Diagnosis and management of a recurrent polymerase-epsilon (POLE)-mutated endometrial cancer

Polymerase-epsilon (POLE)-mutated carcinomas are a rare, but well-known subtype of endometrial cancer. While typically associated with good prognosis, recurrences are documented. Here we present a case of recurrent POLE-mutated endometrial cancer, discuss pathologic features, current methods of mole...

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Veröffentlicht in:Gynecologic oncology 2019-06, Vol.153 (3), p.471-478
Hauptverfasser: Veneris, Jennifer Taylor, Lee, Elizabeth K., Goebel, Emily A., Nucci, Marisa R., Lindeman, Neal, Horowitz, Neil S., Lee, Larissa, Raut, Chandrajit P., Crotzer, David, Matulonis, Ursula, Konstantinopoulos, Panagiotis A., Campos, Susana
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container_end_page 478
container_issue 3
container_start_page 471
container_title Gynecologic oncology
container_volume 153
creator Veneris, Jennifer Taylor
Lee, Elizabeth K.
Goebel, Emily A.
Nucci, Marisa R.
Lindeman, Neal
Horowitz, Neil S.
Lee, Larissa
Raut, Chandrajit P.
Crotzer, David
Matulonis, Ursula
Konstantinopoulos, Panagiotis A.
Campos, Susana
description Polymerase-epsilon (POLE)-mutated carcinomas are a rare, but well-known subtype of endometrial cancer. While typically associated with good prognosis, recurrences are documented. Here we present a case of recurrent POLE-mutated endometrial cancer, discuss pathologic features, current methods of molecular classification, and explore therapeutic implications for the POLE-mutation phenotype. •POLE mutations occur in 7–12% of endometrial cancers and are identified by molecular analysis.•POLE-mutated endometrial cancers have high tumor mutation burden, tumor neoantigen production, and tumor infiltrating T cells.•This case illustrates a marked response to immune checkpoint inhibition in a POLE-mutated endometrial cancer.
doi_str_mv 10.1016/j.ygyno.2019.03.247
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title Diagnosis and management of a recurrent polymerase-epsilon (POLE)-mutated endometrial cancer
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