1. Claudin-18 overexpression in intestinal-type mucinous borderline tumour of the ovary
- Author
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Tetsu Yano, Masashi Fukayama, Daichi Maeda, Katsutoshi Oda, Kei Kawana, Tomoyuki Fujii, Sultan Ahmad Halimi, Takahide Arimoto, Takahiro Koso, Aya Shinozaki-Ushiku, Keisuke Matsusaka, and Mariko Tanaka
- Subjects
Pathology ,medicine.medical_specialty ,Histology ,Vimentin ,Ovary ,Cystadenocarcinoma, Mucinous ,Pathology and Forensic Medicine ,Cystadenoma, Mucinous ,Progesterone receptor ,medicine ,Biomarkers, Tumor ,Cluster Analysis ,Humans ,CDX2 ,Claudin ,Ovarian Neoplasms ,biology ,General Medicine ,Immunohistochemistry ,digestive system diseases ,Epithelium ,Serous fluid ,medicine.anatomical_structure ,Claudins ,biology.protein ,Female - Abstract
Aims Mucinous borderline tumours of the ovary are subclassified as intestinal-type (IMBT) and endocervical-like (EMBT), which differ in their clinicopathological features. In this study, we attempted to elucidate characteristics of the mucinous epithelium in each subtype. Methods and results The expression of claudin-18, a marker of gastric differentiation, MUCs, CDX2, CK7, CK20, oestrogen receptor (ER), progesterone receptor (PgR), CA-125 and vimentin in IMBTs (n = 54), EMBTs (n = 25) and serous borderline tumours (SBTs) (n = 22) were compared by immunohistochemistry. Claudin-18 positivity was identified in 98% of the IMBTs, whereas only 4% of the EMBTs were claudin-18-positive. Expression of intestinal markers such as CDX2 and MUC2 was relatively infrequent in IMBTs (48% and 33%, respectively). Mullerian-lineage markers such as ER, PgR and vimentin were expressed rarely in IMBTs, while most EMBTs and SBTs were positive for these markers. Hierarchial clustering revealed a close association between EMBTs and SBTs, while IMBTs were clearly separate. Conclusions Claudin-18 positivity is a specific phenotype that is characteristic of IMBTs. Frequent and diffuse expression of gastric markers, along with less frequent and usually focal expression of intestinal markers, suggests that IMBTs are essentially composed of gastrointestinal-type mucinous epithelium (gastric-type epithelium with a variable degree of intestinal differentiation).
- Published
- 2013