An investigation of the potential malignant characteristics of endometriosis

In: Chinese Journal of Clinical Oncology · 2005 · vol. 2(6) , pp. 861–865 · doi:10.1007/bf02789655 · W1984428922
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⚙ AI-generated summary by gemini-2.5-flash-lite+body, 2026-06-14 ⓘ

This study examined human growth hormone and epidermal growth factor receptor expression in endometriosis tissues, finding they are highly expressed and implicated in the pathogenesis and malignant transformation of the condition.

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This study investigated whether endometriosis shows malignant-like biological features and examined the role of human growth hormone and epidermal growth factor receptor in malignant transformation. Using immunohistochemistry (S-P method), the authors measured expression of these markers in eutopic and ectopic endometrium from 84 women with endometriosis. Human growth hormone was highly expressed in both eutopic (59/65, 90.77%) and ectopic (72/84, 85.71%) tissues, and epidermal growth factor receptor was also highly expressed in eutopic (53/65, 81.54%) and ectopic (75/84, 89.29%) tissues, with a higher ectopic EGF receptor rate that was not statistically significant (P>0.05). The authors conclude that endometriosis involves multiple factors and that these growth-related markers may promote initiation and malignant transformation, while the main limitation is that the work is limited to immunohistochemical association rather than direct demonstration of malignancy or transformation. This paper is centrally about endometriosis — it focuses on potential malignant characteristics and the expression of human growth hormone and epidermal growth factor receptor in eutopic versus ectopic endometrium.

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Abstract

Objective To investigate the potential malignant characteristics and pathogenesis of endometriosis as well as the role of human growth hormone and epidermal growth factor receptor in the pathogenesis of malignant transformation of endometriosis.

Methods

The immunohistochemical S-P method was used to examine the expression of human growth hormone and epidermal growth factor receptor in the eutopic and ectopic endometrium of 84 cases of endometriosis.

Results

The percentage of positive cases of human growth hormone in eutopic and ectopic endometrium was 90.77% (59/65) and 85.71% (72/ 84) respectively. The percentage of positive cases of epidermal growth factor receptor in eutopic and ectopic endometrium was 81.54% (53/65) and 89.29% (75/84) respectively. The positive rate of epidermal growth factor receptor in ectopic endometrium was higher than that in the eutopic endometrium but without a statistically significant difference (P> 0.05).

Conclusion

Endometriosis is caused by multiple factors, which possesses some biologic features of neoplastic tissue such as invasion and metastasis. Both human growth hormone and epidermal growth factor receptor are highly expressed in eutopic and ectopic endometrium, which lead directly or indirectly to the pathogenesis of endometriosis and promote the initiation and malignant transformation of endometriosis. Similar content being viewed by others

References

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endometriosis

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