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Reich, O; Regauer, S.
Aromatase expression in low-grade endometrial stromal sarcomas: an immunohistochemical study.
Mod Pathol. 2004; 17(1):104-108 Doi: 10.1038/sj.modpathol.3800031 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Reich Olaf
Co-Autor*innen der Med Uni Graz
Regauer Sigrid
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Abstract:
Aromatase expression has been described in stromal cells of endometriosis, adenomyosis and endometrial cancer. We analyzed aromatase expression in a series of 23 low-grade endometrial stromal sarcomas. Archival formalin-fixed and paraffin-embedded material was analyzed with immunohistochemistry. Aromatase expression was evaluated with a monoclonal and a polyclonal antibody using the peroxidase-antiperoxidase method. A score was calculated based on the percentage of positive tumor cells and the staining intensity. Aromatase was seen in 19 (83%) of 23 tumors with monoclonal antibody and 20 (87%) of 23 tumors with polyclonal antibody. Aromatase expression using the monoclonal antibody was scored as high in five (22%), moderate in nine (39%) and low in five (22%) tumors. Four (17%) low-grade endometrial stromal sarcomas did not stain for aromatase. Aromatase expression with the polyclonal antibody was scored as high in seven (31%), moderate in four (17%) and low in nine (39%) tumors. Three (13%) low-grade endometrial stromal sarcomas did not stain for aromatase. Little or no aromatase expression tended to correlate with stage I disease, while higher scores were more frequently associated with advanced disease. Our results demonstrate that most low-grade endometrial stromal sarcomas express aromatase. The staining pattern, however, is heterogeneous. The high percentage of aromatase positivity in low-grade endometrial stromal sarcomas may have implications in the management of these tumors and offer new treatment modalities such as hormonal therapy with aromatase inhibitors.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Antibodies, Monoclonal -
Antineoplastic Agents, Hormonal - therapeutic use
Aromatase - analysis Aromatase - immunology
Aromatase Inhibitors - therapeutic use
Endometrial Neoplasms - drug therapy Endometrial Neoplasms - enzymology Endometrial Neoplasms - pathology
Female -
Humans -
Immunoenzyme Techniques -
Middle Aged -
Neoplasm Staging -
Patient Selection -
Prognosis -
Sarcoma, Endometrial Stromal - drug therapy Sarcoma, Endometrial Stromal - enzymology Sarcoma, Endometrial Stromal - pathology

Find related publications in this database (Keywords)
endometrium
stromal sarcoma
aromatase
treatment
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