Diagnostic and Prognostic Impact of Progesterone Receptor Immunohistochemistry: A Study Evaluating More Than 16,000 Tumors

Progesterone receptor (PR) is a member of the nuclear/steroid hormone receptor family of ligand-dependent transcription factors. It plays an important role in reproduction and mammary gland development and has various tissue-specific effects in nonreproductive organs. In diagnostic pathology, positi...

Full description

Saved in:
Bibliographic Details
Main Authors: Florian Viehweger, Lisa-Marie Tinger, David Dum, Natalia Gorbokon, Anne Menz, Ria Uhlig, Franziska Büscheck, Andreas M. Luebke, Claudia Hube-Magg, Andrea Hinsch, Doris Höflmayer, Christoph Fraune, Patrick Lebok, Sören Weidemann, Maximilian Lennartz, Frank Jacobsen, Till S. Clauditz, Rainer Krech, Till Krech, Andreas H. Marx, Ronald Simon, Eike Burandt, Stefan Steurer, Guido Sauter, Sarah Minner, Christian Bernreuther
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Analytical Cellular Pathology
Online Access:http://dx.doi.org/10.1155/2022/6412148
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832563083964317696
author Florian Viehweger
Lisa-Marie Tinger
David Dum
Natalia Gorbokon
Anne Menz
Ria Uhlig
Franziska Büscheck
Andreas M. Luebke
Claudia Hube-Magg
Andrea Hinsch
Doris Höflmayer
Christoph Fraune
Patrick Lebok
Sören Weidemann
Maximilian Lennartz
Frank Jacobsen
Till S. Clauditz
Rainer Krech
Till Krech
Andreas H. Marx
Ronald Simon
Eike Burandt
Stefan Steurer
Guido Sauter
Sarah Minner
Christian Bernreuther
author_facet Florian Viehweger
Lisa-Marie Tinger
David Dum
Natalia Gorbokon
Anne Menz
Ria Uhlig
Franziska Büscheck
Andreas M. Luebke
Claudia Hube-Magg
Andrea Hinsch
Doris Höflmayer
Christoph Fraune
Patrick Lebok
Sören Weidemann
Maximilian Lennartz
Frank Jacobsen
Till S. Clauditz
Rainer Krech
Till Krech
Andreas H. Marx
Ronald Simon
Eike Burandt
Stefan Steurer
Guido Sauter
Sarah Minner
Christian Bernreuther
author_sort Florian Viehweger
collection DOAJ
description Progesterone receptor (PR) is a member of the nuclear/steroid hormone receptor family of ligand-dependent transcription factors. It plays an important role in reproduction and mammary gland development and has various tissue-specific effects in nonreproductive organs. In diagnostic pathology, positive PR immunostaining is used to support a diagnosis of breast or gynecologic origin in a tumor. In this study, the expression of PR was analyzed by immunohistochemistry in 18,176 (interpretable: 16,445) samples from 147 different tumor types and subtypes in a tissue microarray format. PR immunostaining was detected in 57.4% of breast tumors, 28.6% of other gynecological tumors, and 1.8% of nongynecological and nonmammary tumors. Among the group of nongynecological and nonmammary tumors, particularly high rates of PR positivity were seen in neuroendocrine tumors (54.3%) and neuroendocrine carcinomas (35.7%) of the pancreas. A comparison with clinico-pathological parameters showed that reduced PR immunostaining was significantly associated with adverse histopathological and clinical features in breast carcinoma, endometrioid endometrial carcinoma, and pancreatic neuroendocrine tumors. In summary, our analysis of 147 different tumor types for PR immunostaining provides a ranking list of tumor entities according to their prevalence of PR positivity, helps to better understand the diagnostic utility of PR, and highlights the distinct PR positivity among neuroendocrine neoplasms of pancreatic origin.
format Article
id doaj-art-647ccbf0fe5044e5b9d0820406d3e277
institution Kabale University
issn 2210-7185
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Analytical Cellular Pathology
spelling doaj-art-647ccbf0fe5044e5b9d0820406d3e2772025-02-03T01:21:05ZengWileyAnalytical Cellular Pathology2210-71852022-01-01202210.1155/2022/6412148Diagnostic and Prognostic Impact of Progesterone Receptor Immunohistochemistry: A Study Evaluating More Than 16,000 TumorsFlorian Viehweger0Lisa-Marie Tinger1David Dum2Natalia Gorbokon3Anne Menz4Ria Uhlig5Franziska Büscheck6Andreas M. Luebke7Claudia Hube-Magg8Andrea Hinsch9Doris Höflmayer10Christoph Fraune11Patrick Lebok12Sören Weidemann13Maximilian Lennartz14Frank Jacobsen15Till S. Clauditz16Rainer Krech17Till Krech18Andreas H. Marx19Ronald Simon20Eike Burandt21Stefan Steurer22Guido Sauter23Sarah Minner24Christian Bernreuther25Institute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyInstitute of PathologyProgesterone receptor (PR) is a member of the nuclear/steroid hormone receptor family of ligand-dependent transcription factors. It plays an important role in reproduction and mammary gland development and has