IMMUNOEXPRESSIONS OF E-CADHERIN AND β-CATENIN AND CORRELATION WITH TUMOUR GRADING IN PRIMARY OVARIAN CARCINOMA IN HOSPITAL UNIVERSITI SAINS MALAYSIA, KELANTAN
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Date
2012
Authors
ANIZA, HASSAN
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Pengajian Sains Perubatan Universiti Sains Malaysia
Abstract
Title
Immunoexpressions of E-cadherin and β-catenin and correlation with tumour grading
in primary ovarian carcinoma in Hospital Universiti Sains Malaysia, Kelantan.
Introduction
E-cadherin and β-catenin, cell adhesion molecules(CAM’s) are shown to be involved in
tumour progression.
Objectives
This study aims to analyze immunoexpression of E-cadherin and β-catenin in surface
epithelial ovarian carcinoma and evaluate its association with histological subtype,
tumour grade and other important clinicopathological parameters. Tissue sections
were obtained from archival blocks from HUSM for the duration of 13 years from 1998
to 2010.
Materials and Methods
Expressions of both markers were analyzed immunohistochemically in 88 patients on
paraffinized tissues. The tumor was evaluated and scored in hot spots according to
intensity and proportion of cells stained. Expression was categorized as either positive
or negative using median as cutoff positivity for statistical analysis.
Results
E-cadherin and β-catenin were variably expressed by tumour cells. The distribution of
both markers was skewed (E-cadherin - mean 49.17, standard deviation 33.342,
median 50.00; β-catenin -mean 34.23, standard deviation 34.032, median 20.00). In
64.7% of high grade ovarian carcinoma, both E-cadherin and β-catenin expression
were lost (p=0.026). The grade of serous carcinoma was significantly associated with
negative expression of both E-cadherin and β-catenin, in which 90.0% of the high
grade cases lost expression of both markers(p=0.004). In early FIGO stage(FIGO I and
II), 27.8% of cases had lost expression of both markers, whereas 72.2% of the patients
maintained expression of one of the markers(p=0.037). This association was not seen
in advanced FIGO stage.
No significant association between E-cadherin and β-catenin expressions and age, race,
peritoneal deposits and capsular breach(p>0.05) were observed.
Conclusion
Ovarian carcinomas with loss of expression of both E-cadherin and β-catenin might
behave more aggressive clinically as they tend to have higher grade and stage.
Description
Keywords
Anatomic Pathology