Hypoxia-inducible factor 1 alpha expression is an indicator of invasiveness in uterine cervical tumors

Background: Hypoxia is a common feature of cancers. Hypoxia-inducible factor 1A (HIF1A) is a causative agent that changes the transcriptional response of tumors under hypoxia. Some alterations lead to an increase in HIF1A activity and this supports other critical pathways leading to angiogenesis, metabolic adaptation and tumor progression. This retrospective study was designed to evaluate the differences of tissue expressions of HIF1A in a spectrum of cervical neoplasms.Methods: Tissue expression of HIF1A was studied in a total of 107 formalin-fixed, paraffin-embedded uterine cervical tumors specimens and its association with different clinicopathologic parameters was evaluated.Results: In this series, there were 30 low and 29 high grade cervical intraepithelial neoplasms (CINs), 27 squamous cell carcinomas, 15 adenosquamous carcinomas and 6 adenocarcinomas. Strong and diffuse nuclear staining was evaluated as positive HIF1A expression. Positive HIF-1 alpha expression was detected in 7 (25.9%) of squamous cell carcinomas, 1 of adenocarcinomas (16.7%) and only 1 of HGSILs (3.4%). Statistically it was determined that the positivity rate of strong nuclear HIF1A expression was significantly higher in invasive carcinomas when compared with in non-invasive squamous cell carcinomas (p=0.07). Contrary, there was no statistically significant difference according to the subtypes of carcinomas due to scarce number of cases with adenocarcinoma (p=0.188).Conclusions: Our findings were demonstrated to link of nuclear HIF1A expression and the invasive characters of uterine neoplasms. As a result, HIF-1 alpha expression may be important in foreseeing of the invasion and tumor progression

Ekspresja caveoliny-1 w tkance okołoguzowej jest związana ze stopniem zróżnicowania histopatologicznego w surowiczych guzach jajnika

Background: Previous studies have demonstrated that Caveolin-1 (Cav-1) can ambiguously behave as tumor suppressor or tumor promoter in different neoplasms, depending on cancer type. Some findings have also revealed that cell proliferation, migration and invasion were attenuated by the knockdown of Caveolin-1 expressions. However, the functional and prognostic significance of Caveolin-1 in most tumors remains to be fully elucidated. Objectives: The aim of the study was to investigate a possible association between tissue Caveolin-1 expression and the clinicopathologic features of ovarian serous tumors. Material and methods: Caveolin-1 expression was studied in a total of 82 formalin-fixed, paraffin-embedded specimens of ovarian serous tumors and its association with different clinicopathologic parameters was evaluated. Results: The study included 36 (43.9%) benign, 12 (14.6%) borderline and 34 (41.5%) malignant serous tumors. Mean patient age was 43.9±14.4 years (17-72 years). Statistical analysis revealed that if the tumor becomes more aggressive and invasive, it losses the stromal Caveolin-1 expression (p=0.001). Also, parallel changes between stromal and perivascular Caveolin-1 expressions were observed. Conclusions: Our findings demonstrated a link between Caveolin-1 expression and the aggressiveness of ovarian cancer. Therefore, it seems safe to suggest that Cav-1 may act as a differential diagnostic biomarker in ovarian serous tumors.Wstęp: Wcześniejsze badania wykazały, że Caveolina-1 (Cav-1) może zachowywać się niejednoznacznie w zależności od rodzaju nowotworu, jako jego supresor lub promotor. Niektóre badania pokazały, że proliferacja komórek, migracja i inwazja były osłabiane przez obniżoną ekspresję Caveoliny-1. Jakkolwiek czynnościowe i prognostyczne znaczenie Caveoliny-1 w wielu guzach pozostaje w pełni do wyjaśnienia. Cel pracy: Celem badania była ocena możliwych związków pomiędzy ekspresją Caveoliny-1 i cechami klinicznopatologicznymi surowiczych guzów jajnika. Materiał i metoda: Ekspresję Caveoliny-1 oceniono w 82 tkankach surowiczych guzów jajnika utrwalonych w formalinie i zatopionych w parafinie i skorelowano z różnymi cechami kliniczno-patologicznymi. Wyniki: Do badania włączono 36 (43,9%) niezłośliwych, 12 (14,6%) granicznych i 34 (41,5%) złośliwych guzów surowiczych. Średnia wieku wynosiła 43,9±14,4 lat (17-72 lata). Analiza statystyczna wykazała, że im bardziej agresywny i inwazyjny był guz, tym bardziej tracił ekspresje Caveoliny-1 (p=0,001). Równolegle obserwowano zmiany ekspresji Caveoliny-1 w tkance łącznej i okołonaczyniowej. Wnioski: Nasze badania pokazują związek pomiędzy ekspresją Caveoliny-1 i złośliwością raka jajnika. Wydaje się, że Caveolina-1 może pełnić rolę biomarkera w diagnostyce różnicowej surowiczych guzów jajnika

