Diagnostic and Prognostic Impact of Progesterone Receptor Immunohistochemistry: A Study Evaluating More Than 16,000 Tumors

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@article{4d708ae6be4240509819eabc6a934a59,
title = "Diagnostic and Prognostic Impact of Progesterone Receptor Immunohistochemistry: A Study Evaluating More Than 16,000 Tumors",
abstract = "Progesterone receptor (PR) is a member of the nuclear/steroid hormone receptor family of ligand-dependent transcription factors. It plays an important role in reproduction and mammary gland development and has various tissue-specific effects in nonreproductive organs. In diagnostic pathology, positive PR immunostaining is used to support a diagnosis of breast or gynecologic origin in a tumor. In this study, the expression of PR was analyzed by immunohistochemistry in 18,176 (interpretable: 16,445) samples from 147 different tumor types and subtypes in a tissue microarray format. PR immunostaining was detected in 57.4% of breast tumors, 28.6% of other gynecological tumors, and 1.8% of nongynecological and nonmammary tumors. Among the group of nongynecological and nonmammary tumors, particularly high rates of PR positivity were seen in neuroendocrine tumors (54.3%) and neuroendocrine carcinomas (35.7%) of the pancreas. A comparison with clinico-pathological parameters showed that reduced PR immunostaining was significantly associated with adverse histopathological and clinical features in breast carcinoma, endometrioid endometrial carcinoma, and pancreatic neuroendocrine tumors. In summary, our analysis of 147 different tumor types for PR immunostaining provides a ranking list of tumor entities according to their prevalence of PR positivity, helps to better understand the diagnostic utility of PR, and highlights the distinct PR positivity among neuroendocrine neoplasms of pancreatic origin.",
keywords = "Breast Neoplasms/pathology, Female, Humans, Immunohistochemistry, Prognosis, Receptors, Progesterone/metabolism",
author = "Florian Viehweger and Lisa-Marie Tinger and David Dum and Natalia Gorbokon and Anne Menz and Ria Uhlig and Franziska B{\"u}scheck and Luebke, {Andreas M} and Claudia Hube-Magg and Andrea Hinsch and Doris H{\"o}flmayer and Christoph Fraune and Patrick Lebok and S{\"o}ren Weidemann and Maximilian Lennartz and Frank Jacobsen and Clauditz, {Till S} and Rainer Krech and Till Krech and Marx, {Andreas H} and Ronald Simon and Eike Burandt and Stefan Steurer and Guido Sauter and Sarah Minner and Christian Bernreuther",
note = "Copyright {\textcopyright} 2022 Florian Viehweger et al.",
year = "2022",
doi = "10.1155/2022/6412148",
language = "English",
volume = "2022",
journal = "ANAL CELL PATHOL",
issn = "2210-7177",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Diagnostic and Prognostic Impact of Progesterone Receptor Immunohistochemistry: A Study Evaluating More Than 16,000 Tumors

AU - Viehweger, Florian

AU - Tinger, Lisa-Marie

AU - Dum, David

AU - Gorbokon, Natalia

AU - Menz, Anne

AU - Uhlig, Ria

AU - Büscheck, Franziska

AU - Luebke, Andreas M

AU - Hube-Magg, Claudia

AU - Hinsch, Andrea

AU - Höflmayer, Doris

AU - Fraune, Christoph

AU - Lebok, Patrick

AU - Weidemann, Sören

AU - Lennartz, Maximilian

AU - Jacobsen, Frank

AU - Clauditz, Till S

AU - Krech, Rainer

AU - Krech, Till

AU - Marx, Andreas H

AU - Simon, Ronald

AU - Burandt, Eike

AU - Steurer, Stefan

AU - Sauter, Guido

AU - Minner, Sarah

AU - Bernreuther, Christian

N1 - Copyright © 2022 Florian Viehweger et al.

PY - 2022

Y1 - 2022

N2 - Progesterone receptor (PR) is a member of the nuclear/steroid hormone receptor family of ligand-dependent transcription factors. It plays an important role in reproduction and mammary gland development and has various tissue-specific effects in nonreproductive organs. In diagnostic pathology, positive PR immunostaining is used to support a diagnosis of breast or gynecologic origin in a tumor. In this study, the expression of PR was analyzed by immunohistochemistry in 18,176 (interpretable: 16,445) samples from 147 different tumor types and subtypes in a tissue microarray format. PR immunostaining was detected in 57.4% of breast tumors, 28.6% of other gynecological tumors, and 1.8% of nongynecological and nonmammary tumors. Among the group of nongynecological and nonmammary tumors, particularly high rates of PR positivity were seen in neuroendocrine tumors (54.3%) and neuroendocrine carcinomas (35.7%) of the pancreas. A comparison with clinico-pathological parameters showed that reduced PR immunostaining was significantly associated with adverse histopathological and clinical features in breast carcinoma, endometrioid endometrial carcinoma, and pancreatic neuroendocrine tumors. In summary, our analysis of 147 different tumor types for PR immunostaining provides a ranking list of tumor entities according to their prevalence of PR positivity, helps to better understand the diagnostic utility of PR, and highlights the distinct PR positivity among neuroendocrine neoplasms of pancreatic origin.

AB - Progesterone receptor (PR) is a member of the nuclear/steroid hormone receptor family of ligand-dependent transcription factors. It plays an important role in reproduction and mammary gland development and has various tissue-specific effects in nonreproductive organs. In diagnostic pathology, positive PR immunostaining is used to support a diagnosis of breast or gynecologic origin in a tumor. In this study, the expression of PR was analyzed by immunohistochemistry in 18,176 (interpretable: 16,445) samples from 147 different tumor types and subtypes in a tissue microarray format. PR immunostaining was detected in 57.4% of breast tumors, 28.6% of other gynecological tumors, and 1.8% of nongynecological and nonmammary tumors. Among the group of nongynecological and nonmammary tumors, particularly high rates of PR positivity were seen in neuroendocrine tumors (54.3%) and neuroendocrine carcinomas (35.7%) of the pancreas. A comparison with clinico-pathological parameters showed that reduced PR immunostaining was significantly associated with adverse histopathological and clinical features in breast carcinoma, endometrioid endometrial carcinoma, and pancreatic neuroendocrine tumors. In summary, our analysis of 147 different tumor types for PR immunostaining provides a ranking list of tumor entities according to their prevalence of PR positivity, helps to better understand the diagnostic utility of PR, and highlights the distinct PR positivity among neuroendocrine neoplasms of pancreatic origin.

KW - Breast Neoplasms/pathology

KW - Female

KW - Humans

KW - Immunohistochemistry

KW - Prognosis

KW - Receptors, Progesterone/metabolism

U2 - 10.1155/2022/6412148

DO - 10.1155/2022/6412148

M3 - SCORING: Journal article

C2 - 35992051

VL - 2022

JO - ANAL CELL PATHOL

JF - ANAL CELL PATHOL

SN - 2210-7177

M1 - 6412148

ER -