P53 overexpression predicts endometrial carcinoma recurrence better than HER-2/neu overexpression

被引:40
作者
Coronado, PJ [1 ]
Vidart, JA
Lopez-asenjo, JA
Fasero, M
Furio-bacete, V
Magrina, J
Escudero, M
机构
[1] Hosp Clin San Carlos, Dept Obstet & Gynecol, Madrid, Spain
[2] Hosp Clin San Carlos, Dept Pathol, Madrid, Spain
[3] Mayo Clin, Dept Gynecol Surg, Scottsdale, AZ USA
来源
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 2001年 / 98卷 / 01期
关键词
p53; HER-2/neu; endometrial cancer; prognostic factors; survival; immunohistochemistry;
D O I
10.1016/S0301-2115(00)00562-5
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: to investigate the prognostic value of p53 and HER-2/neu overexpression in endometrial cancer. Study Design: p53 and HER2/neu immunostaining was performed in 114 paraffin-embedded specimens of endometrial. cancer diagnosed and treated between 1990 and 1997. Nuclear p53 and membrane HER-2/neu immunostaining were used. Results: p53 and HER-2/neu overexpression was observed in 17 cases (14.9%) and in 19 cases (16.7%), respectively. In univariate analysis p53 (P < 0.001) and HER-2/neu (P = 0.018) overexpression had a positive correlation with a high risk of recurrence. In multivariate analysis, age (P < 0.001), FIGO stage (P < 0.001), differentiation (P = 0.013), non-endometrioid subtypes (P < 0.001) and p53 overexpression (P < 0.001), but not HER-2/neu overexpression, were independent prognostic indicators of recurrence. Simultaneous p53 and HER-2/neu overexpression made worse the prognostic (P <less than> 0.001). Conclusions: p53 overexpression was an independent predictor of recurrent disease in endometrial cancer. HER-2/neu overexpression had a more limited effect but enhance the effect of p53. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:103 / 108
页数:6
相关论文
共 42 条
[1]  
AMBROS RA, 1994, CANCER, V73, P1686, DOI 10.1002/1097-0142(19940315)73:6<1686::AID-CNCR2820730622>3.0.CO
[2]  
2-W
[3]   THE NEU ONCOGENE ENCODES AN EPIDERMAL GROWTH-FACTOR RECEPTOR-RELATED PROTEIN [J].
BARGMANN, CI ;
HUNG, MC ;
WEINBERG, RA .
NATURE, 1986, 319 (6050) :226-230
[4]   OVEREXPRESSION OF HER-2 NEU IN ENDOMETRIAL CANCER IS ASSOCIATED WITH ADVANCED STAGE DISEASE [J].
BERCHUCK, A ;
RODRIGUEZ, G ;
KINNEY, RB ;
SOPER, JT ;
DODGE, RK ;
CLARKEPEARSON, DL ;
BAST, RC .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1991, 164 (01) :15-21
[5]  
BIGSBY RM, 1992, OBSTET GYNECOL, V79, P95
[6]  
BRUKE TW, 1996, OBSTET GYNECOL CLIN, V23, P411
[7]   Prognostic significance of p53, bcl-2, vimentin, and S100 protein-positive Langerhans cells in endometrial carcinoma [J].
Coppola, D ;
Fu, L ;
Nicosia, SV ;
Kounelis, S ;
Jones, M .
HUMAN PATHOLOGY, 1998, 29 (05) :455-462
[8]  
COX DR, 1972, J R STAT SOC B, V34, P187
[9]   RISK-FACTORS AND RECURRENT PATTERNS IN STAGE-I ENDOMETRIAL CANCER [J].
DISAIA, PJ ;
CREASMAN, WT ;
BORONOW, RC ;
BLESSING, JA .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1985, 151 (08) :1009-1015
[10]  
ENOMOTO T, 1993, CANCER RES, V53, P1883