Evidence map›Paper›PMID 39872294›Full record

ArticleResearch and reports in urology2025

The Role of Immunohistochemistry for AMACR/p504s and p63 in Distinguishing Prostate Cancer from Benign Prostate Tissue Samples in Botswana.

Pleasure Ramatlho, Moses Muganyizi Rugemalila, Leabaneng Tawe, Debanjan Pain, Ontlametse T Choga, Andrew Khulekani Ndlovu, Moses O Koobotse, Priti Lal, Timothy R Rebbeck, Giacomo M Paganotti and 2 more

Abstract read
In one paragraph

Article in Research and reports in urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Pleasure RamatlhoSchool of Allied Health Professions, Faculty of Health Sciences, University of Botswana, Gaborone, Botswana.ORCID 0000-0002-4314-8377
Moses Muganyizi RugemalilaDepartment of Pathology, Faculty of Medicine, University of Botswana, Gaborone, Botswana.ORCID 0000-0003-0701-8556
Leabaneng TaweSchool of Allied Health Professions, Faculty of Health Sciences, University of Botswana, Gaborone, Botswana.
Debanjan PainDepartment of Medicine (Hematology-Oncology), University of Pennsylvania, Philadelphia, PA, USA.
Ontlametse T ChogaSchool of Allied Health Professions, Faculty of Health Sciences, University of Botswana, Gaborone, Botswana.
Andrew Khulekani NdlovuSchool of Allied Health Professions, Faculty of Health Sciences, University of Botswana, Gaborone, Botswana.ORCID 0000-0002-8775-3966
Moses O KoobotseSchool of Allied Health Professions, Faculty of Health Sciences, University of Botswana, Gaborone, Botswana.
Priti LalHospital of University of Pennsylvania, Philadelphia, PA, USA.
Timothy R RebbeckDivision of Population Science, Dana-Farber Cancer Institute, Boston, MA, USA.
Giacomo M PaganottiBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.ORCID 0000-0002-0751-0682
Mohan NarasimhamurthyHospital of University of Pennsylvania, Philadelphia, PA, USA.
Lynnette Tumwine KyokundaDepartment of Pathology, Faculty of Medicine, University of Botswana, Gaborone, Botswana.

Funding

Shared Resources CoreU54CA190158 · NCI · UNIVERSITY OF PENNSYLVANIA · PI ROBERTSON, ERLE S. · 2014 to 2023
$4.2M
NCI NIH HHS U54 CA190158
6 · The paper itself

Abstract

Introduction: Prostate cancer (CaP) is the most common malignancy and the second leading cause of cancer-related deaths among men in Botswana. Currently, diagnosing CaP relies on examining prostate biopsy samples, which can be challenging due to benign mimics. This study aims to evaluate the potential of Alpha-methyl acyl-CoA racemase (AMACR/p504s) and p63, as diagnostic markers for CaP. This may potentially validate the use of immunohistochemistry for detecting CaP in Botswana, where it is not routinely utilized. Methods: The study included 69 samples, comprising 5 prostatic chip specimens, 50 core biopsies, and 14 radical prostatectomy specimens. These cases were reviewed and categorized into CaP (49 cases) and benign prostatic hyperplasia (BPH) (20 cases). Immunohistochemistry was performed using AMACR/p504s and p63 immunohistochemical stains. Results: The study found that AMACR/p504s had a sensitivity of 96% and a specificity of 95%, while p63 had a sensitivity and specificity of 100%. PSA levels showed significant positive correlation with AMACR/p504s expression ( Discussion: In this study, we have demonstrated the diagnostic utility of AMACR/p504s and p63 due to their high sensitivity and specificity in detecting CaP in Botswana, where these biomarkers are not yet widely used. Furthermore, utilizing these markers in conjunction with other diagnostic tools, such as PSA levels and morphological evaluation, could improve the diagnostic accuracy, especially in challenging cases where histopathological examination alone may be inconclusive.

Indexed as

AMACR/p504sbenign prostatic hyperplasiaBotswanap63prostate cancer

Identifiers

PMID39872294
PMCPMC11766141

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.