Backgroundc-Kit is a proto-oncogene that encodes tyrosine kinase receptor (CD117). Mean
platelet volume (MPV) is a useful marker, providing information on platelet
function and diameter.ObjectiveTo investigate c-Kit expression and intensity in patients with Kaposi's
sarcoma (KS) and to investigate the relation between Ki-67 proliferation and
MPV.MethodsA total of 32 patients, diagnosed with classic cutaneous KS, were included in
this study. We reevaluated the histopathological reports with the
preparations, confirmed the diagnosis and then determined the patients'
histopathological stages. c-Kit expression and Ki-67 proliferation were
investigated immunohistochemically in KS cases, while MPV in all cases was
checked.ResultsAlthough c-Kit expression was detected in 22 cases (68.8%), it was not
expressed in 10 cases (31.2%). We detected 8 cases with + (25%), 6 with ++
(18.8%) and 8 with +++ (25%). Ki-67 expression was 5.0% (min-max 1.0-20.0).
Relapse was observed in 5 cases (15.6%) out of 32. There was positive
correlation between c-Kit expression and MPV (rs=0.598, p<0.001), and
between c-Kit intensity and MPV (rs=0.588, p<0.001).Conclusionc-Kit is highly positive in KS. c-Kit positivity indicates a high risk of
tumor growth, invasion and relapse. Furthermore, c-Kit expression stimulates
megakaryocytes to release young and large thrombocytes into the periphery.
Thus, high MPV, c-Kit expression and immunostaining intensity indicate high
invasion and relapse in KS subjects.