1. Prognostic impact of CD133 expression in Endometrial Cancer Patients.
- Author
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Mancebo G, Sole-Sedeno JM, Pino O, Miralpeix E, Mojal S, Garrigos L, Lloveras B, Navarro P, Gibert J, Lorenzo M, Aran I, Carreras R, and Alameda F
- Subjects
- AC133 Antigen metabolism, Aged, Aged, 80 and over, Endometrial Neoplasms metabolism, Endometrial Neoplasms pathology, Female, Follow-Up Studies, Humans, Immunohistochemistry, Middle Aged, Neoplasm Grading, Neoplasm Staging, Prognosis, Proportional Hazards Models, ROC Curve, AC133 Antigen genetics, Biomarkers, Tumor, Endometrial Neoplasms genetics, Endometrial Neoplasms mortality, Gene Expression Regulation, Neoplastic
- Abstract
To assess the impact of CD133 expression on the prognosis of endometrioid endometrial carcinoma (EEC). We retrospectively assessed CD133 expression in tissue microarray of 116 surgically treated FIGO I-III EEC. Tumors with ≥10% of CD133-expressing cells were considered CD133-positive (CD133+). On the basis of CD133 expression, clinical and pathological parameters, progression-free survival (PFS) and overall survival (OS) were evaluated. Of the EEC studied 85.2% showed CD133-expressing cells. Only 61% (n = 66) of EEC presented ≥10% of CD133 expressing cells and were considered CD133+. The mean OS for CD133+ tumour patients was 161 months (95% CI, 154-168) as compared with 146 months (95% CI, 123-160) for those with CD133- tumors (p = 0.012). The mean PFS for CD133+ tumour was 159 months (95% CI, 149-168) as compared with 147 months (95% CI, 132-161) in those with a CD133-tumour (p = 0.014). CD133+ tumours were less likely to have vascular invasion (p = 0.010) and more likely to be well differentiated (p = 0.034). C133+ tumours predicted favorable OS and PFS of EEC patients, with a Hazard Ratio 4.731 (95% CI, 1.251-17.89; p = 0.022). CD133+ tumor status correlates with favorable prognosis of EEC. Our findings are in agreement with studies addressing brain and colorectal tumours.
- Published
- 2017
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