Evidence map›Paper›PMID 38762689›Full record

ArticleJournal of gastrointestinal cancer2024

Expression Pattern of Estrogen Receptor Alpha and Progesterone Receptor in Gallbladder Carcinoma and Their Association with Clinicopathological Parameters and Overall Survival.

Sashibhusan Dash, Mamita Nayak, Sagarika Samantaray, Niranjan Rout, Manoranjan Ranjit

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Article in Journal of gastrointestinal cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Sashibhusan DashDepartment of Pathology, Acharya Harihar Post-graduate Institute of Cancer, Cuttack, Odisha, India. sashibiotech@gmail.com.
Mamita NayakDepartment of Pathology, Acharya Harihar Post-graduate Institute of Cancer, Cuttack, Odisha, India.
Sagarika SamantarayDepartment of Pathology, Acharya Harihar Post-graduate Institute of Cancer, Cuttack, Odisha, India.
Niranjan RoutAcharya Harihar Post-Graduate Institute of Cancer, Cuttack, Odisha, India.
Manoranjan RanjitDivision of Molecular Epidemiology and Public Health, ICMR-Regional Medical Research Centre, Bhubaneswar, Odisha, India.

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6 · The paper itself

Abstract

backgroundGallbladder cancer (GBC) is a highly aggressive malignant tumor with a poor prognosis. Despite being first described two centuries ago, there are no targeted therapies available beyond conventional cytotoxic therapy. Epidemiological studies have shown that the incidence of gallbladder cancer is higher in females than males. This suggests that the gallbladder may be a female sex hormone-responsive organ, and these hormones might be involved in the pathogenesis of gallbladder cancer. Therefore, we aimed to analyze the expression of ERα and PR in GBC and correlate their expression with clinicopathological variables and overall survival. PATIENTS AND

methodsA total of 235 histopathologically diagnosed GBC cases were included in this hospital-based cross-sectional study. Clinicopathological data were collected, and the expression of ERα and PR was evaluated by immunohistochemistry.

resultsThe mean age of this study population was 55.47 ± 8.45 with range 28-87 years. Females were predominated over male with a male-to-female ratio of 1:3.5. Positive nuclear expression of the ERα and PR was found in 13 (5.5%) and eight (3.4%) cases, respectively. Apart from nuclear staining, cytoplasmic expression of ERα and PR was found in three (1.2%) and 31 (13.2%) cases, respectively. Higher percentage of positive nuclear expression of ER was found in < 50 years age (p value = 0.04), parity > 4 (p value = 0.02), advanced pT stage (T3) (p value = 0.01), lymphovascular invasion (p value = 0.02), and liver invasion (p value = 0.04) which were statistically significant. Higher percentage of PR expression was also observed in < 50 years age (p value = 0.01), and tumor associated with gallstone (p value = 0.04). There was no significant correlation between cytoplasmic expression of ER, PR, and clinicopathological variables. In multivariate analysis, there was no significant correlation between ER or PR positive expression and overall survival.

conclusionAlthough nuclear expression of ERα was significantly associated with progressive disease factors but the positive expression was found in very small percentage of GBC cases. So anti-hormone therapy might be an option in patient with ER α positive gallbladder carcinoma.

Indexed as

Estrogen Receptor alphaGallbladder NeoplasmsReceptors, ProgesteroneAdultAgedAged, 80 and overBiomarkers, TumorCross-Sectional StudiesFemaleHumansImmunohistochemistryMaleMiddle AgedPrognosisBiomarkers, TumorESR1 protein, humanEstrogen Receptor alphaReceptors, ProgesteroneAnti-hormonal therapyEstrogen receptorGallbladder carcinomaProgesterone receptor

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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.