Immunohistochemical profile of endometrioid adenocarcinomas of various degrees of morphological atypism

Authors

DOI:

https://doi.org/10.26641/1997-9665.2024.3.110-116

Keywords:

endometrioid adenocarcinoma of the endometrium, marker p63, p16, p53, CK7, CK20, Vimentin.

Abstract

Topicality. Endometrioid adenocarcinoma of the endometrium is a significant part of malignant neoplasms of the uterine body, which, in turn, are the 2nd most common in menopausal women in 2022, according to the Cancer Registry of Ukraine. The absence of a specific clinical picture, similarity to other variants of adenocarcinoma of the uterine body necessitates the study of histological and immunohistochemical criteria to determine the degree of morphological atypism. Purpose. To improve the differential diagnostic immunohistochemical criteria for the diagnosis of endometrioid adenocarcinoma of the endometrium, using the latest international classification data and taking into account the peculiarities of the diagnostic process in Ukraine. Methods. Retrospective analysis of 61 cases of postoperative material of women diagnosed with "endometrioid adenocarcinoma of the endometrium" for the period from 2021 to 2023 included the assessment of morphological, histological, immunohistochemical features with subsequent statistical processing of the results. Results. The ranking of women with a diagnosis of endometrioid adenocarcinoma of the endometrium by age ranged from 30 to 85 years, the most common diagnosis of "endometrioid adenocarcinoma" is in the menopause and postmenopausal period. Markers p63 (strong connection), p16 (relatively strong connection), p53 (medium strength connection) had a statistically significant relationship for endometrioid adenocarcinoma (p<0.001). There is no relationship between the level of CK20 expression and the degree of morphological atypism. Immunohistochemical profile of endometrioid adenocarcinoma p63 "-" (for grade 1 - "+" in part of cells) / p16 "+" in part of cells (for grade 1 - "-") / p53 "-" / Vimentin "+" / CK7 "+ " / CK20 "-". Conclusion. The necessity of using a panel of cytokeratins 7 and 20, Vimentin, p63, p16, p53 in endometrioid adenocarcinomas of the endometrium to determine the degree of morphological atypism is argued.

References

  1. Fedorenko ZP, Goulak LO, Gorokh YL, Ryzhov AY, Soumkina OV. [Cancer in Ukraine, 2022-2023. Incidence, mortality, prevalence and other relevant statistics]. Bulletin of the National Chancery Register of Ukraine. 2024;25:1-62. Ukrainian.
  2. Fletcher CDM. Diagnostic histopathology of tumors. Philadelphia: Elsevier; 2013. 2167 p.
  3. Kurrman RJ, Carcangiu ML, Herrington CS, Young RH. WHO Classification of tumors of female reproductive organs. Lyon: IARC; 2014. 307 p.
  4. Poenaru MO, Pleş L, Sima RM, Ionescu P, Florescu C, Neacşu I, Stănică CD, Neacşu A. Unexpected location of endometrial adenocarcinoma - a case report. Rom J Morphol Embryol. 2020;61(3):941-945. doi: 10.47162/RJME.61.3.35
  5. Sasaki T, Sugiyama T, Nanjo H, Hoshi N, Murakami M, Sugita A, Takahashi M, Kawamura K, Ono I, Masuda H. Endometrioid adenocarcinoma arising from adenomyosis: report and immunohistochemical analysis of an unusual case. Pathol Int. 2001;51(4):308-313. doi: 10.1046/j.1440-1827.2001.01200
  6. Fadare O, Parkash V. p53 aberrations in low grade endometrioid carcinoma of the endometrium with nodal metastases: possible insights on pathogenesis discerned from immunohistochemistry. Diagn Pathol. 2017;12(1):81. doi: 10.1186/s13000-017-0668-6
  7. Murali R, Davidson B, Fadare O, Carlson JA, Crum CP, Gilks CB, Irving JA, Malpica A, Matias-Guiu X, McCluggage WG, Mittal K, Oliva E, Parkash V, Rutgers JKL, Staats PN, Stewart CJR, Tornos C, Soslow RA. High-grade Endometrial Carcinomas: Morphologic and Immunohistochemical Features, Diagnostic Challenges and Recommendations. Int J Gynecol Pathol. 2019;38(1):40-63. doi: 10.1097/PGP.0000000000000491
  8. Zannoni GF, Santoro A, Angelico G, Spadola S, Arciuolo D, Valente M, Inzani F, Pettinato A, Vatrano S, Fanfani F, Scambia G, Fraggetta F. Clear cell carcinoma of the endometrium: an immunohistochemical and molecular analysis of 45 cases. Hum Pathol. 2019;92:10-17. doi: 10.1016/j.humpath.2019.06.005
  9. Lin CM, Lin SF, Lee YC, Lai HC, Liew PL. Association of immunohistochemical profiles with histotypes in endometrial carcinomas. Taiwan J Obstet Gynecol. 2022;61(5):823-829. doi: 10.1016/j.tjog.2022.04.009
  10. Hanley KZ, Birdsong GG, Mosunjac MB. Recent Developments in Surgical Pathology of the Uterine Corpus. Arch Pathol Lab Med. 2017;141(4):528-541. doi: 10.5858/arpa.2016-0284-SA

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Published

2024-10-30

How to Cite

Savchenko , P., Shponka , I., & Hrytsenko , P. (2024). Immunohistochemical profile of endometrioid adenocarcinomas of various degrees of morphological atypism. Морфологія / Morphologia / Morfologìâ, 18(3), 110–116. https://doi.org/10.26641/1997-9665.2024.3.110-116

Issue

Vol. 18 No. 3 (2024)

Section

Статті

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