Molecular landscape of borderline ovarian tumours: A systematic review

被引:1
作者
Sadlecki, Pawel [1 ,2 ]
Walentowicz-Sadlecka, Malgorzata [1 ,2 ]
机构
[1] Univ Sci & Technol, Med Dept, Bydgoszcz, Poland
[2] Reg Polyclin Hosp, Dept Obstet & Gynecol, Grudziadz, Poland
来源
OPEN MEDICINE | 2024年 / 19卷 / 01期
关键词
borderline ovarian tumours; molecular features; mutations; genetic mutations; BRAF; KRAS; NRAS; ARID1A; CADM1; PIK3CA; CHEK2; CLAUDIN-1; ERBB2; loss of heterozygosity; PTEN; microsatellite instability; B-CATENIN; E-CADHERIN; BRCA; 1; 2; MICROSATELLITE INSTABILITY; EXPRESSION PATTERNS; BRAF MUTATIONS; ADVANCED-STAGE; CANCER; ENDOMETRIOSIS; PATHOGENESIS; CELL; PROGRESSION; DISCOVERY;
D O I
10.1515/med-2024-0976
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Borderline ovarian tumours (BOTs) show intriguing characteristics distinguishing them from other ovarian tumours. The aim of the systematic review was to analyse the spectrum of molecular changes found in BOTs and discuss their significance in the context of the overall therapeutic approach. The systematic review included articles published between 2000 and 2023 in the databases: PubMed, EMBASE, and Cochrane. After a detailed analysis of the available publications, we qualified for the systematic review: 28 publications on proto-oncogenes: BRAF, KRAS, NRAS, ERBB2, and PIK3CA, 20 publications on tumour suppressor genes: BRCA1/2, ARID1A, CHEK2, PTEN, 4 on adhesion molecules: CADM1, 8 on proteins: B-catenin, claudin-1, and 5 on glycoproteins: E-Cadherin. In addition, in the further part of the systematic review, we included eight publications on microsatellite instability and three describing loss of heterozygosity in BOT. Molecular changes found in BOTs can vary on a case-by-case basis, identifying carcinogenic mutations through molecular analysis and developing targeted therapies represent significant advancements in the diagnosis and treatment of ovarian malignancies. Molecular studies have contributed significantly to our understanding of BOT pathogenesis, but substantial research is still required to elucidate the relationship between ovarian neoplasms and extraneous disease, identify accurate prognostic indicators, and develop targeted therapeutic approaches.
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页数:17
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