Somatostatin receptor expression in adrenocortical carcinomas
https://doi.org/10.14341/probl9319
Abstract
Background. Adrenocortical carcinoma (ACC) is a rare malignant tumor characterized by an annual incidence of 0.5—2 cases per million population. Surgery is the-first line treatment for ACC. When total tumor resection is not possible due to its proliferation or progression, mitotane (o,p’DDD) is used. In this case, stabilization and partial response (as assessed by RECIST criteria) was observed only in 48.7% of cases, necessitating the search for new therapeutic targets.
Objective — the study was aimed at assessing the somatostatin receptor expression in adrenocortical carcinomas and adrenal cortex tumors with uncertain malignant potential.
Material and methods. Surgical material from adrenocortical tumors of 13 patients (4 males and 9 females aged from 28 to 68 years) was used. In all cases, the diagnosis was verified by morphological and immunohistochemical (IHC) studies: ACC was detected in 10 cases (including 1 case of ACC liver metastasis), oncocytic carcinoma — 1 case, oncocytoma with uncertain malignant potential — 2 cases. Morphological assessment of ACC was carried out according to Weiss criteria (for ACC tumors) and Lin—Weiss—Bisceglia criteria (for oncocytic neoplasms of the adrenal cortex). IHC study was carried out with antibodies to the spectrum of adrenal cortex-specific markers, as well as Ki-67 and somatostatin receptors 2 and 5 (SSTR2 and SSTR5).
Results. The expression of SSTR2 and/or 5 was detected in 8 (61.5%) of 13 cases of ACC. Isolated SSTR2 expression was observed in 4 cases (4/13), while SSTR5 expression was observed in 6 cases (6/10). In 2 cases (2/10), co-expression of both receptor types was observed. SSTR expression was observed both in ACC and ACC liver metastasis, as well as in oncocytic ACC.
Conclusion. SSTR2 and/or 5 expression in ACC tissue expands diagnostic and prognostic capabilities for this pathology.
About the Authors
Iya A. VoronkovaEndocrinology Research Centre; Moscows regional research clinical institute n.a. M.F. Vladimirskiy
Russian Federation
MD, PhD
Larisa E. Gurevch
Moscows regional research clinical institute n.a. M.F. Vladimirskiy
Russian Federation
PhD, Professor
Timur A. Britvin
Moscows regional research clinical institute n.a. M.F. Vladimirskiy
Russian Federation
MD, PhD
Alexey V. Krivosheev
Moscows regional research clinical institute n.a. M.F. Vladimirskiy
Russian Federation
Department of Endocrine Surgery
Galina A. Mel’nichenko
Endocrinology Research Centre
Russian Federation
MD, PhD, Professor
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Supplementary files
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1. Рисунок 2. Экспрессия рецепторов к соматостатину в АКР. | |
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2. Рисунок 1. Оценка экспрессии рецепторов к соматостатину в баллах в образованиях коры надпочечника. | |
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3. Fig. 1. Evaluation of the expression of receptors for somatostatin in scores in adrenal cortex formations. а - 3 points: complete membrane staining of more than 50% of tumor cells (× 400); b - 2 points: membrane-cytoplasmic staining, mainly incomplete membrane expression in less than 50% of tumor cells (× 400); c - 1 point: staining only the cytoplasm (× 400); g - 0 points: no expression (× 400). | |
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4. Fig. 2. Expression of somatostatin receptors in AKP. №1 (а-в). AKR solid-trabecular structure (hematoxylin and eosin, × 200); b - focal cytoplasmic expression of PCST2 (1 point) (× 200); c - diffuse full membrane expression of PCST5 (3 points) (× 100). №2 (г-е). g - AKP solid structure (hematoxylin and eosin, × 200); d - diffuse cytoplasmic and incomplete membrane expression of PCST2 (2 points) (× 200); e-incomplete membrane-cytoplasmic expression of PCST5 (2 points) (× 200). №3 (ж-и). g - oncocyte AKP (hematoxylin and eosin, × 200); h - expression of RCST2 is absent (0 points) (× 200); and - diffuse full membrane expression of PCST5 (3 points) (× 200). № 4 (к-м). k - metastasis of AKP in the liver (hematoxylin and eosin, × 100); l - diffuse incomplete membrane-cytoplasmic expression of PCST2 (2 points) (× 200); m - diffuse total membrane expression of PCST5 (3 points) (× 200). | |
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For citations:
Voronkova I.A., Gurevch L.E., Britvin T.A., Krivosheev A.V., Mel’nichenko G.A. Somatostatin receptor expression in adrenocortical carcinomas. Problems of Endocrinology. 2018;64(2):72-78. https://doi.org/10.14341/probl9319
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