The potential role of villin 1 and estrogen receptor (ER) in differentiation between endocervical adenocarcinoma and endometrial adenocarcinoma

Mai Elshenawy Elsemelawy, A. Eid, Aymen Mohamed El-Saka andAhmed Abdel Azeim Menaisy
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Abstract

Background: Endocervical adenocarcinoma (ECAC) is the 4th most common cancer in females globally. It has been ranked the 14th most common cancer in Egyptian females. The aim of this work was to study immunohistochemical expression of villin1 in endocervical and endometrial adenocarcinoma, immunohistochemical expression of ER in endocervical and endometrial adenocarcinoma and evaluate the potential role of villin 1 and ER expression in differentiation between endocervical & endometrial adenocarcinoma. Methods: This retrospective study was carried out on 60 cases of endocervical & endometrial endometroid adenocarcinoma. Patients were classified into two equal groups: Group I: Cases of endocervical adenocarcinomas and Group II: Cases of endometrial endometroid adenocarcinomas. Results: The positive predictive value of ER as a correlation between ER expression and clinicopathological characteristics has been addressed in our study was 100%. The negative predictive value was 73.1%. The positive predictive value of using panel of villin and ER expression and clinicopathological characteristics has been addressed in our study was 88.8%, the negative predictive value was 66.6%. Conclusions: Villin1 is good diagnostic tool had high specificity in differentiating endocervical and endometroid adenocarcinoma and has a predictive value in ECAC. ER is good diagnostic tool in differentiating between endocervical and endometroid adenocarcinomas and has predictive value in endometroid adenocarcinoma.
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绒毛蛋白1和雌激素受体(ER)在宫颈内膜腺癌和子宫内膜腺癌分化中的潜在作用
背景:宫颈内膜腺癌(ECAC)是全球第四大最常见的女性癌症。它在埃及女性最常见的癌症中排名第14位。本研究旨在研究宫颈内膜和子宫内膜腺癌中绒毛蛋白1的免疫组化表达、ER在宫颈内膜和子宫内膜腺癌中的免疫组化表达,探讨绒毛蛋白1和ER表达在宫颈内膜和子宫内膜腺癌鉴别中的潜在作用。方法:对60例宫颈内膜及子宫内膜样腺癌进行回顾性研究。将患者分为两组,第一组为宫颈内膜腺癌,第二组为子宫内膜样腺癌。结果:在我们的研究中,ER作为ER表达与临床病理特征相关的阳性预测值为100%。阴性预测值为73.1%。利用绒毛蛋白和内质网表达及临床病理特征组的阳性预测值为88.8%,阴性预测值为66.6%。结论:Villin1是鉴别宫颈内腺癌和子宫内膜样腺癌的良好诊断工具,特异性高,对ECAC有预测价值。ER是鉴别宫颈内膜和子宫内膜样腺癌的良好诊断工具,对子宫内膜样腺癌有预测价值。
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