Tissue expression of human epididymal secretory protein 4 may be useful in the differential diagnosis of uterine cervical tumors

Objectives: Human Epididymal Secretory Protein 4 was firstly described as an epididymis-specific protein but more recently it has been demonstrated to be a putative serum tumor marker for different malignancies, especially ovarian epithelial cancers. The aim of this study is to investigate the association between tissue Human Epididymal Secretory Protein 4 expression and the clinicopathological features of uterine cervical tumors. Material and methods: This retrospective study was designed to evaluate the differences of tissue expressions of Human Epididymal Secretory Protein 4 protein in a spectrum of cervical neoplasms. One hundred and seven patients recently diagnosed as having cervical intraepithelial neoplasm or invasive squamous cell carcinoma, adenosquamous carcinoma and adenocarcinoma based on pathology databases. Results: Decreased or negative Human Epididymal Secretory Protein 4 expressions were determined in both normal cervical epithelia and in intraepithelial carcinomas, while increased HE4 expression was observed in invasive tumors. Conclusions: This study demonstrated that altered expression of Human Epididymal Secretory Protein 4 may involve in tumorigenesis in the uterine cervix. Our findings also suggested the presence of a correlation between Human Epididymal Secretory Protein 4 expression and the invasive potential of uterine tumors. Therefore it may be thought that the tissue expression of HE4 can be used to differentiate high grade intraepithelial tumors from carcinomas

Prognostic impact of BCL2, BCL6 and MYC status in de novo diffuse large B-cell lymphoma: a regional study of 43 patients

Background: Diffuse large B-cell lymphoma (DLBCL) is an aggressive non-Hodgkin lymphoma with marked biologic heterogeneity. We aimed to evaluate the status of MYC, BCL2, BCL6 in patients with DLBCL.Methods: Herein, we have investigated the prognostic relevance of MYC, BCL2 and BCL6 from 43 de novo DLBCL patients.Results: In this study, protein overexpression of BCL2 and BCL6 was encountered in 46.5% (n=20) and 27.9% (n=12) of the tumors, respectively.  Rearrangements in MYC, BCL6, and BCL2 were detected in 9.3% (n=4), 25.6% (n=11), and 4.7% (n=2) of the cases, respectively. Any statistically significant difference could not be found between Bcl-2, Bcl-6 expression, C-MYC rearrangement and the survival.Conclusions: We concluded that C-MYC and BCL2 may contribute to aggressive transformation, so more mechanism-based therapy should be explored. A larger study is warranted to better understand the immunophenotypic and molecular features of DLBCL and their respective impact on patient survival

Tissue Expression of ETS-Related Gene in Gastric Carcinomas

INTRODUCTION: The ETS-related gene (ERG) encodes a member of the erythroblast transformation-specific (ETS) transcription factor family that has been implicated in both tumor invasion and neovascularization. In this retrospective study, we have aimed to investigate the clinical significance of ERG tissue expressions in gastric cancer. METHODS: We examined the expression of ERG protein by immunohistochemical staining in tissue specimens harvested from 172 primary gastric cancer cases. RESULTS: ERG was expressed in normal vascular endothelium. ERG staining was defined as positive in 9.9 % (17 /172) of gastric cancer cases. According to clinicopathological characteristics, statistically significant differences were not observed between ERG expression and tumor invasion, lymph node and distant metastases, increased tumor stage, histological lymphatic and neural invasion. There were no significant differences in age, gender, or histopathological grading as for ERG expression. DISCUSSION AND CONCLUSION: ERT expression in gastric cancers is not correlated with histological prognostic indicators

Evaluation of the Relationship of PD-L1 and FOXP3 Expressions With Clinicopathological Parameters in Gastric Carcinomas

