Molecular markers of endometrial carcinoma and associated clinicopathological features
- Authors: Koroleva E.I.1, Musaelyan A.A.1,2, Nazarov V.D.1, Lapin S.V.1, Vorobev S.L.3, Sharova O.L.3, Kozorezova E.S.3, Korablina I.M.3, Emanuel V.L.1, Orlov S.V.1,2
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Affiliations:
- P. Pavlov First Saint-Petersburg State Medical University
- Federal State Budget Research Institution "Research Institute of Medical Primatology"
- National Center for Clinical Morphological Diagnostics
- Issue: Vol 20, No 3 (2022)
- Pages: 34-40
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2918/article/view/113753
- DOI: https://doi.org/10.29296/24999490-2022-03-06
- ID: 113753
Cite item
Abstract
Introduction. In 2013 The Cancer Genome Atlas research group divided the molecular aberrations in endometrial cancer into four subtypes: POLE mutations, microsatellite instability, copy-number low and copy-number high. These subtypes have different prognosis and could probably mean different therapeutical options. The aim of the study. To estimate the prevalence of different molecular aberrations and to find out associated clinicopathological features. Methods. The study included 45 samples of endometrial carcinoma. Pathological structure and molecular features of each sample were evaluated. Immunohistochemical testing was used to find out the level of p53 expression. Genetic testing was carried out by PCR for MSI testing and by sequencing POLE exon 9 and exon 13 for point mitations. Results. Nor POLE mutations, nor abnormal p53 expression level were found in studied samples. The prevalence was 22% for MSI tumors. No significant difference in clinicopathological features was found between MSI and MSS tumors except for mitotic index that was higher in MSI tumors. Similarly, MSI tumors were less differentiated but the difference was not statistically significant. Conclusion. POLE mutations and abnormal p53 level are rare in low-grade endometrial carcinomas. Nevertheless, MSI tumors are common in this group and further research of their prognostic significance is important.
Keywords
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About the authors
Ekaterina Igorevna Koroleva
P. Pavlov First Saint-Petersburg State Medical University
Author for correspondence.
Email: katherinakoroleva@mail.ru
clinical resident, worker in Laboratory of autoimmune diseases diagnostics
Aram Ashotovich Musaelyan
P. Pavlov First Saint-Petersburg State Medical University; Federal State Budget Research Institution "Research Institute of Medical Primatology"
Email: a.musaelyan8@gmail.com
clinical resident, junior research worker in Laboratory of autoimmune diseases diagnostics
Vladimir Dmitrievich Nazarov
P. Pavlov First Saint-Petersburg State Medical University
Email: nazarov19932@mail.ru
doctor of clinical laboratory diagnostics in Laboratory of autoimmune diseases diagnostics
Sergej Vladimirovich Lapin
P. Pavlov First Saint-Petersburg State Medical University
Email: svlapin@mail.ru
head of the Laboratory of autoimmune diseases diagnostics
Sergey Leonidovich Vorobev
National Center for Clinical Morphological Diagnostics
Email: ncmd@ncmd.ru
pathologist
Olga Lvovna Sharova
National Center for Clinical Morphological Diagnostics
Email: ncmd@ncmd.ru
pathologist
Evgeniya Sergeevna Kozorezova
National Center for Clinical Morphological Diagnostics
Email: pdclient@ncmd.ru
doctor of clinical laboratory diagnostics
Inna Mihaylovna Korablina
National Center for Clinical Morphological Diagnostics
Email: zavighl@ncmd.ru
pathologist
Vladimir Leonidovich Emanuel
P. Pavlov First Saint-Petersburg State Medical University
Email: vladimirem1@gmail.com
head of clinical laboratory department
Sergey Vladimirovich Orlov
P. Pavlov First Saint-Petersburg State Medical University; Federal State Budget Research Institution "Research Institute of Medical Primatology"
Email: mail@primatologia.ru
head of the Research Institute of Medical Primatology. Doctor of medical sciences, professor, corresponding member of the RAS.
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