Medical academic journalMedical academic journal1608-41012687-1378Eco-Vector997510.17816/MAJ1113-11Research ArticleMorphological markers in skin basal cell carcinoma prognosisAnichkovN M-ChuprovI Nigorchuprov@gmail.comMechnikov State Academy of Medicine, St. PetersburgMedical Academy of Postgraduate Edication, St. Petersburg1503201111131103092018Copyright © 2011, Anichkov N.M., Chuprov I.N.2011The morphological and immunohistochemical study using p53, Ki-67, bcl-2, E-cadherin, CK8, CK19, VEGF, collagen IV, vimentin, desmin, CD4, CD8, CD68, CD31 in 47.skin basal-cell carcinomas (SBCC) was carried out to reveal the diversity between various types of the tumor. The clinical course of the SBCC strongly depends on the topographical kind, proliferative activity and stromal reactions. The prognostic value of these morphological markers is discussed.skinbasal cell carcinomaimmunohistochemistryprognosisкожабазально-клеточный ракиммуногистохимияпрогноз[Дерматоонкология / под ред. Г. А. Галил-Оглы, В. А. Молочкова, Ю. В. Сергеева. М.: Медицина для всех, 2005. 872 с.][Дубенский В. В., Гармонов А. А. Современные аспекты эпидемиологии, патогенеза, клиники и лечения базально-клеточного рака кожи // Вести, дерматол. и венерол. 2004. № 6. С. 7-12.][Снарская Е. С., Молочков В. А. Базалиома. М.: Медицина, 2003. 324 с.][Anthouli-Anagnostopoulou F., Hatziolou Е. Recurrent morphean basal cell carcinoma of the skin. A clinico- histopathological study of 97 cases // Adv. Clin. Path. 2002. № 1. P. 17-24.][Collins G. L., Nickoonahand N., Morgan M. B. Changing demographics and pathology of nonmelanoma skin cancer in the last 30 years // Semin. Cutan. Med. Surg. 2004. № 1. P. 80-83.][Chin C.W., Foss A.J., Stevens A., Lowe J. Differences in the vascular patterns of basal and squamous cell skin carcinomas explain their differences in clinical behaviour // J. Pathol. 2003. № 3. P. 308-313.][Emmett A. J. Surgical analysis and biological behaviour of 2277 basal cell carcinomas // Aust. N-Z. J. Surg. 1990. № 11. P.855-863.][El-Bahrawy M., El-Masry N., Alison M. et al. Expression of beta-catenin in basal cell carcinoma // Br. J. Dermatol. 2003. № 5. P. 964-970.][Paavilainen V, Aaltonen М., Tuominen J., Saari K.M. Histological characteristics of basal cell carcinoma of the eyelid // Ophthalmic. Res. 2007. № 1. R 45-48.][Kaur R, Mulvaney M., Carlson J. A. Basal cell carcinoma progression correlates with host immune response and stromal alterations: a histologic analysis //Am. J. Dermatopathol. 2006. №4. R 293-307.][Cernea C. R., Ferraz A. R., de Castro 1. V. et al. p53 and skin carcinomas with skull base invasion: a case- control study // Otolaryngol. Head. Neck. Surg. 2006. №3. R 471-475.][Panuncio A., Vignale R., Lopez G. Immunohisto- chemical study of nerve fibres in basal cell carcinoma // Eur. J. Dermatol. 2003. № 3. P. 250-253.][Pathology and genetics of skin tumors. WHO classification of tumors / Ed. by P. E. LeBoit, G. Burg, D. Weedon, A. Sarasin. Lyon: IARCPress, 2006. 357 p.][Quatresooz P., Martalo O., Pierard G. E. Differential expression of alpha 1 (IV) and alpha5 (IV) collagen chains in basal-cell carcinoma // J. Cutan. Pathol. 2003. № 9. P. 548-552.][Scrivener Y., Grosshans E., Cribier B. Variations of basal cell carcinomas according to gender, age, location and histopathological subtype // Br. J. Dermatol. 2002. №1. P.41-47.][Bertheim U., Hofer P. A., Engstrom-Laurent A., Hellstrom S. The stromal reaction in basal cell carcinomas. A prerequisite for tumour progression and treatment strategy // Br. J. Plast. Surg. 2004. № 5. P. 429-439.][Williams L. S., Mancuso A. A., Mendenhall W. M. Perineural spread of cutaneous squamous and basal cell carcinoma: CT and MR detection and its impact on patient management and prognosis // Int. J. Radiat. Oncol. Biol. Phys. 2001. № 4. P. 1061-1069.]