Objective: At the time of diagnosis, gastric cancers are generally at an advanced stage and the survival rates are very low. The aim of this study is to determine the prognostic values of PD-L1 expression in gastric carcinomas and to detect the presence of FOXP3- positive Treg cells in tumor microenviroment. Method: In this study, PD-L1 and FOXP3 expressions were evaluated in 125 patients with gastric carcinoma who had undergone gastrectomy between 2011, and 2015. Results: The mean age of the patients was 64.18+-12.3 years and the patients were followed up for a mean period of 29.6+-26.4 months. In only 2 (1.6%) cases there were weak membranous expressions of PD-L1 in tumor cells. PD-L1- positive inflammatory cells were also seen in tumors of 2 (1.6%) cases. There was no significant relationship between PD-L1 expression and survival times (p= 0.690). In 57(45.6%) cases, FOXP3- positive lymphocytes were detected. The number of FOXP3-positive cells ranged between 1 and 55/HPF. There was no statistically significant correlation between the survival times and presence of Tregs (p=0.793). Twenty-two cases (17.6%) were evaluated as HER2-positive. There was a statistical relationship between HER2-positivity and perineural invasion (p=0.006). Statistical significance between survival and some prognostic factors such as nodal metastasis (p=0.004), pT stage (p<0.01) and presence of perineural invasion (p=0.010) was determined. Conclusion: This study has demonstrated that the PD-L1 positivity was not effective on gastric tumorigenesis. We have found a positive correlation between the presence of Treg inflammatory cells and PD-L1 expression. But this relationship could not be proved by statistical analyses. However since PD-L1 expression was detected in only 4 cases, these findings should be confirmed in larger series

Overin primer rabdomyosarkomu: Olgu sunumu

Rhabdomyosarcomas are soft tissue tumors mostly seen in childhood on head and neck region and limbs. Primary ovarian rhabdomyosarcomas are extremely rare, and are presented as a component of malignant mixed mullerian tumors. 26-year-old female presented with abdominal mass and pain. The abdominal ultrasonography and computed tomography showed bilateral ovarian tumors. Microscopic examination revealed small tumor cells with oval nucleus and eosinophilic cytoplasm composing an alveolar pattern. Tumor cells were stained positively with smooth muscle actin and desmin. The case was evaluated as stage III and died five months after the surgery. By the association of the histopathologic and immunohistochemical findings this case was diagnosed as primary rhabdomyosarcoma of ovary. This case is presented because it is unusual and rare tumor of the ovary.Rabdomyosarkomlar genetikle çocukluk döneminde, baş boyun bölgesi ve ekstremitelerde görülen yumuşak doku tümörleridir. Primer over yerleşimli rabdomyosarkomlar ise çok nadir olup malign mikst müllerian tümörlerin bir komponenti şeklinde izlenmektedirler. Karında kitle ve ağrı yakınmaları ile başvuran 26 yaşındaki olguya yapılan abdominal ultrasonografi ve bilgisayarlı tomografi sonrası her iki overde tümöral oluşumlar saptanmıştır. Cerrahi olarak çıkarılan tümörün mikroskobik incelemesinde, alveolar boşlukları döşeyen oval çekirdekli eozinofilik sitoplazmalı küçük hücreler izlenmiştir. Immünohistokimyasal olarak tümör hücreleri desmin ve düz kas aktini ile boyanmıştır. Evre III olarak değerlendirilen olgu, operasyondan 5 ay sonra yaşamını yitirmiştir. Histopatolojik ve immünohistokimyasal bulgular eşliğinde överin primer rabdomyosarkomu olarak değerlendirilen olgu nadir görülmesi nedeniyle sunulmuştur

BORDERLİNE MÜSİNÖZ OVER TÜMÖRLERİ : 26 OLGUDA RETROSPEKTİF DEĞERLENDİRME

Overin borderline müsinöz tümörlerini invaziv müsinöz karsinomlardan ayırmak için kullanılan histolojik kriterler çok tartışmalıdır

OVARYUMUN SEKS KORD STROMAL TÜMÖRLERİNDE İMMUNHİSTOKİMYA

Seks kord stromal tümörler, tüm ovaryum tümörlerinin yaklaşık olarak % 6\' sını oluşturmaktadır