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SDHB and CDK1 protein expression in metastatic pheochromocytoma and paraganglioma
Lisa Gunnesson1,2, Sinan Karakaya3,4,5, Sofie Mohlin3,4,5
1Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden.
Background:
Pheochromocytomas and paragangliomas (PPGLs) are rare and mostly non-metastatic tumors originating from adrenal medulla and paraganglia. Metastatic PGLs have a worse prognosis, but currently, there are no established criteria to determine PPGL metastatic potential.
Aim:
The aim of this study was to investigate whether SDHB and CDK1 expression is associated with metastatic capacity in PPGL.
Material And Methods:
A tissue microarray (TMA) was constructed from 175 tumors from a total of 149 unique PPGL patients treated at Sahlgrenska University Hospital. SDHB, CDK1, and proliferation index Ki-67 were assessed and correlated to metastatic capacity defined as a confirmed metastatic event.
Results:
Negative SDHB expression was more common in patients with metastatic PPGL and displayed a trend toward lower overall survival and correlation with higher Ki-67%. High CDK1 expression was not associated with any of the parameters mentioned above.
Conclusion:
Negative SDHB expression but not high CDK1 expression is associated with metastatic capacity in PPGL.
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