various tissue-specific effects in nonreproductive organs. In diagnostic pathology, positive PR immunostaining is used to support a diagnosis of breast or gynecologic origin in a tumor. In this study, the expression of PR was analyzed by immunohistochemistry in 18,176 (interpretable: 16,445) samples from 147 different tumor types and subtypes in a tissue microarray format. PR immunostaining was detected in 57.4% of breast tumors, 28.6% of other gynecological tumors, and 1.8% of nongynecological and nonmammary tumors. Among the group of nongynecological and nonmammary tumors, particularly high rates of PR positivity were seen in neuroendocrine tumors (54.3%) and neuroendocrine carcinomas (35.7%) of the pancreas. A comparison with clinico-pathological parameters showed that reduced PR immunostaining was significantly associated with adverse histopathological and clinical features in breast carcinoma, endometrioid endometrial carcinoma, and pancreatic neuroendocrine tumors. In summary, our analysis of 147 different tumor types for PR immunostaining provides a ranking list of tumor entities according to their prevalence of PR positivity, helps to better understand the diagnostic utility of PR, and highlights the distinct PR positivity among neuroendocrine neoplasms of pancreatic origin.http://dx.doi.org/10.1155/2022/6412148
spellingShingle Florian Viehweger
Lisa-Marie Tinger
David Dum
Natalia Gorbokon
Anne Menz
Ria Uhlig
Franziska Büscheck
Andreas M. Luebke
Claudia Hube-Magg
Andrea Hinsch
Doris Höflmayer
Christoph Fraune
Patrick Lebok
Sören Weidemann
Maximilian Lennartz
Frank Jacobsen
Till S. Clauditz
Rainer Krech
Till Krech
Andreas H. Marx
Ronald Simon
Eike Burandt
Stefan Steurer
Guido Sauter
Sarah Minner
Christian Bernreuther
Diagnostic and Prognostic Impact of Progesterone Receptor Immunohistochemistry: A Study Evaluating More Than 16,000 Tumors
Analytical Cellular Pathology
title Diagnostic and Prognostic Impact of Progesterone Receptor Immunohistochemistry: A Study Evaluating More Than 16,000 Tumors
title_full Diagnostic and Prognostic Impact of Progesterone Receptor Immunohistochemistry: A Study Evaluating More Than 16,000 Tumors
title_fullStr Diagnostic and Prognostic Impact of Progesterone Receptor Immunohistochemistry: A Study Evaluating More Than 16,000 Tumors
title_full_unstemmed Diagnostic and Prognostic Impact of Progesterone Receptor Immunohistochemistry: A Study Evaluating More Than 16,000 Tumors
title_short Diagnostic and Prognostic Impact of Progesterone Receptor Immunohistochemistry: A Study Evaluating More Than 16,000 Tumors
title_sort diagnostic and prognostic impact of progesterone receptor immunohistochemistry a study evaluating more than 16 000 tumors
url http://dx.doi.org/10.1155/2022/6412148
work_keys_str_mv AT florianviehweger diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT lisamarietinger diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT daviddum diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT nataliagorbokon diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT annemenz diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT riauhlig diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT franziskabuscheck diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT andreasmluebke diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT claudiahubemagg diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT andreahinsch diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT dorishoflmayer diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT christophfraune diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT patricklebok diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT sorenweidemann diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT maximilianlennartz diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT frankjacobsen diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT tillsclauditz diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT rainerkrech diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT tillkrech diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT andreashmarx diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT ronaldsimon diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT eikeburandt diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT stefansteurer diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT guidosauter diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT sarahminner diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors
AT christianbernreuther diagnosticandprognosticimpactofprogesteronereceptorimmunohistochemistryastudyevaluatingmorethan16000tumors