110171

Mismatch repair status in Endometrioid type of Endometrial Carcinoma: association with clinicopathological parameters

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Inflammatory and cancer

Abstract

Introduction: Endometrial carcinoma [EC], particularly the most predominant endometrioid type [EEC] is a major contributor to cancer burden globally, and its molecular classification has gained much importance recently. Aim: This study aimed to determine the immunohistochemical expression of mismatch repair proteins 'MLH1 and MSH2' in relation to clinicopathologic parameters in EEC and to characterize clinicopathologic features of mismatch repair protein (MMRP) deficient EEC. Material and methods: The current work was carried out on 80 cases of EEC retrieved [with clinical data] from the Department of Pathology, Faculty of Medicine, Tanta University in the period from June 2018 to December 2019. H&E staining and immunohistochemical staining with MLH and MSH2 were done for each case. Results: 29 (36.3%) carcinomas showed abnormal MMRP expression (11 cases showed isolated MLH1 deficiency (37.93%), 10 cases showed isolated MSH2 deficiency (34.48%), and 8 cases (27.59) showed a combined loss of both proteins), whereas the remaining 51 (63.7%) of cases demonstrated normal MLH1/MSH2 immunoreactivity (MMRP intact). MLH1, MSH2 expression, and MMRP status were closely related to some clinicopathologic features (patient's age, histopathological tumor grade, and tumor stage) with a statistically significant relation. Conclusions: A subset of endometrioid type EC demonstrates MMRP defect; the MMRP deficient EEC often displays adverse clinicopathological parameters as poorly differentiated or undifferentiated histology, an advanced stage with young age at presentation.

DOI

10.21608/jcbr.2020.35282.1053

Keywords

Endometrioid type endometrial cancer, mismatch repair proteins, MLH1 and MSH2

Authors

First Name

Shorouk

Last Name

Mwafy

MiddleName

-

Affiliation

Pathology Department, Faculty of Medicine, Tanta university

Email

shoroukezzeldin@yahoo.com

City

Tanta

Orcid

-

First Name

noha

Last Name

elanwar

MiddleName

-

Affiliation

Pathology Department, Faculty of Medicine, Tanta university

Email

nohaelanwar@gmail.com

City

Tanta

Orcid

0000-0002-7961-7577

First Name

Asmaa

Last Name

Eid

MiddleName

-

Affiliation

Pathology Department, Faculty of Medicine, Tanta university

Email

ibmalek@yahoo.com

City

Tanta

Orcid

-

Volume

4

Article Issue

3

Related Issue

12004

Issue Date

2020-12-01

Receive Date

2020-07-10

Publish Date

2020-12-01

Page Start

209

Page End

215

Print ISSN

2682-261X

Online ISSN

2682-2628

Link

https://jcbr.journals.ekb.eg/article_110171.html

Detail API

https://jcbr.journals.ekb.eg/service?article_code=110171

Order

7

Type

Original Article

Type Code

885

Publication Type

Journal

Publication Title

International Journal of Cancer and Biomedical Research

Publication Link

https://jcbr.journals.ekb.eg/

MainTitle

Mismatch repair status in Endometrioid type of Endometrial Carcinoma: association with clinicopathological parameters

Details

Type

Article

Created At

22 Jan 2023