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子宫内膜癌的免疫组织化学多样性及其对预后的影响:印度东部一家三级护理医院的前瞻性临床病理研究

Immunohistochemical Diversity of Endometrial Carcinoma and Their Implications in Prognosis: A Prospective Clinicopathological Study in a Tertiary Care Hospital of Eastern India.

作者信息

Pradhan Rajashree, Roy Biswas Ranu, Mondal Sajeeb, Mukherjee Upasana

机构信息

Department of Pathology, College of Medicine and Sagore Dutta Hospital, Kolkata, West Bengal India.

Department of Pathology, Medical College Kolkata, Kolkata, West Bengal India.

出版信息

J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):166-172. doi: 10.1007/s13224-024-02046-9. Epub 2024 Aug 31.


DOI:10.1007/s13224-024-02046-9
PMID:40390967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12085500/
Abstract

BACKGROUND: Endometrial cancer is the sixth most common cancer in women worldwide with gradually increasing incidence and mortality rate. The most recent classification of endometrial carcinoma (EC) with diagnostic flowchart includes both immunohistochemical and molecular markers for prognostic purpose and better management of endometrial cancer. In this study, we want to analyze various immunohistochemical (IHC) markers in EC and their prognostic significance. METHODS: This was a prospective study conducted from August 2016 to February 2024. We studied 168 cases of EC for histopathological subtypes, grading and various IHC markers such as Estrogen Receptor (ER), Her 2 Neu, Cytokeratin 5/6, Epithelial Membrane Antigen (EMA) and p53. RESULTS: In our study, most common histological subtype was endometrioid (132) followed by serous (17), mucinous (8), clear cell (7) and carcinosarcoma (4). ER expression was mostly seen in endometrioid type. Loss of ER expression and Her 2 expression along with p53 over expression was not only associated with high grade EC but also with advanced clinical stage and lymph node metastasis. CONCLUSION: Immunohistochemical markers play a definite role in risk stratification and specific individual oriented therapy in endometrial cancer patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s13224-024-02046-9.

摘要

背景:子宫内膜癌是全球女性中第六大常见癌症,其发病率和死亡率呈逐渐上升趋势。子宫内膜癌(EC)的最新分类及诊断流程图包括用于预后目的和更好管理子宫内膜癌的免疫组织化学和分子标志物。在本研究中,我们想要分析EC中的各种免疫组织化学(IHC)标志物及其预后意义。 方法:这是一项于2016年8月至2024年2月进行的前瞻性研究。我们研究了168例EC病例的组织病理学亚型、分级以及各种IHC标志物,如雌激素受体(ER)、人表皮生长因子受体2(Her 2 Neu)、细胞角蛋白5/6、上皮膜抗原(EMA)和p53。 结果:在我们的研究中,最常见的组织学亚型是子宫内膜样癌(132例),其次是浆液性癌(17例)、黏液性癌(8例)、透明细胞癌(7例)和癌肉瘤(4例)。ER表达多见于子宫内膜样癌类型。ER表达缺失、Her 2表达以及p53过表达不仅与高级别EC相关,还与晚期临床分期和淋巴结转移相关。 结论:免疫组织化学标志物在子宫内膜癌患者的风险分层和个体化治疗中发挥着明确作用。 补充信息:在线版本包含可在10.1007/s13224-024-02046-9获取的补充材料。

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Immunohistochemical Diversity of Endometrial Carcinoma and Their Implications in Prognosis: A Prospective Clinicopathological Study in a Tertiary Care Hospital of Eastern India.

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本文引用的文献

[1]
Estrogen Receptor (ER) and Progesterone Receptor (PgR) Expression in Endometrial Cancer-An Immunohistochemical Assessment.

Diagnostics (Basel). 2024-2-1

[2]
Uterine Neoplasms, Version 1.2023, NCCN Clinical Practice Guidelines in Oncology.

J Natl Compr Canc Netw. 2023-2

[3]
Pan-Asian adapted ESMO Clinical Practice Guidelines for the diagnosis, treatment and follow-up of patients with endometrial cancer.

ESMO Open. 2023-2

[4]
Cytokeratin Expression Pattern in Human Endometrial Carcinomas and Lymph Nodes Micrometastasis: a Mini-review.

J Cancer. 2022-3-14

[5]
British Gynaecological Cancer Society (BGCS) uterine cancer guidelines: Recommendations for practice.

Eur J Obstet Gynecol Reprod Biol. 2022-3

[6]
Cancer of the corpus uteri: 2021 update.

Int J Gynaecol Obstet. 2021-10

[7]
The TCGA Molecular Classification of Endometrial Cancer and Its Possible Impact on Adjuvant Treatment Decisions.

Cancers (Basel). 2021-3-23

[8]
Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.

CA Cancer J Clin. 2021-5

[9]
ESGO/ESTRO/ESP guidelines for the management of patients with endometrial carcinoma.

Int J Gynecol Cancer. 2021-1

[10]
HER2 Status in High-Risk Endometrial Cancers (PORTEC-3): Relationship with Histotype, Molecular Classification, and Clinical Outcomes.

Cancers (Basel). 2020-12-25

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