Genomic profiling of endometrial cancer and relationship with volume of endometrial cancer disease spread

Autor: Stephanie A. Sullivan, Gabriel Hawkins, Xiobai Zhao, Heejoon Jo, Neil Hayes, Xiaoyan Deng, Dipankar Bandyopadhyay, Victoria L. Bae-Jump, Emma C. Rossi
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Gynecologic Oncology Reports, Vol 36, Iss , Pp 100720- (2021)
Druh dokumentu: article
ISSN: 2352-5789
DOI: 10.1016/j.gore.2021.100720
Popis: Objectives: Lymph node (LN) metastasis and genomic profiles are important prognostic factors in endometrial cancer (EMCA). However, the prognostic significance of low volume metastasis found in sentinel lymph nodes (SLN) is unknown. We sought to determine if genomic mutations were associated with metastatic volume. Methods: Surgically staged women with EC who were enrolled in both a SLN clinical trial and tumor sequencing protocol were eligible. Relevant targets were enriched by a custom designed Agilent SureSelect hybrid capture enrichment library using standard protocols. Three specific gene mutations were evaluated, TP53, PTEN and PIK3CA in the primary tumor of patients with LN negative, LN positive and ITC disease. Results: 42 patients were eligible; of these, 7 (16.7%) had ITC only and 7 (16.7%) had micrometastatic or macrometastatic (LN positive) disease. No differences were seen in TP53, PIK3CA or PTEN between groups. All ITC patients with TP53 mutations were of non-endometrioid histology (2/7). Deeper myometrial invasion and lymph vascular space invasion were more likely to occur in the LN positive group (p
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