Aberrant p16, p53 and Ki-67 immunohistochemistry staining patterns can distinguish solitary keratoacanthoma from cutaneous squamous cell carcinoma.

Keratoacanthoma (KA) is widely considered a benign, usually self-resolving, neoplasm distinct from cutaneous squamous cell carcinoma (cSCC), while some consider KA to be indistinguishable from cSCC. Published studies indicate utility for p16, p53, Ki-67 immunostaining and elastic van Gieson (EVG) in the assessment of KA and cSCC. We compared clinical features and staining patterns for p16, p53, Ki-67 and EVG in fully excised KA, cSCC with KA-like features (cSCC-KAL) and other cSCC (cSCC-OTHER).

Patterns of sleep episodes in young and elderly adults during a 36-hour constant routine.

The deterioration of nocturnal sleep and increase in daytime napping that accompany aging may represent changes in homeostatic or circadian aspects of sleep regulation. We addressed these possibilities by examining patterns of unintended sleep episodes, subjective sleepiness and mood during 36 hours of constant wakeful bed rest in 17 healthy 20-30-year-olds (n = 9 men, n = 8 women) and 18 healthy 80-year-olds (n = 11 men, n = 7 women). Subjects had continuous electroencephalographic (EEG) monitoring and core body temperature measurements and completed visual analog scale ratings of sleepiness and mood each hour.