Evidence map›Paper›PMID 42791571›Full record

ArticleDiagnostic pathology2026

Immunohistochemical evaluation of androgen receptor expression in endometrial carcinoma and its clinicopathological significance.

Alaa Saad Abd Elhamid Mohamed, Heba Ashraf Hosni, Maram Salaheldeen Mahmoud, Alzahraa Abdelmoktader Mohammed

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Article in Diagnostic pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Alaa Saad Abd Elhamid MohamedLecturer of pathology, Faculty of Medicine, Fayoum University, Fayoum, Egypt. asa21@fayoum.edu.eg.
Heba Ashraf HosniLecturer of clinical oncology, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Maram Salaheldeen MahmoudLecturer of obstetrics and gynaecology, Faculty of Medicine, Fayoum university, Fayoum, Egypt.
Alzahraa Abdelmoktader MohammedLecturer of pathology, Faculty of Medicine, Fayoum University, Fayoum, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndometrial carcinoma (EC) is a leading gynecological malignancy predominantly driven by hormonal imbalances. While the roles of estrogen and progesterone are well established, the influence of androgenic signaling, specifically through the androgen receptor, remains an underexplored diagnostic dimension. This study aims to evaluate the immunohistochemical (IHC) expression of the androgen receptor (AR) in EC tissue samples and correlate its presence with key clinicopathological parameters.

methodsA retrospective cohort study was conducted utilizing 40 formalin-fixed, paraffin-embedded (FFPE) tissue specimens from patients diagnosed with EC who had undergone total hysterectomies. Cases were histologically categorized according to World Health Organization (WHO) criteria into endometrioid endometrial carcinoma (EEC), n = 32 and serous endometrial carcinoma, n = 8, and classified by the International Federation of Gynecology and Obstetrics (FIGO) for staging and grading. IHC staining was performed to evaluate nuclear AR expression, defined as positive when > 10% of neoplastic cells exhibited distinct nuclear staining. Data were statistically analyzed to identify associations between AR status and patient age, histological subtype, tumor grade, and stage.

resultsDistinct nuclear AR positivity was observed in 50% (20 of 40) of the total cohort. Expression was exclusively restricted to EEC (62.5% positive), whereas all serous carcinomas lacked expression entirely (P = 0.002). Notably, positive receptor expression demonstrated a strong inverse relationship with advanced FIGO stage and high tumor grade. Immunoreactivity was significantly enriched in early-stage disease (62.1% in Stages I and II versus 18.2% in Stage III; P = 0.013) and low-grade tumors (76.0% in Grades 1 and 2 versus 6.7% in Grade 3; P < 0.001). Patient age at diagnosis yielded no statistically significant correlation with expression status (P = 0.206).

conclusionThe AR is frequently expressed in low-grade, early-stage EEC, suggesting that AR may be associated with well-differentiated tumors and favorable clinicopathological parameters. The integration of AR immunohistochemistry into routine pathology panels could serve as a hypothesis-generating foundation for future clinical trials investigating targeted antiandrogen therapies.

Indexed as

Biomarkers, TumorCarcinoma, EndometrioidEndometrial NeoplasmsReceptors, AndrogenAdultAgedAged, 80 and overFemaleHumansImmunohistochemistryMiddle AgedRetrospective StudiesAR protein, humanBiomarkers, TumorReceptors, AndrogenAndrogen ReceptorBiomarkerClinicopathological CorrelationEndometrial CarcinomaImmunohistochemistry

Identifiers

PMID42791571
PMCPMC13615620

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.