RT Journal Article SR Electronic T1 An Investigation of the Potential Malignant Characteristics of Endometriosis JF Chinese Journal of Clinical Oncology JO Cancer Biol Med FD China Anti-Cancer Association SP 861 OP 865 VO 2 IS 6 A1 Chengxin Wang A1 Hongyan Zhou A1 Xiaonan You A1 Xiji Shu A1 Yan Li A1 Xiaoling Zhao YR 2005 UL http://www.cancerbiomed.org/content/2/6/861.abstract AB OBJECTIVE To investigate the potential malignant characteristics and pathogenesis of endometriosis as well as the role of human growth hormone and epidermal growth factor receptor in the pathogenesis of malignant transformation of endometriosis.METHODS The immunohistochemical S-P method was used to examine the expression of human growth hormone and epidermal growth factor receptor in the eutopic and ectopic endometrium of 84 cases of endometriosis.RESULTS The percentage of positive cases of human growth hormone in eutopic and ectopic endometrium was 90.77% (59/65) and 85.71% (72/ 84) respectively. The percentage of positive cases of epidermal growth factor receptor in eutopic and ectopic endometrium was 81.54% (53/65) and 89.29% (75/84) respectively. The positive rate of epidermal growth factor receptor in ectopic endometrium was higher than that in the eutopic endometrium but without a statistically significant difference (P> 0.05).CONCLUSION Endometriosis is caused by multiple factors, which possesses some biologic features of neoplastic tissue such as invasion and metastasis. Both human growth hormone and epidermal growth factor receptor are highly expressed in eutopic and ectopic endometrium, which lead directly or indirectly to the pathogenesis of endometriosis and promote the initiation and malignant transformation of endometriosis.