1. The role of stathmin expression in the differential diagnosis, prognosis, and potential treatment of ovarian sex cord-stromal tumors.
- Author
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Šafanda A, Kendall Bártů M, Michálková R, Švajdler M, Shatokhina T, Laco J, Matěj R, Méhes G, Drozenová J, Hausnerová J, Špůrková Z, Škarda J, Hácová M, Náležinská M, Dundr P, and Němejcová K
- Subjects
- Humans, Female, Prognosis, Diagnosis, Differential, Adult, Middle Aged, Stathmin analysis, Stathmin metabolism, Sex Cord-Gonadal Stromal Tumors pathology, Sex Cord-Gonadal Stromal Tumors diagnosis, Sex Cord-Gonadal Stromal Tumors metabolism, Sex Cord-Gonadal Stromal Tumors therapy, Ovarian Neoplasms pathology, Ovarian Neoplasms diagnosis, Ovarian Neoplasms metabolism, Ovarian Neoplasms therapy, Biomarkers, Tumor analysis, Immunohistochemistry
- Abstract
Background: Stathmin, a cytosolic microtubule-destabilizing phosphoprotein involved in the regulation of mitosis, is widely expressed in various malignancies and acts as an adverse prognostic factor. Our research analyzed its immunohistochemical expression on a large cohort of ovarian sex cord-stromal tumors, evaluating its potential utility in differential diagnosis, prognosis, and therapeutic application., Methods: We examined 390 cases of ovarian sex cord-stromal tumors including 281 adult granulosa cell tumors (AGCT), 5 juvenile granulosa cell tumors (JGCT), 33 Sertoli-Leydig cell tumors (SLCT), 50 fibromas/thecomas (F/T), 11 Leydig cell tumors/steroid cell tumors (LCT/SterCT), 5 sex-cord stromal tumors NOS (SCST-NOS), 3 Sertoli cell tumors (SCT), and 2 sclerosing stromal tumors (ScST). Immunohistochemical analysis was performed using TMAs., Results: Strong expression (> 50%) was observed in all cases of AGCT, JGCT, SLCT, SCST-NOS, SCT and 1 ScST. The other case of ScST exhibited mild expression (5-10%). The negative cases included exclusively F/T and LCT/SterCT, with F/T showing 24% of negative cases and LCT/SterCT comprising 64% of negative cases., Conclusion: The results of our study indicate that stathmin is neither a prognostic marker nor suitable for the differential diagnosis of challenging cases of ovarian sex cord-stromal tumors. However, its predictive value may be theoretically significant, as a decrease in stathmin expression potentialy influences response to chemotherapy treatment., (© 2024. The Author(s).)
- Published
- 2024
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