Immunohistochemical expression of PRAME in 485 cases of epithelial tubo-ovarian tumors

Authors

SAFANDA Adam KENDALL BARTU Michaela MICHALKOVA Romana STRUZINSKA Ivana DROZENOVA Jana FABIAN Pavel HAUSNEROVÁ Jitka LACO Jan MATEJ Radoslav SKAPA Petr SVAJDLER Marian SPURKOVA Zuzana MEHES Gabor DUNDR Pavel NEMEJCOVA Kristyna

Year of publication 2023
Type Article in Periodical
Magazine / Source Virchows Archiv
MU Faculty or unit

Faculty of Medicine

Citation
Web https://link.springer.com/article/10.1007/s00428-023-03629-z
Doi http://dx.doi.org/10.1007/s00428-023-03629-z
Keywords PRAME; Immunohistochemistry; Ovarian tumors; Cancer
Description Preferentially expressed antigen of melanoma (PRAME) is a cancer/testis antigen selectively expressed in somatic tissues and various solid malignant tumors and is associated with poor prognostic outcome. Our research aimed to comprehensively compare its expression in a large cohort of tubo-ovarian epithelial tumors and examine its correlation with our clinico-pathologic data, as well as to assess its potential use in diagnostics and therapy.We examined 485 cases of epithelial tubo-ovarian tumors including 107 clear cell carcinomas (CCC), 52 endometroid carcinomas (EC), 103 high grade serous carcinomas (HGSC), 119 low grade serous carcinomas (LGSC)/micropapillary variant of serous borderline tumors (mSBT), and 104 cases of mucinous carcinomas (MC)/mucinous borderline tumors (MBT). The immunohistochemical analysis was performed using TMAs.The highest levels of expression were seen in EC (60%), HGSC (62%), and CCC (56%), while expression in LGSC/mSBT (4%) and MC/MBT (2%) was rare. The clinico-pathologic correlations and survival analysis showed no prognostic significance.The results of our study showed that PRAME is neither prognostic nor a suitable ancillary marker in the differential diagnosis of tubo-ovarian epithelial tumors. Nevertheless, knowledge about the PRAME expression may be important concerning its potential predictive significance, because targeting PRAME as a potential therapeutic option is currently under investigation.

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