","family":"Rakislova","sequence":"first","affiliation":[{"name":"Department of Pathology, ISGlobal, Hospital Cl\u00ednic\u2014Universitat de Barcelona, 08036 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laia","family":"Alemany","sequence":"additional","affiliation":[{"name":"Unit of Infections and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, IDIBELL, 08908 L\u2019Hospitalet de Llobregat, Spain"},{"name":"CIBER Epidemiologia y Salud P\u00fablica, 28029 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Clavero","sequence":"additional","affiliation":[{"name":"Unit of Infections and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, IDIBELL, 08908 L\u2019Hospitalet de Llobregat, Spain"},{"name":"CIBER Epidemiologia y Salud P\u00fablica, 28029 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adela","family":"Saco","sequence":"additional","affiliation":[{"name":"Department of Pathology, ISGlobal, Hospital Cl\u00ednic\u2014Universitat de Barcelona, 08036 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aureli","family":"Torn\u00e9","sequence":"additional","affiliation":[{"name":"Institute of Gynecology, Obstetrics and Neonatology, Hospital Cl\u00ednic\u2014Institut d\u00b4Investigacions Biom\u00e8diques August Pi I Sunyer (IDIBAPS), Faculty of Medicine-University of Barcelona, 08036 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2178-2403","authenticated-orcid":false,"given":"Marta","family":"del Pino","sequence":"additional","affiliation":[{"name":"Institute of Gynecology, Obstetrics and Neonatology, Hospital Cl\u00ednic\u2014Institut d\u00b4Investigacions Biom\u00e8diques August Pi I Sunyer (IDIBAPS), Faculty of Medicine-University of Barcelona, 08036 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meritxell","family":"Munmany","sequence":"additional","affiliation":[{"name":"Institute of Gynecology, Obstetrics and Neonatology, Hospital Cl\u00ednic\u2014Institut d\u00b4Investigacions Biom\u00e8diques August Pi I Sunyer (IDIBAPS), Faculty of Medicine-University of Barcelona, 08036 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Rodrigo-Calvo","sequence":"additional","affiliation":[{"name":"Department of Pathology, ISGlobal, Hospital Cl\u00ednic\u2014Universitat de Barcelona, 08036 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Guerrero","sequence":"additional","affiliation":[{"name":"Department of Pathology, ISGlobal, Hospital Cl\u00ednic\u2014Universitat de Barcelona, 08036 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorena","family":"Marimon","sequence":"additional","affiliation":[{"name":"Department of Pathology, ISGlobal, Hospital Cl\u00ednic\u2014Universitat de Barcelona, 08036 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6937-8077","authenticated-orcid":false,"given":"Naiara","family":"Vega","sequence":"additional","affiliation":[{"name":"Department of Pathology, ISGlobal, Hospital Cl\u00ednic\u2014Universitat de Barcelona, 08036 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Quir\u00f3s","sequence":"additional","affiliation":[{"name":"Unit of Infections and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, IDIBELL, 08908 L\u2019Hospitalet de Llobregat, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belen","family":"Lloveras","sequence":"additional","affiliation":[{"name":"Department of Pathology, Hospital del Mar, 08003 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inmaculada","family":"Ribera-Cortada","sequence":"additional","affiliation":[{"name":"Department of Pathology, ISGlobal, Hospital Cl\u00ednic\u2014Universitat de Barcelona, 08036 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Alejo","sequence":"additional","affiliation":[{"name":"Department of Pathology, Hospital General d\u2019Hospitalet, 08906 L\u2019Hospitalet de Llobregat, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Pawlita","sequence":"additional","affiliation":[{"name":"Division of Molecular Diagnostics of Oncogenic Infections, Research Program Infection, Inflammation and Cancer, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wim","family":"Quint","sequence":"additional","affiliation":[{"name":"DDL Diagnostic Laboratory, 2288 Rijswijk, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"de Sanjose","sequence":"additional","affiliation":[{"name":"National Cancer Institute (NCI), Rockville, MD 20850, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaume","family":"Ordi","sequence":"additional","affiliation":[{"name":"Department of Pathology, ISGlobal, Hospital Cl\u00ednic\u2014Universitat de Barcelona, 08036 Barcelona, Spain"},{"name":"CIBER Epidemiologia y Salud P\u00fablica, 28029 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"VVAP Study Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,10,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1111\/his.12034","article-title":"Pathways of vulvar intraepithelial neoplasia and squamous cell carcinoma","volume":"62","author":"Ordi","year":"2013","journal-title":"Histopathology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1016\/j.currproblcancer.2018.06.008","article-title":"Human papillomavirus and nonhuman 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Dermatopathol."}],"container-title":["International Journal of Molecular Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1422-0067\/21\/21\/8091\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:26:43Z","timestamp":1760178403000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1422-0067\/21\/21\/8091"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,29]]},"references-count":37,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2020,11]]}},"alternative-id":["ijms21218091"],"URL":"https:\/\/doi.org\/10.3390\/ijms21218091","relation":{},"ISSN":["1422-0067"],"issn-type":[{"value":"1422-0067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,29]]}}}