Skip to main content
Log in

Immunohistochemically detected HER-2/neu-expression and prognosis in endometrial carcinoma

  • Originals
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Expression of the HER-2/neu proto-oncogene product was looked for immunohistochemically in 222 endometrial carcinomas in a retrospective followup study. The intensity of protein expression was correlated with patient survival. Median follow-up time was 4.8 years. In 109 (49%) of 222 endometrial carcinomas there was aberrant expression of HER-2/neu. HER-2/neu-expression did not correlate with p53-expression and proliferation rate, as determined immunohistochemically by the monoclonal antibody Ki-S1. In univariate statistical analysis aberrant HER-2/neu expression was not predictive of adjusted survival (p=0.18) and of disease-free survival (p=0.42). In multivariate analysis HER-2/neu-expression was not found to be an independent prognosticator (p=0.099) as compared to FIGO-stage (p=0.0001), histologic grade (p=0.00099) and proliferation rate (p=0.0013). Therefore immunohistochemically detected expression of HER-2/neu seems not to be a clinical prognosticator in endometrial cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Backe J, Gassel AM, Müller T, Schön S, Kaesemann H (1997) Tie Proliferationsrate als Prognosekriterium beim Endometriumkarzinom—eine immunhistochemische Analyse mit dem monoklonalen Antikörper Ki-S1. Zentralbl Gynakol (in press)

  2. Berchuck A, Kamel A, Whitaker R (1990) Overexpression of HER-2/neu is associated with poor survival in advanced epithelial ovarian cancer. Cancer Res 50:4087–4091

    PubMed  CAS  Google Scholar 

  3. Berchuck A, Rodriguez G, Kinney RB (1991) Overexpression of HER-2/neu in endometrial cancer is associated with advanced stage disease. Am J Obstet Gynecol 164:15–21

    PubMed  CAS  Google Scholar 

  4. Berchuck A (1995) Biomarkers in the endometrium. J Cell Biochem Suppl 23:174–178

    Article  PubMed  CAS  Google Scholar 

  5. Bigsby RM, Aixin L, Bomalaski J, Stehmann FB, Look KY, Sutton GP (1992) Immunohistochemical study of HER-2/neu, epidermal growth factor receptor, and steroid receptor expression in normal and malignant endometrium. Obstet Gynecol 79:95–100

    PubMed  CAS  Google Scholar 

  6. Ferrara F, De Santis L, Mangili F et al. (1994) Role of DNA ploidy and erb-B2 oncogene expression in the prognosis of endometrial carcinoma. Path Res Pract 190:1039–1043

    PubMed  CAS  Google Scholar 

  7. FIGO stagess (1989) 1988 revision. Gynecol Oncol 35:125–127

  8. Grund C (1995) MEDAS, Statistikprogramm für Medizin und Biowissenschaften. Universität Würzburg

  9. Hetzel DJ, Wilson TO, Kenney GL, Roche PC, Cha SS, Podratz KC (1992) HER-2/neu expression: a major prognostic factor in endometrial cancer. Gynecol Oncol 47:179–185

    Article  PubMed  CAS  Google Scholar 

  10. Khalifa MA, Mannel RS, Haraway SD, Walker J, Min KW (1994) Expression of EGFR, HER-2/neu, p53, and PCNA in endometrioid, serous papillary, and clear cell endometrial adenocarcinomas. Gynecol Oncol 53:84–92

    Article  PubMed  CAS  Google Scholar 

  11. Kohlberger P, Loesch A, Koelbl H, Breitenecker G, Kainz C, Gitsch G (1996) Prognostic value of immunohistochemically detected HER-2/neu oncoprotein in endometrial cancer. Cancer-Letter 98:151–155

    Article  CAS  Google Scholar 

  12. Kreipe HH, Alm P, Olsson H, Hauberg M, Fischer L, Parwaresch MR (1993) Prognostic significance of a formalinresistant nuclear proliferation antegen in mammary carcinomas as determined by the monoclonal antibody Ki-S1. Am J Pathol 142:651–657

    PubMed  CAS  Google Scholar 

  13. Lambkin HA, Mothersill CM, Kelehan P (1994) Variations in immunohistochemical detection of p53 protein overexpression. J Pathol 172:13–18

    Article  PubMed  CAS  Google Scholar 

  14. Lukes AS, Kohler MF, Pieper CF et al. (1994) Multivariable Analysis of DNA Ploidy, p53, and HER-2/neu as prognostic factors in endometrial cancer. Cancer 73:2380–2385

    Article  PubMed  CAS  Google Scholar 

  15. Monk BJ, Chapman JA, Johnson GA, Brightman BK, Wilczinsky SP, Schell MJ, Fan H (1994) Correlation of c-myc and HER-2/neu amplification and expression with histopathologic variables in uterine corpus cancer. Am J Obstet Gynecol 171:1193–1198

    PubMed  CAS  Google Scholar 

  16. Pisani AL, Barbuto DA, Chen D, Ramos L, Lagasse LD, Karlan BY (1995) HER-2/neu, p53, and DNA analyses as prognosticators for survival in endometrial carcinoma. Obstet Gynecol 85:729–734

    Article  PubMed  CAS  Google Scholar 

  17. Remmele W, Stegner HE (1987) Vorschlag zur einheitlichen Definition eines immunreaktiven Score (IRS) für den immunhistochemischen Östrogenrezeptor-Nachweis (ER-ICA) im Mammakarzinomgewebe. Pathologe 8:138–140

    PubMed  CAS  Google Scholar 

  18. Saffari B, Jones LA, El-Naggar A, Felix JC, George J, Press MF (1995) Amplification and overexpression of HER-2/neu in endometrial cancers: correlation with overall survival. Cancer Res 55:5693–5698

    PubMed  CAS  Google Scholar 

  19. Segreti EM, Novotny DB, Soper JT, Mutch DG, Creasman WT, McCarty KS (1989) Endometrial cancer: Histologic correlates of immunohistochemical localization of progesterone and estrogen receptor. Obstet Gynecol 73:780–784

    PubMed  CAS  Google Scholar 

  20. Slamon DJ, Godolphin W, Jones LA (1989) Studies of HER-2/neu proto-oncogene in human breast and ovarian cancer. Science 244:707–712

    Article  PubMed  CAS  Google Scholar 

  21. Wang DP, Konishi I, Koshiyama M et al. (1993) Expression of c-erbB2-2 protein and epidermal growth factor receptor in endometrial carcinomas. Cancer 72:2628–2637

    Article  PubMed  CAS  Google Scholar 

  22. World Health Organization (1994) Histologic Typing of Female Genital Tract Tumours. International Histological Classification of Tumours 13

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Backe, J., Gassel, A.M., Krebs, S. et al. Immunohistochemically detected HER-2/neu-expression and prognosis in endometrial carcinoma. Arch Gynecol Obstet 259, 189–195 (1997). https://doi.org/10.1007/BF02505331

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02505331

Key words

Navigation