C aveolin-1 (Cav-1) is a principal scaffolding protein of caveolae which are specialized flask-shaped invaginations of cell membranes rich in proteins. Cav-1 involves in the pathogenesis of several cancer types and assume functions in the management and organization of signaling molecules associated with cell survival, proliferation, angiogenesis, and metastasis. 1-4 As a well-known fact, tumor-associated stroma assumes an important role in the development of several cancer types. [3][4][5][6][7][8] Previously, loss or gain of Cav-1 expression in peritumoral stroma of several tumors was associated with poor outcome. 3-7 However, Cav-1 acts as either a tumor supressor gene or an oncogene. By interacting with the signaling molecules, it may function as a moderately effective oncoprotein or a tumor supressor protein. Therefore, the role of Cav-1 in many tumors still remains as a very controversial issue. Current and future researches related to peritumoralstromal expression of Cav-1 will most likely lead to the emergence of a new A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : This retrospective study was designed to evaluate the importance of tissue expressions of caveolin-1 (Cav-1) known as signal regulator in differential diagnosis of endometrial lesions. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A total of 65 patients with normal endometrium (11 proliferative and 10 secretory epithelium, 32.3%), endometrial hyperplasia without atypia (EH) (n=11, 16.9%); atypical endometrial hyperplasia/ endometrioid intraepithelial neoplasia (AEH/EIN) (n=11; 16.9%) and endometrial carcinoma (EC) (n=22; 33.8%) were recruited for the study. Sections prepared from biopsy materials or hysterectomy specimens of the patients were immunohistochemically processed, stained, and examined for the presence of caveolin-1 expression. The positive association between immunohistochemical staining of caveolin-1 and its relationship with characteristic features of lesions and age of the patients were investigated. R Re es su ul lt ts s: : The mean age of the patients was 49.1± 8.5 years. Stromal fibroblasts were positively stained for Cav-1 in 26 (40%) cases, and stromal expressions of Cav-1. Stromal Cav-1 expressions were detected in indicated cases with EH (36.4%), EIM (27.3%), and EC (68.2%), while only in 19% of normal endometrial biopsy specimens. It was determined that if the tumor becomes more invasive, then its stromal Cav-1 expression reaches to statistically significantly higher levels (p=0.001). C Co on nc cl lu us si io on n: : Our findings demonstrated that stromal Cav-1 expression could be used as a marker for malignancy and invasiveness of endometrial neoplasms.K Ke ey yw wo or rd ds s: : Caveolin-1 (Cav-1); proliferative endometrium (PE); secretory endometrium (SE); endometrial hyperplasia without atypia (EH); atypical endometrial hyperplasia/endometrioid intraepithelial neoplasia (AEH/ EIN); type I and type II endometrial cancer (EC)