Volume : 2, Issue : 5, MAY 2016
ER PR EXPRESSION IN NON-GERM CELL OVARIAN CARCINOMA
Dr. Sandhya.V, Dr.Tilagarani K
Abstract
Context: Hyperestrogenia is an important risk factor for ovarian cancer. The detection of ER, PR receptors in ovarian cancer provides further evidence that ovarian carcinoma are hormone dependant and therefore are amenable to hormone therapy. Settings and Design : Cross-sectional study . Aim: The present study thus aims to study ER, PR expression in non-gem cell ovarian carcinoma and to correlate it with histopathological and clinical features. Material and methods: 30 consecutive cases of non germ cell ovarian cancer between January 2005 to December 2012 were retrieved from the records of the Pathology Department at PSGIMS&R. The paraffin-embedded H & E slides of the 30 cases were examined. The clinical details and histological type, grade of the neoplasm were observed. Immunohistochemical staining for ER and PR was done. Results: ER, PR were frequently expressed by serous, endometriod, mucinous carcinoma and granulosa cell tumor. Clear cell, undifferentiated carcinoma and malignant Brenner tumor lacked receptor expression. An increase in PR expression from Grade 1 to Grade 3 epithelial ovarian carcinoma was noted with a fall in PR expression with increasing stage . A fall in ER expression and a mild increase in PR expression was observed in post menopausal ovarian carcinoma Conclusion: ER, PR expression was frequently seen in serous, endometriod, mucinous carcinoma and granulose cell tumor. The frequency of PR positive epithelial ovarian carcinoma increased with increasing grade of the tumor while the loss of PR expression was associated with a higher stage.
Keywords
ovarian carcinoma, Estrogen Receptor , Progesterone Receptor.
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References
1. Anderson M C. Tumors of the ovary: classification and epidemiology. In: Anderson M C, Fox H, Tidy FA, Wells M. Symmers WC Female reproductive system 3 rd ed. London: Butler & Tanner; 1991 p 295
2. Choi H J, Wong A S T, Huang FH . Gonadotrophins and ovarian cancer. Endocrine reviews 2007;28:440–61
3. Rzepka-Gorska I, Chudecka-Glaz A, Kosmider M . GnRH analogues as an adjuvant therapy for ovarian cancer patients. Int Gynaecol Obstet 2003;81:199-205
4. Jackson P, Blythe D. Immunohistochemical techniques. In: Bancroft JD, Gamble M. Theory and practice of histological techniques. 6 th ed. China. Elsevier; 2008: P465
5. Allred DC, Harvey JM, Berardo MD. Prognostic and predictive factors in breast cancer by immunohistochemical analysis. Mod pathol 1998;11:155-68
6. Hogdoll E V, Christensen L, Hogdoll C K. Prognostic value of estrogen receptor and progesterone receptor tumor expression in Danish ovarian cancer patients: from the’ MALOVA’ ovarian cancer study. Oncol Rep.2007;18:1051-9
7. Pulido H A, Smith H O, Joste N E . Estrogen and progesterone receptor status and outcome in epithelial ovarian cancers and low malignant potential tumors. Gynecol Oncol. 2009;114:480-85
8. Hecht L J, Kotsopoulos J, Hankinson ES . Relationship between Epidemiologic risk factors and Hormone Receptor Expression in Ovarian cancer: results from the Nurses’ Health study. Cancer Epidemiology Biomarkers Prev 2009; 18: 1624 – 30
9. DeLair D, Oliva E, Kobel M. Morphologic spectrum of immunohistochemically characterized clear cell carcinoma of the ovary: A study of 155 cases. Am J Surg Pathol 2011;35:136-44
10. Croft P R, Lathrop S L, Feddersen R M . Estrogen receptor expression in papillary urothelial carcinoma of the bladder and ovarian transitional cell carcinoma. Arch Pathol Lab Med 2005;129:194-98
11. Silva E G, Tornos C, Bailey M A. Undifferentiated carcinoma of the ovary. Arch Pathol Lab Med 1991;115:377-81.
12. Farinoal MA, Gown AM, Judson K . Estrogen receptor alpha and progesterone receptor expression in ovarian adult granulose cell tumors and Sertoli-Leydig cell tumors. Int J gynecol pathol. 2007;26:375-82
13. Teufel G, Frauenheilkd G, Geyer H.Estrogen and progesterone receptors in malignant ovarian neoplasms. Cancer 1997 80 (5): 908-16.
14. Hecht L J, Kotsopoulos J, Hankinson ES . Relationship between Epidemiologic risk factors and Hormone Receptor Expression in Ovarian cancer: results from the Nurses’ Health study. Cancer Epidemiology Biomarkers Prev 2009; 18: 1624 – 30
