Role of Genomic and Molecular Biology in the Modulation of the Treatment of Endometrial Cancer: Narrative Review and Perspectives

被引：58

作者：

Cuccu, Ilaria ^{[1
]}

D'Oria, Ottavia ^{[1
,2
]}

Sgamba, Ludovica ^{[1
]}

De Angelis, Emanuele ^{[1
]}

D'Auge, Tullio Golia ^{[1
]}

Turetta, Camilla ^{[1
]}

Di Dio, Camilla ^{[1
]}

Scudo, Maria ^{[1
]}

Bogani, Giorgio ^{[3
]}

Di Donato, Violante ^{[1
]}

Palaia, Innocenza ^{[1
]}

Perniola, Giorgia ^{[1
]}

Tomao, Federica ^{[1
]}

Muzii, Ludovico ^{[1
]}

Giannini, Andrea ^{[1
]}

机构：

[1] Sapienza Univ Rome, Dept Gynecol Obstetr & Urol Sci, I-00161 Rome, Italy

[2] Sapienza Univ, Dept Med & Surg Sci & Translat Med, Translat Med & Oncol, I-00161 Rome, Italy

[3] Fdn IRCCS Ist Nazl Tumori Milano, Dept Gynecol Oncol, I-20133 Milan, Italy

来源：

HEALTHCARE | 2023年 / 11卷 / 04期

关键词：

endometrial cancer; molecular; genetics; target therapy; personalized treatment; MICROSATELLITE INSTABILITY; CLASSIFICATION; CARCINOMA; LANDSCAPE; CHEMOTHERAPY; EXPRESSION; MUTATIONS; SURVIVAL; BRCA2;

D O I：

10.3390/healthcare11040571

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Endometrial cancer (EC) is one of the most common gynecological malignancies in Western countries. Traditionally, loco-reginal dissemination and histological characteristics are the main prognostic factors. Nowadays, molecular and genomic profiling showed exciting results in terms of prognostication. According to the data provided by The Cancer Genome Atlas and other studies, molecular and genomic profiling might be useful in identifying patients al low, intermediate, and high risk of recurrence. However, data regarding the therapeutic value are scant. Several prospective studies are ongoing to identify the most appropriate adjuvant strategy in EC patients, especially for those with positive nodes and low volume disease. The molecular classification has offered the possibility to improve the risk stratification and management of EC. The aim of this review is to focus on the evolution of molecular classification in EC and its impact on the research approach and on clinical management. Molecular and genomic profiling might be useful to tailor the most appropriate adjuvant strategies in apparent early-stage EC.

引用

页数：12

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