Yordanov A, Ivanov I, Popovska S, Dineva T, Dimitrov T, Ivanova Z
Akush Ginekol (Sofiia). 2013;52(5):22-6.
According to literature approximately 60% from all ovarian malignances express epithelial phenotype. According to their histomorphological characteristics, epithelial ovarian tumors are divided into eight groups. In some particular cases, separate histological types are hard to distinguish one from another. Recent studies show the presence of beneficial effect of adjuvant radiotherapy on most of the early ovarian carcinomas (all, except serous carcinomas). In renal cell carcinomas SI00A 1 is used to distinguish between different subtypes of the malignancy. Forty cases of ovarian carcinomas were analyzed in a retrospective study. Immunohistochemical evaluation of the S100A1 protein expression was carried out on representative archival formalin -fixed -paraffin-embedded tissue materials. Positivity for S100A1 was observed in 31 (77.50%) of the studied cases. Twenty-seven out of thirty-two (84.38%) cases of serous ovarian carcinoma were found to express S100A1. S100A1 expression was observed in one out of the two mucinous and three out of the six endometroid ovarian carcinomas. Immunopositivity was nuclear, cytoplasmic or nuclear and cytoplasmic in serous carcinomas, nuclear in the one positive mucinous carcinoma and sytoplasmic in the three imunopositive endometroid ovarian carcinomas. The S100A1 immunohistochemical marker is not likely to be useful in clinical practice to distinguish between different histological subtypes of ovarian cancer. The large percentage of S100A1 positivity in serous ovarian carcinomas needs a better understanding.
根据文献记载,所有卵巢恶性肿瘤中约60%表现为上皮表型。根据组织形态学特征,上皮性卵巢肿瘤分为八组。在某些特殊情况下,不同的组织学类型很难相互区分。最近的研究表明,辅助放疗对大多数早期卵巢癌(浆液性癌除外)具有有益作用。在肾细胞癌中,S100A1用于区分恶性肿瘤的不同亚型。在一项回顾性研究中分析了40例卵巢癌病例。对代表性的存档福尔马林固定石蜡包埋组织材料进行了S100A1蛋白表达的免疫组织化学评估。在所研究的病例中,31例(77.50%)观察到S100A1阳性。在32例浆液性卵巢癌病例中,有27例(84.38%)被发现表达S100A1。在2例黏液性卵巢癌中的1例以及6例子宫内膜样卵巢癌中的3例中观察到S100A1表达。在浆液性癌中,免疫阳性表现为细胞核、细胞质或细胞核与细胞质均有,在1例阳性黏液性癌中为细胞核阳性,在3例免疫阳性的子宫内膜样卵巢癌中为细胞质阳性。S100A1免疫组织化学标志物在临床实践中不太可能用于区分卵巢癌的不同组织学亚型。浆液性卵巢癌中S100A1阳性的高比例需要更好地理解。