J 2018

Added Value of Estrogen Receptor, Progesterone Receptor, and L1 Cell Adhesion Molecule Expression to Histology-Based Endometrial Carcinoma Recurrence Prediction Models: An ENITEC Collaboration Study

PUTTEN, Louis J. van der, Nicole C. M. VISSER, Ko van de VIJVER, Maria SANTACANA, Peter BRONSERT et. al.

Základní údaje

Originální název

Added Value of Estrogen Receptor, Progesterone Receptor, and L1 Cell Adhesion Molecule Expression to Histology-Based Endometrial Carcinoma Recurrence Prediction Models: An ENITEC Collaboration Study

Autoři

PUTTEN, Louis J. van der (528 Nizozemské království, garant), Nicole C. M. VISSER (528 Nizozemské království), Ko van de VIJVER (528 Nizozemské království), Maria SANTACANA (724 Španělsko), Peter BRONSERT (276 Německo), Johan BULTEN (528 Nizozemské království), Marc HIRSCHFELD (276 Německo), Eva COLAS (724 Španělsko), Antonio GIL-MORENO (724 Španělsko), Angel GARCIA (724 Španělsko), Gemma MANCEBO (724 Španělsko), Fransesca ALAMEDA (724 Španělsko), Jone TROVIK (578 Norsko), Reidun K. KOPPERUD (578 Norsko), Jutta HUVILA (246 Finsko), Stefanie SCHRAUWEN (56 Belgie), Martin KOSKAS (250 Francie), Francine WALKER (250 Francie), Vít WEINBERGER (203 Česká republika, domácí), Luboš MINÁŘ (203 Česká republika, domácí), Eva JANDÁKOVÁ (203 Česká republika), Marc P. L. M. SNIJDERS (528 Nizozemské království), Sa VAN DEN BERG-VAN ERP (528 Nizozemské království), Xavier MATIAS-GUIU (724 Španělsko), Helga B. SALVESEN (578 Norsko), Henrica M. J. WERNER (578 Norsko), Frederic AMANT (56 Belgie), Leon F. A. G. MASSUGER (528 Nizozemské království) a Johanna M. A. PIJNENBORG (528 Nizozemské království)

Vydání

International Journal of Gynecological Cancer, Philadelphia, Lippincott Williams & Wilkins, 2018, 1048-891X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30214 Obstetrics and gynaecology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.746

Kód RIV

RIV/00216224:14110/18:00104087

Organizační jednotka

Lékařská fakulta

UT WoS

000426550300015

Klíčová slova anglicky

Endometrial carcinoma; Endometrioid; Nonendometrioid; Estrogen receptor; Progesteron receptor; L1CAM; Prognosis; Immunohistochemistry

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 9. 2. 2019 19:59, Soňa Böhmová

Anotace

V originále

Objectives Endometrial carcinoma mortality is mainly caused by recurrent disease, and various immunohistochemical markers to predict recurrences have been studied. Loss of the estrogen receptor (ER) and progesterone receptor (PR) and the presence of the L1 cell adhesion molecule (L1CAM) are promising markers, but their combined value has not been studied. Materials and Methods Expression of ER, PR, and L1CAM was immunohistochemically determined in 293 endometrial carcinomas from 11 collaborating European Network for Individualized Treatment of Endometrial Cancer centers. Estrogen receptor, PR, or L1CAM staining was considered positive or negative when expressed by greater than or equal to 10% or less than 10% of the tumor cells, respectively. The association between these markers and clinicopathological markers, and their combined value in predicting survival were calculated, both in the entire cohort and in a selected groups of stage I endometrioid and low-risk stage I endometrioid carcinomas. Results Estrogen receptor and PR were negative in 19% and 28% of the cases, respectively, and L1CAM was positive in 18%. All 3 were associated with advanced stage, high-grade, nonendometrioid histology, lymphovascular space invasion (LVSI), and reduced disease-free survival. Only advanced stage, loss of PR, and LVSI were associated with reduced disease-free survival in multivariate analysis. A prognostic model including these 3 markers was superior to 1 including only the 3 immunohistochemical markers, which was superior to the traditional model. In both the stage I endometrioid and the low-risk stage I endometrioid groups, only loss of PR was associated with reduced disease-free survival. Conclusions Loss of ER and PR, and the presence of L1CAM are associated with high risk characteristics, and loss of PR is the strongest predictor of recurrent disease. Although a combination of these 3 markers is slightly superior to the traditional histological markers, a prognostic model including stage, PR expression, and LVSI is the most promising model in the identification of high risk carcinomas. In the stage I endometrioid carcinomas, PR immunohistochemistry appears to be of additional value in predicting recurrences.