Basic Research and Clinical Treatment of Endometrial Cancer

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: 31 July 2024 | Viewed by 1242

Special Issue Editor


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Guest Editor
Department of Gynecology and Obstetrics, University of Parma, Via Gramsci, 14, 43125 Parma, Italy
Interests: gynecologic oncology; gynecologic surgery; laparoscopy; robotic surgery; cytoreductive surgery

Special Issue Information

Dear Colleagues,

In recent years, several new insights have emerged regarding the molecular aspects and pathological pathways in endometrial cancer. The application of Next Generation Sequencing technology has revolutionized the traditional classification of Type I and Type II endometrial cancer, and additional molecular risk factors beyond the conventional pathological criteria have been introduced. The assessment of p53 and POLE mutational status has become pivotal in defining patient prognosis, while microsatellite instability primarily holds therapeutic implications. The integration of this perspective into clinical practice has led to the incorporation of molecular classification into the updated FIGO staging system for endometrial cancer in 2023. Furthermore, the exploration of other markers such as beta-catenin and deficiencies in the homologous recombination system is currently underway in endometrial cancer research. Immunohistochemistry has played a critical role in determining the clinical application of these novel prognostic markers. In addition, the mounting evidence regarding the pathological mechanisms in endometrial cancer has led to the identification of numerous potential targets for therapeutic agents.

Concerning risk assessment before surgery, there have been reports of utilizing artificial intelligence in radiology, specifically through radiomics, for predicting outcomes in endometrial cancer. However, current evidence in this area is limited.

Regarding advancements in perioperative care, the Enhanced Recovery After Surgery (ERAS) guidelines have offered evidence-based recommendations aimed at improving clinical outcomes. In summary, substantial progress and ongoing developments hold the promise of enhanced treatment personalization and perioperative care in endometrial cancer patients.

We cordially invite submissions from experts in the field, especially those focusing on the molecular aspects of endometrial cancer and their relevance to therapeutic strategies, impact of radiomics application in endometrial cancer management, and experience with ERAS protocol application in their clinical practice.

Sincerely,
Dr. Roberto Berretta
Guest Editor

Manuscript Submission Information

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Keywords

  • endometrial cancer
  • target therapy
  • molecular markers
  • personalized medicine
  • immunoistochemistry
  • next generation sequencing
  • radiomics

Published Papers (1 paper)

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Research

15 pages, 1720 KiB  
Article
Prognosis of Stage I Endometrial Cancer According to the FIGO 2023 Classification Taking into Account Molecular Changes
by Bozena Dobrzycka, Katarzyna Maria Terlikowska, Oksana Kowalczuk, Jacek Niklinski, Maciej Kinalski and Sławomir Jerzy Terlikowski
Cancers 2024, 16(2), 390; https://doi.org/10.3390/cancers16020390 - 17 Jan 2024
Viewed by 1003
Abstract
Optimum risk stratification in an early stage of endometrial cancer (EC) combines molecular and clinicopathological features. The purpose of the study was to determine the prognostic value of molecular classification and traditional pathological factors in a sample group of patients with stage I [...] Read more.
Optimum risk stratification in an early stage of endometrial cancer (EC) combines molecular and clinicopathological features. The purpose of the study was to determine the prognostic value of molecular classification and traditional pathological factors in a sample group of patients with stage I EC according to the FIGO 2023 criteria, to achieve a more personalized approach to patient care and treatment. The immunohistochemistry for p53 and mismatch repair (MMR) proteins, and DNA sequencing for POLE exonuclease domain and clinicopathological parameters, including disease disease-free survival (DFS) and overall survival (OS) in 139 patients, were analyzed. It has been shown that the independent recurrence risk factors are stage IC (p < 0.001), aggressive histological types EC (p < 0.001), and the presence of p53abn protein immunoexpression (p = 0.009). Stage IC (p = 0.018), aggressive histological types EC (p = 0.025) and the presence of p53abn protein immunoexpression (p = 0.010) were all significantly associated with lower 5-year OS rates. Our research studies confirm that the molecular category corresponds to a different prognosis in clinical stage I EC according to the new 2023 FIGO classification, with POLEmut cases presenting the best outcomes and p53abn cases showing the worst outcomes. Beyond the previous routine clinicopathological assessment, the new EC staging system represents an important step toward improving our ability to stratify IC stage EC risk. Full article
(This article belongs to the Special Issue Basic Research and Clinical Treatment of Endometrial Cancer)
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