Proliferative index

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Proliferative index is a term used in pathology and oncology to describe the rate at which cells within a tissue or tumor are actively dividing. It is an important parameter that can provide valuable information about the aggressiveness of a tumor and its potential for growth and spread.

The proliferative index is typically determined by counting the number of cells that are actively dividing, usually by staining tissue samples with markers that specifically label dividing cells. One common marker used for this purpose is Ki-67, a protein that is present in cells during active phases of the cell cycle.

A high proliferative index, indicating a large proportion of actively dividing cells, is often associated with more aggressive tumors that have a higher likelihood of spreading to other parts of the body. In contrast, a low proliferative index suggests a slower rate of cell division and may be indicative of a less aggressive tumor.

The proliferative index is an important factor in determining the prognosis of cancer patients and can help guide treatment decisions. For example, tumors with a high proliferative index may be more responsive to chemotherapy, which targets rapidly dividing cells.

It is important to note that the proliferative index is just one of many factors that are considered when evaluating a tumor. Other factors, such as the tumor's size, grade, and genetic characteristics, also play a role in determining its behavior and response to treatment.

Overall, the proliferative index is a valuable tool in the assessment of tumors and can provide important information that helps guide clinical management and treatment decisions.

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Contributors: Prab R. Tumpati, MD