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18722

Immunohistochemical Expression of Estrogen And Progesterone Receptors in Neuroendocrine Breast Carcinomas

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Last updated: 30 Jan 2023

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Abstract

Neuroendocrine (NE) breast carcinomas are defined by the diffuse expression of NEmarkers. They may coexpress NE and non-NE substances such as glycoproteins and apocrine protein “divergent differentiation". In the present study, twenty NE-breast carcinomas, expressing chromogranin A (CgA) and neurone specific enolase (NSE) were selected from a series of two hundreds retrospective breast carcinomas, in addition to ten normal breast tissue biopsies taken as control. The NE-tumors were graded into G1, G2 & G3 and were divided according to the mucin expression into group 1 (Mucinous NE-tumors) and group 2 (other variants that did not express mucin). Each group included 10 cases. Immunohistochemistry was applied to paraffin sections for investigating CgA & NSE expression as well as estrogen and progesterone receptors (ER & PR) status. Group 1 tumors fell within lower grades than those of group 2. Moreover, ER & PR positivity rates were 75% & 65% respectively. Also, ER expression was not significantly correlated with NE phenotype (P = 0.14) or with grade (P = 0.24) while PR expression was significantly higher in group 1 than in group 2 (P = 0.02) and in G1, G2 than G3 (P = 0.04) Both steroid receptors coexpression was significantly higher in group 1 than in group 2 tumors (P = 0.05) and found in G1 and G2 but not in G3 tumors. Finally, ER and PR were coexpressed, although fewer & sporadic, in all control biopsies (100%) compared to its presence only in 45% of the studied NE tumors. The study concluded that NE-breast tumors, producing high level of NE markers were specific entity and those coexpressing ER & PR might possess a multidirectional differentiation. Moreover, it may appear quite necessary to define estrogen & progesterone receptors status in NE breast carcinomas so as to decide, whether or not to try hormone therapy as adjuvant treatment modality in these tumors.

DOI

10.21608/ejhm.2003.18722

Keywords

Immunohistochemistry, Estrogen Receptors, Progesterone Receptors, Neuroendocrine, Breast carcinoma

Authors

First Name

Naser M.

Last Name

anwer

MiddleName

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Affiliation

Departments of Pathology, Al-Azhar University

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Orcid

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First Name

Ahmed H.

Last Name

Abdel-Rahman

MiddleName

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Affiliation

Al-Azhar University

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Orcid

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First Name

Ahmed S.

Last Name

Salem

MiddleName

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Affiliation

Al-Azhar University

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First Name

Abdel- Ghany Awad

Last Name

Essa

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Affiliation

Departments of General Surgery, Al-Azhar University

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Volume

11

Article Issue

1

Related Issue

3798

Issue Date

2003-04-01

Receive Date

2018-11-11

Publish Date

2003-04-01

Page Start

101

Page End

111

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_18722.html

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https://ejhm.journals.ekb.eg/service?article_code=18722

Order

9

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023