Current and Emerging Prognostic Biomarkers in Endometrial Cancer

Endometrial cancer is the most common gynaecological malignancy in high income countries and its incidence is rising. Whilst most women with endometrial cancer are diagnosed with highly curable disease and have good outcomes, a significant minority present with adverse clinico-pathological character...

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Main Authors: Kelechi Njoku, Chloe E. Barr, Emma J. Crosbie
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.890908/full
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author Kelechi Njoku
Kelechi Njoku
Kelechi Njoku
Chloe E. Barr
Chloe E. Barr
Emma J. Crosbie
Emma J. Crosbie
author_facet Kelechi Njoku
Kelechi Njoku
Kelechi Njoku
Chloe E. Barr
Chloe E. Barr
Emma J. Crosbie
Emma J. Crosbie
author_sort Kelechi Njoku
collection DOAJ
description Endometrial cancer is the most common gynaecological malignancy in high income countries and its incidence is rising. Whilst most women with endometrial cancer are diagnosed with highly curable disease and have good outcomes, a significant minority present with adverse clinico-pathological characteristics that herald a poor prognosis. Prognostic biomarkers that reliably select those at greatest risk of disease recurrence and death can guide management strategies to ensure that patients receive appropriate evidence-based and personalised care. The Cancer Genome Atlas substantially advanced our understanding of the molecular diversity of endometrial cancer and informed the development of simplified, pragmatic and cost-effective classifiers with prognostic implications and potential for clinical translation. Several blood-based biomarkers including proteins, metabolites, circulating tumour cells, circulating tumour DNA and inflammatory parameters have also shown promise for endometrial cancer risk assessment. This review provides an update on the established and emerging prognostic biomarkers in endometrial cancer.
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spelling doaj.art-608023241c154dea80935ab37b8657fc2022-12-22T01:46:39ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-04-011210.3389/fonc.2022.890908890908Current and Emerging Prognostic Biomarkers in Endometrial CancerKelechi Njoku0Kelechi Njoku1Kelechi Njoku2Chloe E. Barr3Chloe E. Barr4Emma J. Crosbie5Emma J. Crosbie6Division of Cancer Sciences, University of Manchester, Manchester, United KingdomStoller Biomarker Discovery Centre, University of Manchester, Manchester, United KingdomDepartment of Obstetrics and Gynaecology, St Mary’s Hospital, Manchester, University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United KingdomDivision of Cancer Sciences, University of Manchester, Manchester, United KingdomDepartment of Obstetrics and Gynaecology, St Mary’s Hospital, Manchester, University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United KingdomDivision of Cancer Sciences, University of Manchester, Manchester, United KingdomDepartment of Obstetrics and Gynaecology, St Mary’s Hospital, Manchester, University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United KingdomEndometrial cancer is the most common gynaecological malignancy in high income countries and its incidence is rising. Whilst most women with endometrial cancer are diagnosed with highly curable disease and have good outcomes, a significant minority present with adverse clinico-pathological characteristics that herald a poor prognosis. Prognostic biomarkers that reliably select those at greatest risk of disease recurrence and death can guide management strategies to ensure that patients receive appropriate evidence-based and personalised care. The Cancer Genome Atlas substantially advanced our understanding of the molecular diversity of endometrial cancer and informed the development of simplified, pragmatic and cost-effective classifiers with prognostic implications and potential for clinical translation. Several blood-based biomarkers including proteins, metabolites, circulating tumour cells, circulating tumour DNA and inflammatory parameters have also shown promise for endometrial cancer risk assessment. This review provides an update on the established and emerging prognostic biomarkers in endometrial cancer.https://www.frontiersin.org/articles/10.3389/fonc.2022.890908/fullendometrial cancerprognosisbiomarkersrisk stratificationtreatment
spellingShingle Kelechi Njoku
Kelechi Njoku
Kelechi Njoku
Chloe E. Barr
Chloe E. Barr
Emma J. Crosbie
Emma J. Crosbie
Current and Emerging Prognostic Biomarkers in Endometrial Cancer
Frontiers in Oncology
endometrial cancer
prognosis
biomarkers
risk stratification
treatment
title Current and Emerging Prognostic Biomarkers in Endometrial Cancer
title_full Current and Emerging Prognostic Biomarkers in Endometrial Cancer
title_fullStr Current and Emerging Prognostic Biomarkers in Endometrial Cancer
title_full_unstemmed Current and Emerging Prognostic Biomarkers in Endometrial Cancer
title_short Current and Emerging Prognostic Biomarkers in Endometrial Cancer
title_sort current and emerging prognostic biomarkers in endometrial cancer
topic endometrial cancer
prognosis
biomarkers
risk stratification
treatment
url https://www.frontiersin.org/articles/10.3389/fonc.2022.890908/full
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