New Pathological and Clinical Insights in Endometrial Cancer in View of the Updated ESGO/ESTRO/ESP Guidelines

Endometrial carcinoma represents the most common gynecological cancer in Europe and the USA. Histopathological classification based on tumor morphology and tumor grade has played a crucial role in the management of endometrial carcinoma, allowing a prognostic stratification into distinct risk catego...

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Veröffentlicht in:Cancers 2021-05, Vol.13 (11), p.2623
Hauptverfasser: Santoro, Angela, Angelico, Giuseppe, Travaglino, Antonio, Inzani, Frediano, Arciuolo, Damiano, Valente, Michele, D'Alessandris, Nicoletta, Scaglione, Giulia, Fiorentino, Vincenzo, Raffone, Antonio, Zannoni, Gian Franco
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container_end_page
container_issue 11
container_start_page 2623
container_title Cancers
container_volume 13
creator Santoro, Angela
Angelico, Giuseppe
Travaglino, Antonio
Inzani, Frediano
Arciuolo, Damiano
Valente, Michele
D'Alessandris, Nicoletta
Scaglione, Giulia
Fiorentino, Vincenzo
Raffone, Antonio
Zannoni, Gian Franco
description Endometrial carcinoma represents the most common gynecological cancer in Europe and the USA. Histopathological classification based on tumor morphology and tumor grade has played a crucial role in the management of endometrial carcinoma, allowing a prognostic stratification into distinct risk categories, and guiding surgical and adjuvant therapy. In 2013, The Cancer Genome Atlas (TCGA) Research Network reported a large scale molecular analysis of 373 endometrial carcinomas which demonstrated four categories with distinct clinical, pathologic, and molecular features: POLE/ultramutated (7% of cases) microsatellite instability (MSI)/hypermutated (28%), copy-number low/endometrioid (39%), and copy-number high/serous-like (26%). In the present article, we report a detailed histological and molecular review of all endometrial carcinoma histotypes in light of the current ESGO/ESTRO/ESP guidelines. In particular, we focus on the distribution and prognostic value of the TCGA groups in each histotype.
doi_str_mv 10.3390/cancers13112623
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central
subjects Carcinoma
Classification
Endometrial cancer
Endometrium
Genomes
Integrated approach
Medical prognosis
Microsatellite instability
Mutation
Review
Tumors
title New Pathological and Clinical Insights in Endometrial Cancer in View of the Updated ESGO/ESTRO/ESP Guidelines
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