2023
A comprehensive immunohistochemical analysis of 26 markers in 250 cases of serous ovarian tumors
NEMEJCOVA, Kristyna, Adam SAFANDA, Michaela Kendall BARTU KENDALL, Romana MICHALKOVA, Jana DROZENOVA et. al.Základní údaje
Originální název
A comprehensive immunohistochemical analysis of 26 markers in 250 cases of serous ovarian tumors
Autoři
NEMEJCOVA, Kristyna (203 Česká republika, garant), Adam SAFANDA (203 Česká republika), Michaela Kendall BARTU KENDALL (203 Česká republika), Romana MICHALKOVA (203 Česká republika), Jana DROZENOVA (203 Česká republika), Pavel FABIAN (203 Česká republika), Jitka HAUSNEROVÁ (203 Česká republika, domácí), Jan LACO (203 Česká republika), Radoslav MATEJ (203 Česká republika), Gabor MEHES (203 Česká republika), Petr SKAPA (203 Česká republika), Ivana STRUZINSKA (203 Česká republika) a Pavel DUNDR (203 Česká republika)
Vydání
DIAGNOSTIC PATHOLOGY, LONDON, BMC, 2023, 1746-1596
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30109 Pathology
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.600 v roce 2022
Kód RIV
RIV/00216224:14110/23:00130655
Organizační jednotka
Lékařská fakulta
UT WoS
000941171800001
Klíčová slova anglicky
Ovarian tumors; Tubo-ovarian tumors; High grade serous carcinoma; Low grade serous carcinoma; Immunohistochemistry
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 12. 1. 2024 13:27, Mgr. Tereza Miškechová
Anotace
V originále
BackgroundWe examined a large cohort of serous tubo-ovarian tumors with 26 immunohistochemical markers, with the aim to assess their value for differential diagnosis and prognosis.MethodsImmunohistochemical analyses with 26 immunomarkers were performed on 250 primary tubo-ovarian tumors including 114 high grade serous carcinomas (HGSC), 97 low grade serous carcinomas (LGSC), and 39 serous borderline tumors (micropapillary variant, mSBT). The associations of overall positivity with clinicopathological characteristics were evaluated using the chi-squared test or Fisher's Exact test.ResultsWe found significantly different expression of p53, p16, ER, PR, PTEN, PAX2, Mammaglobin, RB1, Cyclin E1, stathmin, LMP2, L1CAM, CD44, and Ki67 in HGSCs compared to LGSCs. No significant differences were found between LGSC and mSBT. None of the other included markers (PAX8, ARID1A, HNF1B, Napsin A, CDX2, SATB2, MUC4, BRG1, AMACR, TTF1, BCOR, NTRK) showed any differences between the investigated serous tumors. Regarding the prognosis, only PR and stathmin showed a statistically significant prognostic meaning in LGSCs, with better overall survival (OS) and recurrence-free survival (RFS) in cases positive for PR, and worse outcome (RFS) for stathmin. None of the study markers showed prognostic significance in HGSCs.ConclusionWe provided an extensive immunohistochemical analysis of serous ovarian/tubo-ovarian tumors. Although we found some differences in the expression of some markers in HGSCs compared to LGSCs, only p53, p16, and Ki67 seem to be useful in real diagnostic practice. We also suggested the best discriminative cut-off for Ki67 (10% of positive tumor cells) for distinguishing HGSC from LGSC. We found prognostic significance of PR and stathmin in LGSCs. Moreover, the high expression of stathmin could also be of predictive value in ovarian carcinomas as target-specific anti-stathmin effectors are potential therapeutic targets.
Návaznosti
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