[子宫内膜癌:常规病理学中的分子分类]。

Pathologie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-14 DOI:10.1007/s00292-024-01345-2
Udo Siebolts, Birgid Schömig-Markiefka, Janna Siemanowski-Hrach, Sabine Merkelbach-Bruse
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引用次数: 0

摘要

子宫内膜癌的分子分类主要分为四类:聚合酶ɛ(PolE)基因突变、微卫星不稳定(MSI)、p53 异常肿瘤和无特异性分子特征(NSMP)肿瘤。这种分类为预后和治疗决策提供了重要依据。通过免疫组化和分子诊断,每一类肿瘤都显示出独特的遗传特征,从而实现了个性化治疗。要识别这些分子特征,必须根据每个部位的具体情况选择精确的分析方法。分子分类方法突出了病理学在诊断中的关键作用,强调了临床与病理学合作的必要性。
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[Endometrial carcinoma: molecular classification in routine pathology].

The molecular classification of endometrial carcinoma defines four main groups: polymerase‑ɛ(PolE) gene mutated, microsatellite unstable (MSI), p53 abnormal tumors and tumors with no specific molecular profile (NSMP). This classification provides significant insights into the prognosis and therapeutic decisions. Each group exhibits unique genetic profiles identified through immunohistochemistry and molecular diagnostics, enabling personalized treatment. The identification of these molecular signatures necessitates precise analytical methods, selected based on the local circumstances at each site. The approach to molecular classification highlights the critical role of pathology in the diagnosis and emphasizes the necessity of collaboration between the clinic and pathology.

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