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SCI-Expanded JCR Q4 Özgün Makale Scopus
Classification of high-grade endometrium carcinomas using molecular and immunohistochemical methods
Ginekologia Polska 2023 Cilt 94 Sayı 1
Scopus Eşleşmesi Bulundu
11
Atıf
94
Cilt
3-11
Sayfa
🔓
Açık Erişim
Özet
Objectives: As a result of the integration of molecular changes into the histological classification of cancers, which increases diagnostic repeatability, the differences between the groups become more prominent and targeted therapies gain significance. The most comprehensive molecular study regarding endometrial carcinomas (EC) is The Cancer Genome Atlas (TCGA) project. According to TCGA, endometrial carcinomas are classified into four molecular prognostic subgroups: copy-number-low/p53-wild-type (p53wt), DNA polymerase epsilon (POLE)-mutated/ultramutated (POLEmt), microsatellite-instability/hypermutated (MSI), and copy-number-high/p53-mutated (p53mt). In this study, we aim to apply the molecular classification to our high-grade endometrial cancer patients, and particularly, to identify our overtreated patients. Material and methods: Ninety-seven patients diagnosed with high-grade EC in Selcuk University, Faculty of Medicine between 2009-2018 were retrospectively evaluated and classified into four subgroups. Primary outcomes of overall and progression-free survival were evaluated for clinical, pathological, and molecular features. Further, all molecular groups were divided into endometroid and non-endometrioid groups, and disease-free survival (DFS) and overall survival (OS) were investigated across groups. Results: According to molecular classification, 23 patients (23.7%) were assigned to the MSI group, 21 (21.6%) to the POLEmt group, 40 (41.2%) to the p53mt group, and 13 (13.4%) to the p53wt group. Patients’ DFS (p = 0.001) and OS rates (p = 0.001) were significantly different according to their molecular classification. The results of our analyses determined that, in the molecular classification of high-grade ECs, the p53mt group had the poorest prognosis and the POLEmt group had the best prognosis. Tumor size, myometrial invasion, lymphovascular space invasion (LVSI), lymph node metastasis, cervical invasion, ovarian invasion and stage showed statistically significant differences based on molecular classification (p < 0.05). Conclusions: The use of molecular classification in the clinical practice will allow more accurate prognostic prediction and more appropriate treatment planning, particularly as high-grade ECs constitute a heterogenous group with poor prognosis.
Web of Science Eşleşmesi Bulundu
12
WoS Atıf
94
Cilt
Article
Belge Türü
Kaynak: GINEKOLOGIA POLSKA · s. 3-11
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Scimago Dergi Bilgisi Otomatik ISSN Eşleştirmesi 2023 yılı verileri
Ginekologia Polska
Q3
SJR Quartile
0,361
SJR Skoru
33
H-Index
🔓
Açık Erişim
Kategoriler: Obstetrics and Gynecology (Q3)
Alanlar: Medicine
Ülke: Poland · Via Medica
Bu bilgiler makale yılına göre Scimago veritabanından ISSN eşleştirmesiyle otomatik getirilmektedir. Dergi sıralama verileri Scimago'nun ilgili yılı baz alınmaktadır.

Anahtar Kelimeler

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Makale Bilgileri

Dergi Ginekologia Polska
ISSN 0017-0011
Yıl 2023 / 1. ay
Cilt / Sayı 94 / 1
Sayfalar 3 – 11
Makale Türü Özgün Makale
Hakemlik Hakemli
Endeks SCI-Expanded
JCR Quartile Q4
Yayın Dili İngilizce
Kapsam Uluslararası
Toplam Yazar 7 kişi
Erişim Türü Basılı+Elektronik
Alan Sağlık Bilimleri Temel Alanı Tıbbi Patoloji

YÖKSİS Yazar Kaydı

Yazar Adı BAYRAMOĞLU DENİZHAN, SEÇİLMİŞ ÖZLEM, BAYRAMOĞLU ZEYNEP, ÇİNTESUN ERSİN, ŞAHİN GÖZDE, KARABAĞLI PINAR, ÇELİK ÇETİN
YÖKSİS ID 7789464

Metrikler

Scopus Atıf 11
Havuz Atıfları 0
JCR Quartile Q4
Yazar Sayısı 7