Prognostic significance of estrogen receptor expression in ovarian cancer: Immunoreactive Score (IRS) vs. Composition Adjusted Receptor Level (CARL)

D. G. Kieback, M. F. Press, E. N. Atkinson, G. L. Edwards, V. J. Mobus, I. B. Runnebaum, R. Kreienberg, L. A. Jones

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

An Immunoreactive Score (IRS) was compared to the Composition Adjusted Receptor Level (CARL) evaluating prognostic significance of estrogen receptor (ER) expression in 61 ovarian cancers after ≥ 8 years. CARL of ER allowed for calculating individual risk curves in stage III and IV, Grade 2 and 3, serous ovarian carcinoma after surgical debulking to ≤ 2 cm residual and platinum based chemotherapy. In overall analysis and in subsets defined by tumor stage, grade or a combination thereof significant prognostic distinction became possible using a cutoff IRS of 4 vs. 0 or vs. scores ≤ 3. This study substantiates ER as a prognostic variable in human ovarian cancer and for the first time establishes the value of an IRS.

Original languageEnglish (US)
Pages (from-to)2489-2496
Number of pages8
JournalAnticancer research
Volume13
Issue number6 B
StatePublished - 1993

Keywords

  • CARL immunohistochemistry
  • Estrogen receptor
  • Human ovarian cancer
  • Immunoreactive score
  • Prognosis

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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