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Open AccessHighly AccessResearch article

Immunohistochemical profiling of benign, low malignant potential and low grade serous epithelial ovarian tumors

Véronique Ouellet1 email, Tak Hay Ling1,2 email, Karine Normandin1 email, Jason Madore1 email, Christian Lussier3 email, Véronique Barrès1 email, Dimcho Bachvarov4,5 email, Claudine Rancourt6 email, Patricia N Tonin7,8,9 email, Diane M Provencher1,10,11 email and Anne-Marie Mes-Masson1,11 email

1Centre de recherche du centre hospitalier de l'Université de Montréal (CHUM)/Institut du cancer de Montréal, Montreal, Canada

2Department of Obstetric/Gynecology, Taipei Medical University-Wan Fang Hospital, Taipei, Taiwan

3Department of Pathology, Centre hospitalier de l'Université de Montréal (CHUM), Montreal, Canada

4Department of Medicine, Université Laval, Quebec, Canada

5Centre de recherche de l'Hôtel-Dieu de Québec, Quebec, Canada

6Department of Microbiology-Infectiology, Université de Sherbrooke, Sherbrooke, Quebec, Canada

7Department of Human Genetics, McGill University, Montreal, Canada

8Research Institute of the McGill University Health Centre, Montreal, Canada

9Department of Medicine, McGill University, Montreal, Canada

10Division of Gynecologic Oncology/Université de Montréal, Montreal, Canada

11Department of Medicine, Université de Montréal, Montreal, Canada

author email corresponding author email

BMC Cancer 2008, 8:346doi:10.1186/1471-2407-8-346

Published: 26 November 2008

Abstract

Background

Serous epithelial ovarian tumors can be subdivided into benign (BOV), low malignant potential (LMP) or borderline and invasive (TOV) tumors. Although the molecular characteristics of serous BOV, LMP and low grade (LG) TOV tumors has been initiated, definitive immunohistochemical markers to distinguish between these tumor types have not been defined.

Methods

In the present study, we used a tissue array composed of 27 BOVs, 78 LMPs and 23 LG TOVs to evaluate the protein expression of a subset of selected candidates identified in our previous studies (Ape1, Set, Ran, Ccne1 and Trail) or known to be implicated in epithelial ovarian cancer disease (p21, Ccnb1, Ckd1).

Results

Statistically significant difference in protein expression was observed for Ccnb1 when BOV tumors were compared to LMP tumors (p = 0.003). When BOV were compared to LG TOV tumors, Trail was significantly expressed at a higher level in malignant tumors (p = 0.01). Expression of p21 was significantly lower in LG tumors when compared with either BOVs (p = 0.03) or LMPs (p = 0.001). We also observed that expression of p21 was higher in LMP tumors with no (p = 0.02) or non-invasive (p = 0.01) implants compared to the LMP associated with invasive implants.

Conclusion

This study represents an extensive analyse of the benign and highly differentiated ovarian disease from an immunohistochemical perspective.


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