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PROLIFERATIVE/STEM CELL INDEX AND PHENOTYPIC CHARACTERISTICS OF PROLIFERATIVE PROCESSES IN ENDOMETRIUM.
Kikalishvili, N; Beriashvili, R; Muzashvili, T; Burkadze, G.
Afiliación
  • Kikalishvili N; Tbilisi State Medical University, Georgia.
  • Beriashvili R; Tbilisi State Medical University, Georgia.
  • Muzashvili T; Tbilisi State Medical University, Georgia.
  • Burkadze G; Tbilisi State Medical University, Georgia.
Georgian Med News ; (282): 156-161, 2018 Sep.
Article en En | MEDLINE | ID: mdl-30358561
The aim of the study was to explore and identify the relationship between endometrial proliferative/stem cell index and phenotypic characteristics under proliferative processes of endometrium using statistical correlation analysis. The study represents a retrospective research. The coded and depersonalized material data from Acad. N. Kipshidze Central University Clinic was used in the study. 5 study groups (83 cases) were selected from routine histopathology tissue specimens of uterus. Hematoxilyn-eosin technology and immunohistochemistry with markers ki67, CD146, PTEN was performed. The proliferative/stem cell index (PR/ST index) was calculated by the ratio of Ki67-positive cell percentage value divided by CD146-positive cell percentage value. PTEN expression score was evaluated by next scheme - PTEN positive cell numbers <10% - conditional negative, PTEN positive cell numbers 10-50 % - heterogenic, PTEN positive cell numbers >50% - conditional positive. The study showed that, PR/ST index in 1st study group Endometrial Hyperplasia ranges within the interval 15-23, PTEN is diffusely positive with focal heterogeneity 11.1%. 2nd study group Endometrial Dysplasia, the PR/ST index ranges within the interval 16.5-23.3. PTEN heterogeneity is 18.3%, negativity - 6.3%. 3rd study group Endometrioid Carcinoma Grade 1, the PR/ST index ranges between 21.7 and 25.5. PTEN is heterogenic in 35.7% of cases, negative in 14.3% of cases. 4th study group Endometrioid Carcinoma Grade 2, the PR/ST index ranges within the interval 23.2-27.8. PTEN is heterogenic in 43.5% of cases, negative in 30.4% of cases. 5th study group Endometrioid Carcinoma Grade 3, the PR/ST index ranges within the interval 25.8-29.4. PTEN is heterogenic in 33.3% of cases, negative in 41.7% of cases. It was found that, in endometrial hyperplasia and dysplasia cases the PR/ST index do not correlate with phenotypic characteristics, while in the cases of endometrial carcinoma different degrees of malignancy the PR/ST Index and phenotypic characteristics intensely and directly correlates. The high attention should be given to the fact that heterogeneity peak of PTEN expression takes place in the cases of endometrial carcinoma G2, but the negativity of PTEN protein is increasing in parallel with the malignancy increasing process and reaches peak performance in cases of endometrial carcinoma G3.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Células Madre / Endometrio Tipo de estudio: Observational_studies / Prognostic_studies Límite: Adolescent / Adult / Female / Humans / Middle aged Idioma: En Revista: Georgian Med News Asunto de la revista: MEDICINA Año: 2018 Tipo del documento: Article País de afiliación: Georgia Pais de publicación: Georgia
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Células Madre / Endometrio Tipo de estudio: Observational_studies / Prognostic_studies Límite: Adolescent / Adult / Female / Humans / Middle aged Idioma: En Revista: Georgian Med News Asunto de la revista: MEDICINA Año: 2018 Tipo del documento: Article País de afiliación: Georgia Pais de publicación: Georgia