Evidence map›Paper›PMID 30813708›Full record

ArticleJournal of pathology and translational medicine2019

Potential Role for a Panel of Immunohistochemical Markers in the Management of Endometrial Carcinoma.

Amany Salama, Mohammad Arafa, Eman ElZahaf, Abdelhadi Mohamed Shebl, Azmy Abd El-Hameed Awad, Sylvia A Ashamallah, Reda Hemida, Anas Gamal, Abd AlRahman Foda, Khaled Zalata and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of pathology and translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 18 citations in OpenAlex.

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  6. Elevated CA-125 Level and ER-Negative as Prognostic Factors for Ovarian Metastasis in Patients with Endometrial Cancer: A Retrospective Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  7. Review
  8. The analysis of hormonal status and vascular and cell proliferation in endometrioid endometrial adenocarcinomas.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Article
  9. Unexpected location of endometrial adenocarcinoma - a case report.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Amany SalamaDepartment of Pathology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Mohammad ArafaDepartment of Pathology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Eman ElZahafDepartment of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Abdelhadi Mohamed SheblDepartment of Pathology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Azmy Abd El-Hameed AwadDepartment of Pathology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Sylvia A AshamallahDepartment of Pathology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Reda HemidaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Anas GamalDepartment of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Abd AlRahman FodaDepartment of Pathology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Khaled ZalataDepartment of Pathology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
El-Said M Abdel-HadyDepartment of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Mansoura University · EGSultan Qaboos University · OM

Funding

Mansoura University
6 · The paper itself

Abstract

backgroundIn order to improve the efficacy of endometrial carcinoma (EC) treatment, identifying prognostic factors for high risk patients is a high research priority. This study aimed to assess the relationships among the expression of estrogen receptors (ER), progesterone receptors (PR), human epidermal growth factor receptor 2 (HER2), Ki-67, and the different histopathological prognostic parameters in EC and to assess the value of these in the management of EC.

methodsWe examined 109 cases of EC. Immunohistochemistry for ER, PR, HER2, and Ki-67 were evaluated in relation to age, tumor size, International Federation of Gynecology and Obstetrics (FIGO) stage and grade, depth of infiltration, cervical and ovarian involvement, lymphovascular space invasion (LVSI), and lymph node (LN) metastasis.

resultsThe mean age of patients in this study was 59.8 ± 8.2 years. Low ER and PR expression scores and high Ki-67 expression showed highly significant associations with non-endometrioid histology (p = .007, p < .001, and p < .001, respectively) and poor differentiation (p = .007, p < .001, and p <. 001, respectively). Low PR score showed a significant association with advanced stage (p = .009). Low ER score was highly associated with LVSI (p = .006), and low PR scores were associated significantly with LN metastasis (p = .026). HER2 expression was significantly related to advanced stages (p = .04), increased depth of infiltration (p = .02), LVSI (p = .017), ovarian involvement (p = .038), and LN metastasis (p = .038). There was a close relationship between HER2 expression and uterine cervical involvement (p = .009). Higher Ki-67 values were associated with LN involvement (p = .012).

conclusionsThe over-expression of HER2 and Ki-67 and low expression of ER and PR indicate a more malignant EC behavior. An immunohistochemical panel for the identification of high risk tumors can contribute significantly to prognostic assessments.

Indexed as

Endometrial neoplasmsHER2Ki-67PrognosisSteroid receptors

Identifiers

PMID30813708
PMCPMC6527935
OpenAlexW2918828624

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.