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Estrogen receptor alpha and androgen receptor are commonly expressed in well-differentiated liposarcoma.
[well-differentiated liposarcoma]
Liposarcoma
(
LS
)
is
the
second
-most
common
type
of
soft
-tissue
sarcoma
.
Despite
advances
in
knowledge
and
treatment
of
this
disease
,
there
remains
a
need
for
more
effective
LS
therapy
.
Steroid
hormone
receptors
regulate
metabolism
in
adipocytes
.
Estrogen
receptor
alpha
(
ER
)
,
progesterone
receptor
(
PR
)
,
and
androgen
receptor
(
AR
)
have
been
implicated
in
the
pathophysiology
of
other
cancer
types
.
We
sought
to
comprehensively
determine
temporal
expression
patterns
of
these
receptors
in
LS
.
We
analyzed
561
histologically
subtyped
LS
specimens
from
354
patients
for
expression
of
ER
,
PR
,
and
AR
by
immunohistochemistry
(
IHC
)
using
diagnostic-grade
reagents
and
protocols
.
The
fractions
of
positively
stained
tumor
cells
were
scored
within
each
specimen
.
IHC
scores
were
compared
across
LS
subtypes
using
the
Kruskal-
Wallis
test
,
and
subtypes
were
compared
using
Dunn
's
post-hoc
test
.
Ages
of
patients
with
receptor-
positive
vs
.
-
negative
LS
were
compared
by
t-test
.
Genders
and
races
were
compared
for
hormone
receptor
positivity
using
Fisher
's
exact
test
and
Chi
-square
analysis
,
respectively
.
Recurrence-free
survival
was
compared
between
receptor-
positive
and
negative
patients
by
log-rank
test
.
p
<
 
0
.
05
was
considered
significant
.
ER
and
AR
were
frequently
expressed
in
LS
,
while
few
tumors
expressed
PR
.
Most
of
the
ER
 
+
 
and
AR
 
+
 
samples
were
of
the
well-differentiated
LS
subtype
.
A
smaller
fraction
of
de
-differentiated
LS
expressed
ER
or
AR
,
but
expression
was
common
within
well-differentiated
regions
of
tumors
histologically
classified
as
de
-differentiated
LS
.
In
LS
specimens
from
patients
who
underwent
multiple
surgeries
over
time
,
receptor
expression
frequently
changed
over
time
,
which
may
be
attributable
in
part
to
intratumor
heterogeneity
,
varying
degrees
of
de
-differentiation
,
and
biopsy
bias
.
ER
and
AR
were
frequently
co
-expressed
.
Receptor
status
was
not
significantly
associated
with
gender
or
race
,
but
AR
and
PR
expression
were
associated
with
earlier
age
at
diagnosis
.
Receptor
expression
was
not
associated
with
altered
recurrence-free
survival
.
ER
and
AR
are
commonly
expressed
in
LS
,
particularly
in
well-differentiated
tumors
.
These
data
warrant
further
functional
study
to
determine
receptor
function
in
LS
,
and
the
potential
efficacy
of
anti-hormone
therapies
for
the
treatment
of
patients
with
LS
.
Diseases
Validation
Diseases presenting
"tumor cells"
symptom
alpha-thalassemia
carcinoma of the gallbladder
cholangiocarcinoma
cushing syndrome
dedifferentiated liposarcoma
dentin dysplasia
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
hodgkin lymphoma, classical
junctional epidermolysis bullosa
kindler syndrome
liposarcoma
lymphangioleiomyomatosis
pleomorphic liposarcoma
primary effusion lymphoma
severe combined immunodeficiency
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
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