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Expression and significance of SATB2 in ovarian mucinous tumors |
YANG Mingyue MA Hongyan LI Xiuqing SUN Jie LIU Xiaoyun |
Department of Pathology, Cangzhou People′s Hospital, Hebei Province, Cangzhou 061000, China |
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Abstract Objective To determine the expression of special AT-rich sequence binding protein 2 (SATB2) in primary ovarian mucinous carcinoma and metastatic ovarian mucinous adenocarcinoma from colon and rectum, and analyze its significance for clinicopathological diagnosis. Methods Forty-seven cases of patients with primary ovarian mucinous tumors and 48 cases of patients with metastatic ovarian mucinous adenocarcinoma from colon and rectum treated in Cangzhou People′s Hospital of Hebei Province from January 2010 to June 2017 was selected. The expression of SATB2, cytokeratin 7 (CK7), cytokeratin 20 (CK20), caudal-regulated homeobox transcription factor 2 (CDX2) in paraffin specimens of both tumor tissues and ascites was determined by the immunohistochemical method. The expression of SATB2, CK7, CK20 and CDX2 in tumor tissues and ascites was analyzed and compared. The sensitivity and specificity of SATB2 combined with CK7, CK20 and CDX2 for the diagnosis of the origin of ovarian mucinous tumors was analyzed. Results The expression of SATB2 was not related to patient′s age and tumor diameter (P > 0.05), but related to the degree of tissue differentiation, pathological classification, ovarian involvement and clinical stage (P < 0.05). The expression of SATB2, CK7, CK20 and CDX2 was related to the origin of ovarian mucinous tumors (P < 0.05). The sensitivity and specificity of SATB2 combined with CK7 in determining the origin of primary ovarian mucinous tumors and metastatic colorectal mucinous adenocarcinoma were significantly higher than CK20 and CDX2. Conclusion SATB2 is specific in distinguishing tumor origin, it is valuable for clinical pathological diagnosis.
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