DESCRIPTION OF IMMUNOGISTOCHEMICAL CHANGES IN ENDOMETRIOSIS
Abstract
In the study of the etio-pathogenesis of endometriosis, the study of the molecular-biological specificity of eutopic and ectopic endometrium - the expression of estrogen and progesterone receptors, proliferation, apoptosis, adhesion, angiogenesis, and cell invasion markers is one of the promising directions. The purpose of the work: to study the molecular-biological characteristics of adenomyosis and ovarian endometriosis in the proliferative phase of the menstrual cycle in women of reproductive age without other gynecological pathologies. Materials and methods: In this study, biopsies of premenopausal (18-51 years 60 biopsies) and postmenopausal women (age 51 and older, 20 biopsies) who underwent hysterectomy between 2019 and 2022 were examined by immunohistochemical methods. In this study, in 2019-22 AVPAB examined 80 adenomyosis and ovarian endometriosis biopsies, immunohistochemical examination of estrogen and progesterone hormonal activity disorders showed that in 60-90% of cases, progesterone, and in 50-70% of cases, estrogen hormone leads to the development of uterine adenomyosis and glandular hyperplasia of the uterus. atypical development of the endometrium and transition to a malignant tumor disease was observed. Ki-67 and p53 were shown in 20% of postmenopausal patients with the transition to the initial state of a low-grade tumor of the uterus.
About the Authors
List of references
Adamyan L.V. et al. The role of proliferation processes in the pathogenesis of endometriosis. Reproduction problems.Technologies of the XXI century in gynecology. Спец Выпуск-М 2008:82.
Zairatiants O.V. et al. The role of apoptosis and proliferation in the pathogenesis of simple and proliferating uterine fibroids in combination with adenomyosis / In the book. Uterine fibroids. Edited by corresponding member of the Russian Academy of Sciences Sidorova I.S. M: “MIA” 2002:113–27.
Voloshchuk et al. Molecular biological aspects of the pathogenesis of adenomyosis. Pathology Archive 2007:56–61.
Sidorova I.S. et al. Molecular and biological features of endometriosis, pathogenetically justified therapy pathways. Abstracts of the reports of the Russian Medical Forum-2006 “Fundamental science and Practice”-M 2006:128.
Kogan E.A. et al. Clinical and morphological parallels and molecular aspects of adenomyosis morphogenesis. Archive of pathology 2008:8–12.
Matsumoto Y, Iwasaka T, Yamasaki F, Sugimori H. Apoptosis and Ki-67 expression in adenomyotic lesions and in the corresponding eutopic endometrium. Obstet Gynecol 1999;94:71–7. https://doi.org/10.1016/s0029-7844(99)00279-3.
KitawakiJ. et al. Expression of aromatase cytochrome P450 protein and messenger ribonucleic acidin human endometriotic and adenomyotic tissues bu tnotin normal endometrium. Biol Reprod 1997;57:514–9.
Schmidt С. Endometriosis: Pathogenesis and Treatment. Fertil Steril 1990;53:407–10.
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.