A new approach to endometrial cancer subtyping – a hope for a milestone in correct patient triaging

Endometrial cancer is the most common cancer of the female genital organs. For many years the prognosis was based on histopathological grade and type. The pathological identification of endometrial carcinomas included two types. Type I – endometrioid (EEC), similar to the endometrium – was character...

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Main Author: Olga Adamczyk-Gruszka
Format: Article
Language:English
Published: Termedia Publishing House 2023-09-01
Series:Studia Medyczne
Subjects:
Online Access:https://www.termedia.pl/A-new-approach-to-endometrial-cancer-subtyping-a-hope-for-a-milestone-in-correct-patient-triaging,67,51330,1,1.html
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author Olga Adamczyk-Gruszka
author_facet Olga Adamczyk-Gruszka
author_sort Olga Adamczyk-Gruszka
collection DOAJ
description Endometrial cancer is the most common cancer of the female genital organs. For many years the prognosis was based on histopathological grade and type. The pathological identification of endometrial carcinomas included two types. Type I – endometrioid (EEC), similar to the endometrium – was characterized by genetic predisposition, obesity, polycystic ovary syndrome, anovulatory cycles, and irregular menstruation resulting from hyperestrogenism, which is the main predisposing factor for the development of type I EC. Type II included serous, clear cell, and undifferentiated carcinomas. Here were observed older patient’s age, higher clinical stage to compare with non-endometrioid histology, and finally poorer prognosis. The Cancer Genome Atlas (TCGA) study found mutations in several endometrioid and serous cancer genes. The TCGA has identified four molecular subclasses based on somatic mutation burden and copy number variations. Recent data show the prognostic value of TCGA subclasses because they correlate with patient survival.
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spelling doaj.art-15a9f88f2e504f4c9c7e7c945633d8c42023-11-27T12:47:16ZengTermedia Publishing HouseStudia Medyczne1899-18742300-67222023-09-0139326727110.5114/ms.2023.13088251330A new approach to endometrial cancer subtyping – a hope for a milestone in correct patient triagingOlga Adamczyk-GruszkaEndometrial cancer is the most common cancer of the female genital organs. For many years the prognosis was based on histopathological grade and type. The pathological identification of endometrial carcinomas included two types. Type I – endometrioid (EEC), similar to the endometrium – was characterized by genetic predisposition, obesity, polycystic ovary syndrome, anovulatory cycles, and irregular menstruation resulting from hyperestrogenism, which is the main predisposing factor for the development of type I EC. Type II included serous, clear cell, and undifferentiated carcinomas. Here were observed older patient’s age, higher clinical stage to compare with non-endometrioid histology, and finally poorer prognosis. The Cancer Genome Atlas (TCGA) study found mutations in several endometrioid and serous cancer genes. The TCGA has identified four molecular subclasses based on somatic mutation burden and copy number variations. Recent data show the prognostic value of TCGA subclasses because they correlate with patient survival.https://www.termedia.pl/A-new-approach-to-endometrial-cancer-subtyping-a-hope-for-a-milestone-in-correct-patient-triaging,67,51330,1,1.htmlgenomics pathology oncology endometrial cancer stage.
spellingShingle Olga Adamczyk-Gruszka
A new approach to endometrial cancer subtyping – a hope for a milestone in correct patient triaging
Studia Medyczne
genomics
pathology
oncology
endometrial cancer
stage.
title A new approach to endometrial cancer subtyping – a hope for a milestone in correct patient triaging
title_full A new approach to endometrial cancer subtyping – a hope for a milestone in correct patient triaging
title_fullStr A new approach to endometrial cancer subtyping – a hope for a milestone in correct patient triaging
title_full_unstemmed A new approach to endometrial cancer subtyping – a hope for a milestone in correct patient triaging
title_short A new approach to endometrial cancer subtyping – a hope for a milestone in correct patient triaging
title_sort a new approach to endometrial cancer subtyping a hope for a milestone in correct patient triaging
topic genomics
pathology
oncology
endometrial cancer
stage.
url https://www.termedia.pl/A-new-approach-to-endometrial-cancer-subtyping-a-hope-for-a-milestone-in-correct-patient-triaging,67,51330,1,1.html
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