PMID- 18558584 OWN - NLM STAT- MEDLINE DCOM- 20080916 LR - 20211020 IS - 1699-048X (Print) IS - 1699-048X (Linking) VI - 10 IP - 6 DP - 2008 Jun TI - Prognostic value of hormonal receptors, p53, ki67 and HER2/neu expression in epithelial ovarian carcinoma. PG - 367-71 AB - OBJECTIVE: The role of molecular and biological factors in ovarian cancer is controversial. We investigated the levels of the estrogen (ER) and progesterone (PR) receptors, HER2/neu, p-53 and Ki 67 in patients with advanced ovarian cancer and correlated the results with the clinical course in order to define their predictive or prognostic significance. METHODS: Paraffin-embedded tumor tissues from 72 patients with ovarian cancer treated from 1999 to 2003 were analyzed. Overexpression of C-erb-B2 was defined as herceptest ++/+++ and positive fluorescence in situ hybridization (FISH) or herceptest +++/+++. Positivity for ER and PR was determined by > or =10% of the cellular membranes immunostained. Statistical analysis was performed to evaluate the prognostic impact of the molecular markers. RESULTS: 49 of the 72 patients were ER + (68%) and 36 PR + (50%). In 45 patients (62.5%) expression of p53 was > or =10%. Overexpression of C-erb-2 was found in 4 tumor samples (5%). A Ki67 labelled nuclear area >30% was found to be associated with a higher rate of complete response (chi(2); p=0.05). None of the biological markers were significantly associated with progression free survival (PFS). By multivariate analysis residual tumor after debulking surgery and ER status were associated with OS (p< or =0.05). CONCLUSIONS: Ki67 nuclear expression >30% is predictive of complete response in advanced ovarian cancer. HER2/neu overexpression is scarce in our study. Positive ER is an independent prognostic factor for OS. Further research with larger studies and hormonal treatment is guaranteed. FAU - Garcia-Velasco, A AU - Garcia-Velasco A AD - Division of Medical Oncology, Institut Catala d'Oncologia, Hospital Universitario Dr. Josep Trueta, Girona, Spain. agvelasco@ico.scs.es FAU - Mendiola, C AU - Mendiola C FAU - Sanchez-Munoz, A AU - Sanchez-Munoz A FAU - Ballestin, C AU - Ballestin C FAU - Colomer, R AU - Colomer R FAU - Cortes-Funes, H AU - Cortes-Funes H LA - eng PT - Journal Article PL - Italy TA - Clin Transl Oncol JT - Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico JID - 101247119 RN - 0 (Biomarkers, Tumor) RN - 0 (Ki-67 Antigen) RN - 0 (Receptors, Estrogen) RN - 0 (Receptors, Progesterone) RN - 0 (Tumor Suppressor Protein p53) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*analysis MH - Female MH - Humans MH - Immunohistochemistry MH - Kaplan-Meier Estimate MH - Ki-67 Antigen/biosynthesis MH - Middle Aged MH - Neoplasms, Glandular and Epithelial/*metabolism/mortality MH - Ovarian Neoplasms/*metabolism/mortality MH - Prognosis MH - Receptor, ErbB-2/biosynthesis MH - Receptors, Estrogen/biosynthesis MH - Receptors, Progesterone/biosynthesis MH - Tumor Suppressor Protein p53/biosynthesis EDAT- 2008/06/19 09:00 MHDA- 2008/09/17 09:00 CRDT- 2008/06/19 09:00 PHST- 2008/06/19 09:00 [pubmed] PHST- 2008/09/17 09:00 [medline] PHST- 2008/06/19 09:00 [entrez] AID - CLAT34 [pii] AID - 10.1007/s12094-008-0213-x [doi] PST - ppublish SO - Clin Transl Oncol. 2008 Jun;10(6):367-71. doi: 10.1007/s12094-008-0213-x.