Immunohistochemistry in stage FIGO III cervical cancer: prognostic value of tumor associated antigens and intermediate filaments

Anticancer Res. 1992 Nov-Dec;12(6B):2017-9.

Abstract

The prediction of prognosis in cervical carcinomas solely by histological examination is doubtful. Our study was undertaken to evaluate whether Cytokeratin 5D3, Cytokeratin high molecular weight (HMW), Cytokeratin AE1/AE3, Carcinoembryonic Antigen (CEA) and CA 19.9 could have a prognostic value in primarily irradiated stage FIGO III cervical cancer. We investigated 45 pretreatment punch biopsies of cervical cancer stage FIGO III. All patients underwent a combined standardised primary irradiation treatment. In the cases with expression of Cytokeratin AE1/AE3 survival was significantly better than in cases without expression. The expression of CEA also had a significantly positive effect on survival. The best prognosis was found in cases with coexpression of AE1/AE3 and CEA (Wilcoxon p = 0.006, log-Rank p = 0.03). The other investigated tumor associated antigen and intermediate filaments did not correlate with survival. The application of Cytokeratin AE1/AE3 and CEA allows a prediction of prognosis in patients with stage FIGO III cervical cancer undergoing irradiation treatment.

MeSH terms

  • Adenocarcinoma / pathology
  • Antibodies, Monoclonal
  • Antigens, Tumor-Associated, Carbohydrate / analysis*
  • Biomarkers, Tumor / analysis*
  • Biopsy, Needle
  • Carcinoembryonic Antigen / analysis*
  • Carcinoma, Squamous Cell / pathology
  • Female
  • Humans
  • Immunohistochemistry / methods
  • Intermediate Filament Proteins / analysis*
  • Keratins / analysis*
  • Middle Aged
  • Neoplasm Staging
  • Prognosis
  • Survival Analysis
  • Uterine Cervical Neoplasms / pathology*

Substances

  • Antibodies, Monoclonal
  • Antigens, Tumor-Associated, Carbohydrate
  • Biomarkers, Tumor
  • Carcinoembryonic Antigen
  • Intermediate Filament Proteins
  • Keratins