Nisar Maryam, Mushtaq Sajid, Hassan Usman, Akhtar Noreen, Azma Muhammad
Department of Histopathology, Shaukat Khanum Memorial Cancer Hospital, Lahore, Pakistan.
J Ayub Med Coll Abbottabad. 2020 Apr-Jun;32(2):160-164.
The objective of the study is to analyze the expression of androgen, estrogen and progesterone receptor in different types of endometrial carcinomas and to correlate the androgen receptor expression with estrogen and progesterone receptor and the clinicopathological parameters like lymphovascular invasion, grade of the tumour, size of tumour and extent of myometrial invasion..
It is a cross-sectional analytical study design with a simple random sample of a total of 54 cases of different types of endometrial carcinomas from the year 2017. Immunohistochemical stains androgen receptor, estrogen receptor, and Progesterone receptor were applied in all the cases. The Pearson Chi-square test of independence was applied to measure association and P-value is calculated to check the significance of the results.
Androgen receptor expression was observed in 73% of low-grade endometrioid carcinomas, 62.5% of high-grade endometrioid carcinomas, 62% of serous, 20% of clear cell and 18% of carcinosarcomas, respectively. Androgen positive tumours were also positive for estrogen and progesterone in most of the cases, except 3 serous carcinomas and one low-grade endometrioid carcinoma. However, no significant relation was observed between androgen expression and prognostic parameters like the lymphovascular invasion, size of the tumour and myometrial invasion.
Maximum expression of androgen receptor was observed in endometrioid and serous carcinomas, while carcinosarcomas and clear cell carcinomas showed minimum expression with no significant correlation between androgen receptor expression and clinicopathological parameters.
本研究的目的是分析雄激素、雌激素和孕激素受体在不同类型子宫内膜癌中的表达情况,并将雄激素受体表达与雌激素和孕激素受体以及临床病理参数(如淋巴管侵犯、肿瘤分级、肿瘤大小和肌层浸润程度)进行关联分析。
这是一项横断面分析研究设计,对2017年共54例不同类型子宫内膜癌进行简单随机抽样。所有病例均应用免疫组织化学染色检测雄激素受体、雌激素受体和孕激素受体。采用Pearson卡方独立性检验来衡量关联性,并计算P值以检验结果的显著性。
在低级别子宫内膜样癌中,雄激素受体表达率为73%;高级别子宫内膜样癌中为62.5%;浆液性癌中为62%;透明细胞癌中为20%;癌肉瘤中为18%。除3例浆液性癌和1例低级别子宫内膜样癌外,大多数雄激素阳性肿瘤的雌激素和孕激素也呈阳性。然而,未观察到雄激素表达与淋巴管侵犯、肿瘤大小和肌层浸润等预后参数之间存在显著关联。
在子宫内膜样癌和浆液性癌中观察到雄激素受体的最高表达,而癌肉瘤和透明细胞癌的表达最低,且雄激素受体表达与临床病理参数之间无显著相关性。