Table 1.
Immunohistochemical marker | Results | Ref. | |
---|---|---|---|
IMP3 | Insulin-like growth factor II mRNA-binding protein 3 | IMP3 is more frequently expressed in UPSC and CCC than in EEC (resp. 78 %, 57 % and 15 % of the tumours were positive). | [21] |
P53 | P53 is more expressed in non-endometrioid endometrial carcinomas than in EEC. Expression is also related to higher tumour grade. | [19] | |
ER and PR | Oestrogen and progesterone receptor | Negative receptors were associated with lymph node metastasis and decreased survival. ER and PR expression is lower in non-endometrioid endometrial carcinomas than in EEC. | [20, 34] |
MLH1 | MutL homolog 1 | Loss of expression of mismatch repair proteins is seen in high grade EEC and not in UPSC and CCC. Loss of MLH1 expression is associated with longer survival. | [35, 36] |
PTEN | Phosphatase and tensin homologue | PTEN positivity is more frequently found in UPSC than EEC. | [19] |
Beta-catenin | Positive beta-catenin expression is associated with decreased stage, decreased grade and negative lymph node status | [37] | |
P16 | Loss of p16 expression is significantly correlated with high FIGO stage and serous and clear cell histological subtype. | [38] | |
Ki-67 | Higher Ki-67 expression is associated with higher tumour grade. UPSC and CCC show higher Ki-67 proliferation index than EEC. | [34] | |
Stathmin | Stathmin overexpression was associated with non-endometrioid histology, high grade and poor disease-specific survival. | [39] | |
ARID1A | AT-rich interactive domain 1A gene | Loss of ARID1A expression is significantly more frequent in high grade EEC compared to UPSC. | [40] |
L1CAM | L1 cell adhesion molecule | L1CAM is associated with higher grade and non-endometrioid histology. Moreover, L1CAM positive EC have statistical significant poorer disease-free survival and overall survival. | [22] |
UPSC = Uterine papillary serous carcinoma; CCC = Clear Cell Carcinoma; EEC = Endometrioid endometrial carcinoma; EC = endometrial carcinoma; FIGO = Fédération Internationale de Gynécologie et d’Obstétrique