Three complementary techniques were used to detect sex-steroid hormone
receptors in tumor tissues from seven patients with medullary thyroid
carcinoma: steroid binding analysis, enzyme immune assay, and immunoh
istochemistry. The presence of estrogen receptors was detected by ster
oid binding analysis in one of seven patients, although in very low co
ncentrations (3.17 to 5.06 fmol/mg protein). These results were confir
med by enzyme immune assay (6.35 to 9.32 fmol/mg protein), Progesteron
e receptors were found in five of seven patients by steroid binding an
alysis (11.1 to 47.9 fmol/mg protein), and progesterone receptor resul
ts were confirmed by enzyme immune assay (8.1 to 34.1 fmol/mg protein)
. By immunohistochemistry, progesterone receptors were focally detecte
d in all cases, whereas all tumors were negative for estrogen receptor
s. In summary, our results confirm the presence of sex-steroid hormone
receptors, particularly progesterone receptors in medullary thyroid c
arcinoma. The presence of progesterone receptors in medullary thyroid
carcinoma apparently does not require the continuous presence of estro
gen receptors.