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Título: Alteration Of The K-Ras Gene Expression In Atypical And Nonatypical Hyperplastic Endometrium
Autores: Izadi-Mood, Narges; Dept. of Pathology, Tehran University of Medical Sciences, Tehran, Iran
Sarmadi, Soheila; Dept. of Pathology, Tehran University of Medical Sciences, Tehran, Iran
Rostamnasl, Behzad; Dept. of Pathology, Tehran University of Medical Sciences, Tehran, Iran
Fecha: 2013-11-27
Publicador: Shahid Beheshti University of Medical Sciences
Fuente: Ver documento
Tipo: info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

Tema: No aplica
Descripción: Background: Endometrial cancer is the most common gynecologic malignancy that has often proceeded by a premalignant phase. Modern molecular and immune staining methods for precancerous lesions diagnosis have been expanded. One of the genetic alternations in the endometrial cancer carcinogenesis is the mutational activation of the K-ras oncogene. K-ras mutation has recognized to occur at an early stage of neoplastic progression in the endometrium. The purpose of this study is to investigate the expression pattern of K-ras gene in atypical and nonatypic hyperplastic endometrium.Methods: In a prospective study in the referral gynecologic hospital in Tehran, immune histochemical evaluation of K-ras has performed on 72 consecutive specimens in two following groups: endometrial hyperplasia without atypical hyperplastic endometrium (n: 36), and endometrial hyperplasia with atypical hyperplastic endometrium (n: 36). Staining of cells has evaluated in arbitrary quantitative methods in regards to both slides area staining and intensity of color reaction.Results: K-ras immunoreactivity has seen in 3/36 (8.3%) cases of nonatypical hyperplasia and in 2/36 (5.6%) cases of atypical hyperplasia (P: 0.64).Conclusion: We have not establish any significant differences in K-ras expression between the atypical and nonatypical hyperplastic endometrium, and our data has supported this view that K-ras mutation is a very rare event in human endometrial carcinogenesis.Keywords: K-ras; Endometrial cancer; Endometrial hyperplasia; ImmunohistochemistryPlease cite this article as: Izadi-Mood N, Sarmadi S, Rostamnasl B. Alteration of the K-Ras Gene Expression in Atypical and Nonatypical Hyperplastic Endometrium. Iran J Cancer Prev. 2013;6(4):209-13.References1.Hecht JL, Mutter GL. Molecular and pathologic aspects of endometrial carcinogenesis. J of Clin Oncol. 2006; 24(29):4783-91.2. Liu F. Molecular carcinogenesis of endometrial cancer. Taiwanese J Obstet Gynecol. 2007; 46(1):26-32.3.Fujiwara K, Enomoto T, Fujita M, Kanda T, Fujiti S, Ito K, et al. Alternation of the K-ras and p53 genes in tamoxifen-associated endometrial carcinoma. Oncol Reports. 2008; 19:1293-98.4.Mutter LG. Histopathology of genetically defined endometrial precancers. Inter J Gynecol Pathol. 2000; 19(4):301-9.5. Sammoud S, Khiari M, Semeh A, Amine L, Ines C, Amira A, et al. Relationship between expression of ras p21 oncoprotein and mutation status of the K-ras gene in sporadic colorectal cancer patients in Tunisia.Appl Immunohistochem Mol Morphol. 2012; 20(2):146-52.6.Doll A, Abdal M, Rigau M, Monge M, Gonzalez M, Demajo S, et al. Novel molecular profiles of endometrial cancer-new light through old windows. The J of Steroid Biol & Molecul Biol. 2008; 108(3-5):221-9.7.Semczuk A, Schneider-Stock R, Berbec H, Marzec B, Jakowicki JA, Roessner A. K-ras exon 2 point mutations in human endometrial cancer. 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K-ras mutations appear in the premalignant phase of both microsatellite stable and unstable endometrial carcinogenesis. J Clin Pathol. 1999; 52(5):257-62.14. Athanassiaadou P, Athanassiades P, Grapsa D, Gonidi M, Athanassiaadou AM, Stamati PN, et al. The prognostic value of PTEN, p53, and beta-catenin in endometrial carcinoma: a prospective immunohistochemical study. Int J Gynecol Cancer. 2007; 17(3):697-704.15. Ikeda T, Yoshinaga K, Suzuki A, Sakurada A, Ohmori H, Horii A. Anticorresponding mutations of the KRAS and PTEN genes in human endometrial cancer. Oncol Rep. 2000; 7(3):567-70.16. Matias-Guiu X, Catasus L, Bussagila E, Lagarda H, Garcia A, Pons C, et al. Molecular pathology of endometrial hyperplasia and carcinoma .Human Pathol. 2001; 32(6): 569-77.17. Enomoto T, Inoue M, Perantoni AO, Buzard GS, Miki H, Tanizawa O, et al. K-ras activation in premalignant and malignant epithelial lesions of the human uterus. Cancer Res.1991; 51(19): 5308-14.18. 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