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Title: Cox-2, EGFR, and ERBB-2 Expression in Cervical Intraepithelial Neoplasia and Cervical Cancer Using an Automated Imaging System
Authors: Fukazawa, Elza M.
Baiocchi, Glauco
Soares, Fernando A.
Kumagai, Lillian Y.
Faloppa, Carlos C.
Badiglian-Filho, Levon
Coelho, Francisco R. G.
Goncalves, Wagner Jose [UNIFESP]
Costa, Ronaldo L. R.
Goes, Joao C. S.
AC Camargo Canc Hosp
Brazilian Inst Canc Control
Universidade Federal de São Paulo (UNIFESP)
Keywords: Cyclooxygenase 2
Uterine cervical neoplasm
Cervical intraepithelial neoplasia
Issue Date: 1-May-2014
Publisher: Lippincott Williams & Wilkins
Citation: International Journal of Gynecological Pathology. Philadelphia: Lippincott Williams & Wilkins, v. 33, n. 3, p. 225-234, 2014.
Abstract: We hypothesized that the activation of cyclooxygenase (COX)-2, epidermal growth factor receptor (EGFR), and ErbB-2 signaling is required for cervical intraepithelial neoplasia (CIN) lesions to progress to cervical cancer. A retrospective analysis was performed in 179 patients with Stage I squamous cell carcinoma (SCC) and 233 patients with CIN (112 CIN I, 47 CIN II, and 74 CIN III). COX-2, EGFR, and ErbB-2 expression was analyzed by immunohistochemistry using the ACIS III automated imaging system. the mean expression of COX-2, EGFR, and ErbB-2 was compared between the various stages of CIN and SCC. COX-2 mean expression was predominantly cytoplasmic, increasing significantly from CIN I to CIN II, CIN III, and SCC (P < 0.001). EGFR mean expression also rose significantly during tumor progression from CIN I to SCC (P=0.001). CIN I samples were negative for ErbB-2 expression. CIN II, CIN III, and SCC were considered positive for ErbB-2 expression in 2.2%, 14%, and 16.2% of cases, respectively. There was also a statistically significant correlation between increase of ErbB-2 positivity from CIN to SCC. We conclude that COX-2, EGFR, and ErbB-2 expression increase significantly during the progression of CIN to cancer.
ISSN: 0277-1691
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