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The role of stathmin expression in the differential diagnosis, prognosis, and potential treatment of ovarian sex cord-stromal tumors

Stathmin, a cytosolic microtubule-destabilizing phosphoprotein involved in the regulation of mitosis, is widely expressed in various malignancies and acts as an adverse prognostic factor. Our research analyzed its immunohistochemical expression on a large cohort of ovarian sex cord-stromal tumors, e...

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Published in:Diagnostic pathology 2024-08, Vol.19 (1), p.118-9, Article 118
Main Authors: Šafanda, Adam, Kendall Bártů, Michaela, Michálková, Romana, Švajdler, Marián, Shatokhina, Tetiana, Laco, Jan, Matěj, Radoslav, Méhes, Gábor, Drozenová, Jana, Hausnerová, Jitka, Špůrková, Zuzana, Škarda, Jozef, Hácová, Mária, Náležinská, Monika, Dundr, Pavel, Němejcová, Kristýna
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container_title Diagnostic pathology
container_volume 19
creator Šafanda, Adam
Kendall Bártů, Michaela
Michálková, Romana
Švajdler, Marián
Shatokhina, Tetiana
Laco, Jan
Matěj, Radoslav
Méhes, Gábor
Drozenová, Jana
Hausnerová, Jitka
Špůrková, Zuzana
Škarda, Jozef
Hácová, Mária
Náležinská, Monika
Dundr, Pavel
Němejcová, Kristýna
description Stathmin, a cytosolic microtubule-destabilizing phosphoprotein involved in the regulation of mitosis, is widely expressed in various malignancies and acts as an adverse prognostic factor. Our research analyzed its immunohistochemical expression on a large cohort of ovarian sex cord-stromal tumors, evaluating its potential utility in differential diagnosis, prognosis, and therapeutic application. We examined 390 cases of ovarian sex cord-stromal tumors including 281 adult granulosa cell tumors (AGCT), 5 juvenile granulosa cell tumors (JGCT), 33 Sertoli-Leydig cell tumors (SLCT), 50 fibromas/thecomas (F/T), 11 Leydig cell tumors/steroid cell tumors (LCT/SterCT), 5 sex-cord stromal tumors NOS (SCST-NOS), 3 Sertoli cell tumors (SCT), and 2 sclerosing stromal tumors (ScST). Immunohistochemical analysis was performed using TMAs. Strong expression (> 50%) was observed in all cases of AGCT, JGCT, SLCT, SCST-NOS, SCT and 1 ScST. The other case of ScST exhibited mild expression (5-10%). The negative cases included exclusively F/T and LCT/SterCT, with F/T showing 24% of negative cases and LCT/SterCT comprising 64% of negative cases. The results of our study indicate that stathmin is neither a prognostic marker nor suitable for the differential diagnosis of challenging cases of ovarian sex cord-stromal tumors. However, its predictive value may be theoretically significant, as a decrease in stathmin expression potentialy influences response to chemotherapy treatment.
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Our research analyzed its immunohistochemical expression on a large cohort of ovarian sex cord-stromal tumors, evaluating its potential utility in differential diagnosis, prognosis, and therapeutic application. We examined 390 cases of ovarian sex cord-stromal tumors including 281 adult granulosa cell tumors (AGCT), 5 juvenile granulosa cell tumors (JGCT), 33 Sertoli-Leydig cell tumors (SLCT), 50 fibromas/thecomas (F/T), 11 Leydig cell tumors/steroid cell tumors (LCT/SterCT), 5 sex-cord stromal tumors NOS (SCST-NOS), 3 Sertoli cell tumors (SCT), and 2 sclerosing stromal tumors (ScST). Immunohistochemical analysis was performed using TMAs. Strong expression (&gt; 50%) was observed in all cases of AGCT, JGCT, SLCT, SCST-NOS, SCT and 1 ScST. The other case of ScST exhibited mild expression (5-10%). The negative cases included exclusively F/T and LCT/SterCT, with F/T showing 24% of negative cases and LCT/SterCT comprising 64% of negative cases. 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subjects Adult
Analysis
Biomarkers, Tumor - analysis
Cancer
Chemotherapy
Diagnosis
Diagnosis, Differential
Differential diagnosis
Female
Health aspects
Humans
Immunohistochemistry
Malignancy
Medical prognosis
Middle Aged
Mitosis
Mutation
Ovarian Neoplasms - diagnosis
Ovarian Neoplasms - metabolism
Ovarian Neoplasms - pathology
Ovarian Neoplasms - therapy
Ovarian tumors
Ovaries
Ovary
Prognosis
Sex
Sex Cord-Gonadal Stromal Tumors - diagnosis
Sex Cord-Gonadal Stromal Tumors - metabolism
Sex Cord-Gonadal Stromal Tumors - pathology
Sex Cord-Gonadal Stromal Tumors - therapy
Sex cord-stromal tumors
Stathmin
Stathmin - analysis
Stathmin - metabolism
Tumors
Variables
title The role of stathmin expression in the differential diagnosis, prognosis, and potential treatment of ovarian sex cord-stromal tumors
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