Is progesteron receptor status really a prognostic factor for intracranial meningiomas?

Clin Neurol Neurosurg. 2014 Sep:124:119-22. doi: 10.1016/j.clineuro.2014.06.015. Epub 2014 Jul 1.

Abstract

Objective: Presence of steroid hormone receptors in meningiomas is well-known, but their correlation with tumour behaviour is unclear. The purpose of this study was to assess the relation between steroid hormone receptor expression and tumour behaviour.

Methods: We retrospectively reviewed 48 patients undergoing surgery for intracranial meningioma between January 2002 and December 2004. We included World Health Organization (WHO) Grade I meningiomas in Group 1 and WHO Grades II and III in Group 2. Tumour grade, progesterone receptor (PR), oestrogen receptor (ER) expressions, MIB-1 Index and Mitotic Index were assessed. We sought the correlation between tumour grade and MIB-1, Mitotic Indices, and also PR expression. Furthermore, the correlation between PR expression and MIB-1 and Mitotic Indices was assessed in Group 1 and Group 2, separately.

Results: 26 patients were in Group 1 and 22 patients in Group 2. PR expression was determined in 56% of the tumours while there was no ER expression. PR expression was found to be higher in Group 1 compared to Group 2. The Mean MIB-1 Index and the Mean Mitotic Index were significantly higher in Group 2 compared to Group 1. However, when Groups 1 and 2 were assessed separately, PR expression does not appear to be correlated with MIB-1 and Mitotic Indices in benign and also in non-benign meningioma groups.

Conclusion: Our findings suggest that tumour grade, but not PR expression, is correlated with meningioma behaviour.

Keywords: MIB-1 Index; Meningioma; Mitotic Index; Oestrogen receptor; Progesterone receptor.

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Ki-67 Antigen*
  • Male
  • Meningeal Neoplasms / diagnosis
  • Meningeal Neoplasms / metabolism*
  • Meningioma / diagnosis
  • Meningioma / metabolism*
  • Middle Aged
  • Mitotic Index*
  • Neoplasm Grading
  • Prognosis
  • Receptors, Estrogen / metabolism
  • Receptors, Progesterone / metabolism*
  • Retrospective Studies

Substances

  • Ki-67 Antigen
  • Receptors, Estrogen
  • Receptors, Progesterone