390659

A Comprehensive Clinicopathological Analysis of Carcinoma of Endometrium: Histotype- Immunophenotype Correlation

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Last updated: 03 Jan 2025

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Abstract

Background: High grade Endometrial carcinomas (ECs) include type II and grade 3 endometrioid carcinoma. Challenges include risk stratification on diagnostic biopsy and predictive biomarker assessment post- surgery for adjuvant treatment. Distinguishing grade 3 endometrioid carcinoma and type II EC is a challenge. We analyzed ER, PR, p53, Her2 expression in histotypes of EC and their utility to distinguish type I and II tumors. Materials and methods: A prospective study involving 106 cases of EC, categorized into low and high-grade ECs was conducted to analyze clinicopathological parameters and expression of several biomarkers, including estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor (HER2)  and p53, using immunohistochemistry (IHC). The study specifically focused on differentiating grade 3 endometrioid carcinomas from non-endometrioid tumors. Results: ER was found to be sensitive and specific (90.42% & 80% respectively) in differentiating endometrioid carcinoma from serous carcinoma. PR was identified as specific in differentiating high-grade endometrioid carcinoma from serous carcinoma. p53 exhibited high sensitivity (100%) in differentiating high-grade endometrioid carcinoma from serous carcinoma and highly specific in differentiating endometrioid carcinoma from serous carcinoma, further emphasizing its importance as a diagnostic marker in distinguishing between these subtypes. Conclusion: The use of ER, PR, and p53 as a panel offers high sensitivity and specificity in EC diagnosis and classification, particularly in high-grade cases. Additionally, HER2 detection in type II ECs provides valuable information for targeted therapy selection, highlighting the importance of molecular profiling in guiding personalized treatment approaches for endometrial cancer.

DOI

10.21608/eajbsd.2024.390659

Keywords

Endometrial carcinoma, estrogen receptor, p53, Serous Carcinoma, Her-2-neu

Authors

First Name

Shankaralingappa,

Last Name

Sunitha

MiddleName

-

Affiliation

M. S. Ramaiah Memorial Hospital, Bengaluru, Karnataka, India.

Email

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City

India

Orcid

-

First Name

Patel,

Last Name

Trupti

MiddleName

-

Affiliation

The Gujarat Cancer and Research Institute, Ahmedabad, Gujarat, India.

Email

-

City

India

Orcid

-

First Name

Dhandapani,

Last Name

Karthik

MiddleName

-

Affiliation

Consultant Pathologist, Apollo, Chennai, Tamil Nadu, India.

Email

-

City

India

Orcid

-

First Name

Shankaralingappa,

Last Name

Arundhathi

MiddleName

-

Affiliation

All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.

Email

-

City

India

Orcid

-

Volume

16

Article Issue

2

Related Issue

48992

Issue Date

2024-12-01

Receive Date

2024-07-18

Publish Date

2024-11-09

Page Start

129

Page End

142

Print ISSN

2090-0775

Online ISSN

2090-0848

Link

https://eajbsd.journals.ekb.eg/article_390659.html

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https://eajbsd.journals.ekb.eg/service?article_code=390659

Order

390,659

Type

Original Article

Type Code

685

Publication Type

Journal

Publication Title

Egyptian Academic Journal of Biological Sciences, D. Histology & Histochemistry

Publication Link

https://eajbsd.journals.ekb.eg/

MainTitle

A Comprehensive Clinicopathological Analysis of Carcinoma of Endometrium: Histotype- Immunophenotype Correlation

Details

Type

Article

Created At

24 Dec 2024