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Updated: May 5, 2026

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Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
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E-cadherin expression in acquired cholesteatoma.
M Erdoglija1, N Milanovic, M Colic
1Department of Otorhinolaryngology, Otology Unit, Military Medical Academy, Belgrade, Serbia. milan.erdoglija@gmail.com
Summary
E-cadherin expression was consistent across all acquired cholesteatoma samples. This study found no correlation between E-cadherin levels and cholesteatoma characteristics, suggesting a uniform role in disease.
Area of Science:
- Otology and Otolaryngology
- Cell Biology
- Immunohistochemistry
Background:
- Epithelial cell adhesion molecule E-cadherin is crucial for tissue architecture, cell communication, and immune cell migration.
- E-cadherin is present in cholesteatomas, but its expression patterns in relation to disease characteristics are not fully understood.
Purpose of the Study:
- To determine E-cadherin expression in acquired middle ear cholesteatomas.
- To analyze the relationship between E-cadherin expression and clinical/histological features of cholesteatomas.
Main Methods:
- Investigated E-cadherin expression in 30 acquired middle ear cholesteatoma samples using immunohistochemistry.
- Employed a semi-quantitative method to assess E-cadherin expression index.
- Utilized t-tests, Mann-Whitney U tests, and Spearman correlation for statistical analysis.
Main Results:
- Significant E-cadherin expression was observed on various immune cells, including CD1, CD3, CD4, CD8 lymphocytes, CD19/CD38 lymphocytes, mast cells, and antigen-presenting cells (Langerhans cells).
- Expression levels varied from significant to very highly significant (p < 0.005) on specific cell types.
- No statistically significant differences in E-cadherin expression were found based on cholesteatoma clinical or histological characteristics.
Conclusions:
- E-cadherin expression was uniform within the cholesteatoma matrix across all analyzed samples.
- The study concludes that E-cadherin expression does not differ based on the clinical or histological characteristics of acquired cholesteatomas.
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