TCGA Classification of Endometrial Cancer: the Place of Carcinosarcoma

In 2013, The Cancer Genome Atlas (TCGA) Research Network found four novel prognostic subgroups of endometrial carcinoma: POLE/ultramutated (POLE), microsatellite-instable/hypermutated (MSI), copy-number-low/TP53-wild-type (CNL), and copy-number-highTP53-mutant (CNH). However, poor is known regarding...

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Veröffentlicht in:Pathology oncology research 2020-10, Vol.26 (4), p.2067-2073
Hauptverfasser: Travaglino, Antonio, Raffone, Antonio, Gencarelli, Annarita, Mollo, Antonio, Guida, Maurizio, Insabato, Luigi, Santoro, Angela, Zannoni, Gian Franco, Zullo, Fulvio
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container_end_page 2073
container_issue 4
container_start_page 2067
container_title Pathology oncology research
container_volume 26
creator Travaglino, Antonio
Raffone, Antonio
Gencarelli, Annarita
Mollo, Antonio
Guida, Maurizio
Insabato, Luigi
Santoro, Angela
Zannoni, Gian Franco
Zullo, Fulvio
description In 2013, The Cancer Genome Atlas (TCGA) Research Network found four novel prognostic subgroups of endometrial carcinoma: POLE/ultramutated (POLE), microsatellite-instable/hypermutated (MSI), copy-number-low/TP53-wild-type (CNL), and copy-number-highTP53-mutant (CNH). However, poor is known regarding uncommon histotypes of endometrial cancer. We aimed to assess the genetic profile of uterine carcinosarcoma (UCS) on the light of these findings. A systematic review and meta-analysis was performed through electronic databases searching (up to July 2019). All studies assessing UCS series for the TCGA classification were included. For each TCGA subgroup, pooled prevalence on the total UCS number was calculated. Four studies with 231 patients were included. Pooled prevalence of the TCGA subgroups were: 5.3% for the POLE subgroup, 7.3% for the MSI subgroup, 73.9% for the CNH subgroup, 13.5% for the CNL subgroup. The CNH subgroup predominates in UCS, while subgroups with high mutational load (POLE and MSI) are less common. UCS appears as a preferential evolution of CNH carcinomas.
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subjects Biomedical and Life Sciences
Biomedicine
Cancer Research
Carcinoma
Classification
Endometrial cancer
Endometrium
Genomes
Immunology
Medical prognosis
Oncology
p53 Protein
Pathology
Review
Uterine cancer
Uterus
title TCGA Classification of Endometrial Cancer: the Place of Carcinosarcoma
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