Progesterone Receptor Expression and Score Differences in Determining Grade and Subtype of Meningioma

Author:

Poniman Jeni1,Cangara Muh Husni1,Kaelan Cahyono1,Miskad Upik A.1,Arsyadi Gunawan1,Ghaznawe Mahmud2,Daud Dasril3,Ihwan Andi4,Rosyidi Rohadi Muhammad5

Affiliation:

1. Department of Anatomical Pathology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

2. Faculty of Medicine, Muhammadiyah University, Makassar, Indonesia

3. Department of Pediatrics, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

4. Department of Neurosurgery, Faculty of Medicine, Hasanuddin University Makassar, Indonesia

5. Department of Neurosurgery, Faculty of Medicine, Mataram University, West Nusa Tenggara Province General Hospital, Mataram, Indonesia

Abstract

Abstract Background Meningioma is the most common brain tumor in which therapy and monitoring depend on the histopathological grade (World Health Organization [WHO] Grade). Progesterone receptor (PR) expression was reported positive in meningothelial cells and meningiomas with various degrees of positivity. We evaluated PR expression to determine its correlation with WHO Grade and each subtype of meningioma. Materials and Methods This study used 70 samples of paraffin block that were diagnosed as meningioma and classified into WHO Grade I, II, and III. The paraffin blocks were sectioned in 5 µm thickness and immunohistochemically stained with the anti-PR antibody. Results PR expression was found positive in WHO Grade I and II groups, but negative in WHO Grade III group with the score of +2 found in clear cell and atypical subtype. These results were statistically significant with p-value < 0.05. Conclusion PR can be used as an additional marker to determine WHO Grade and subtype of meningioma.

Publisher

Georg Thieme Verlag KG

Subject

Clinical Neurology,General Neuroscience

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