PMID- 18071824 OWN - NLM STAT- MEDLINE DCOM- 20080313 LR - 20080215 IS - 1534-4681 (Electronic) IS - 1068-9265 (Linking) VI - 15 IP - 2 DP - 2008 Feb TI - Fluorescence in situ hybridization and immunohistochemical analysis of p53 expression in endometrial cancer: prognostic value and relation to ploidy. PG - 484-92 AB - BACKGROUND: Endometrial carcinoma is the most common gynecological malignancy. Several molecular biological characteristics have been studied for their potential value in patient management. OBJECTIVES: Our objectives were to compare p53 immunohistochemical expression with P53 gene status determined by fluorescence in situ hybridization (FISH) and to compare these characteristics with ploidy and with classical clinical and histological prognostic factors. MATERIALS AND METHODS: We reviewed stored specimens from 43 patients with endometrial cancer diagnosed in 1999-2004. P53 FISH and immunohistochemistry were performed, together with imaging cytometry to calculate DNA ploidy. RESULTS: Thirteen of the 43 endometrial carcinomas (30.2%) showed P53 loss of heterozygosity (LOH). P53 LOH correlated with the histological type (P = .03) and the histological grade (P = .004). Quantitative immunohistochemical expression of p53 protein correlated with the histological type (P = .0001). With a cutoff of 10% of p53-positive cells, p53 overexpression correlated with the histological type (P = .003) and grade (P = .0008). No relation was found between P53 LOH or immunohistochemical expression and the disease stage, the depth of myometrial invasion, lymph node status, lymphovascular space involvement, recurrence, or death from cancer. Nondiploid carcinomas showed deeper myometrial invasion than diploid carcinomas (P = .01). No relation was observed between ploidy and qualitative or semiquantitative p53 expression or P53 LOH. CONCLUSION: In endometrial cancer, FISH analysis of P53 status adds no significant prognostic information compared with immunohistochemical p53 analysis. FAU - Graesslin, Olivier AU - Graesslin O AD - Service de Cytogenetique, Hopital Tenon, AP-HP, F-75020 Paris, France. ograesslin@chu-reims.fr FAU - Chantot-Bastaraud, Sandra AU - Chantot-Bastaraud S FAU - Lorenzato, Marianne AU - Lorenzato M FAU - Birembaut, Philippe AU - Birembaut P FAU - Quereux, Christian AU - Quereux C FAU - Darai, Emile AU - Darai E LA - eng PT - Comparative Study PT - Journal Article DEP - 20071211 PL - United States TA - Ann Surg Oncol JT - Annals of surgical oncology JID - 9420840 RN - 0 (Tumor Suppressor Protein p53) SB - IM MH - Endometrial Neoplasms/*genetics/*metabolism/pathology MH - Female MH - Humans MH - Immunohistochemistry MH - *In Situ Hybridization, Fluorescence MH - Loss of Heterozygosity MH - Myometrium/pathology MH - Neoplasm Invasiveness MH - Ploidies MH - Prognosis MH - Tumor Suppressor Protein p53/*metabolism EDAT- 2007/12/12 09:00 MHDA- 2008/03/14 09:00 CRDT- 2007/12/12 09:00 PHST- 2007/05/20 00:00 [received] PHST- 2007/10/23 00:00 [accepted] PHST- 2007/10/19 00:00 [revised] PHST- 2007/12/12 09:00 [pubmed] PHST- 2008/03/14 09:00 [medline] PHST- 2007/12/12 09:00 [entrez] AID - 10.1245/s10434-007-9712-1 [doi] PST - ppublish SO - Ann Surg Oncol. 2008 Feb;15(2):484-92. doi: 10.1245/s10434-007-9712-1. Epub 2007 Dec 11.