Significance of Dicer1 in Adrenocortical Adenoma and Carcinoma (Immunohistochemical Study) | ||
| Benha Medical Journal | ||
| Article 3, Volume 41, Issue 6, October 2024, Pages 30-40 PDF (817.44 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2023.228490.1875 | ||
| Authors | ||
| Heba Mohammed Rashad1; Aya Abdel Aziz Abdel monem* 2; Mohebat Helmy Gouda3; Taghreed Abdelsamee Abdelaziz4 | ||
| 1Department of Pathology, Faculty of Medicine- Benha University, Banha University | ||
| 2(M.B.B.CH)Pathology Faculty of Medicine, Banha University | ||
| 3Department of pathology , Benha faculty of medicine- Kafr shoker-Egypt | ||
| 4Department of pathology, faculty of medicine, benha university, benha, Egypt | ||
| Abstract | ||
| BACKGROUND: Adrenocortical tumors (ACTs) are detected in 5–7% of the general population. Dysregulation of micro-ribonucleic acid (microRNA) biogenesis machinery is involved in a variety of human cancers. Dicer1 is an essential component of microRNA machinery. AIM: To evaluate the diagnostic and prognostic significance of Dicer1 in adrenocortical adenoma (ACA) and carcinoma (ACC) and correlate the results with clinico-pathological data. Material And Methods: Forty adrenocortical lesions were included in this retrospective study included (20) ACA and (20) ACC. Clinicopathological characteristics of examined cases were correlated with the IHC expression of Dicer1. RESULTS: Dicer1 IHC expression was more frequent in ACC (65%) than in ACA (25%), (p = .04). But among ACC, a weak Dicer1 expression was significantly more frequent in advanced ACCs. There was a significant statistical inverse relation between Dicer1 expression in studied ACC cases according to tumor size, weight, Weiss score, lymph node metastasis, lympho-vascular invasion and ENSAT stage (P < .05). Other clinico-pathological variables such as age, sex, tumor site, tumor grade, and distant metastasis showed no significant statistical difference (P >.05). Dicer1 showed 76% sensitivity and 67% specificity for malignant lesions. CONCLUSION: Reduced Dicer1 expression with tumor progression in ACC may play a role in the tumorigenesis and further decline may be associated with poor prognosis in ACC. | ||
| Keywords | ||
| Adrenocortical adenoma; Adrenocortical carcinoma; Dicer1 | ||
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