This is the first study to describe the association between expression
of MUC1 and MUC2 mucins and prognosis in ovarian cancer, Paraffin sec
tions of epithelial ovarian tumours (n=182:29 benign, 21 low malignant
potential, and 132 invasive tumours) were analysed immunohistochemica
lly for expression of MUC1 and MUC2 mucin core proteins, Most benign,
low malignant potential, and invasive rumours showed high MUC1 express
ion in the cytoplasm. Low cytoplasmic expression of MUC1 was a predict
or for good prognosis, particularly within stage III tumours, A minori
ty of benign epithelial rumours, but most low malignant potential and
invasive non-mucinous tumours, showed high MUC1 expression on the cell
membrane, High apical MUC1 reactivity was associated with non-mucinou
s tumours, Low expression of MUC1 in the apical membrane was associate
d with early stage and good outcome for invasive tumours, Most benign
and low malignant potential tumours, but only a minority of invasive t
umours, showed MUC2 expression. MUC2 was found in non-mucinous as well
as in mucinous rumours, The presence of MUC2 was inversely associated
with high tumour grade but was not associated with altered survival.
These results support experimental evidence that MUC1 influences the m
etastatic ability of ovarian cancer. (C) 1997 John Wiley & Sons, Ltd.