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两例未分化子宫内膜癌的疾病快速进展。

Rapid progression of disease in two cases of undifferentiated endometrial carcinoma.

作者信息

Pfaendler Krista S, Randall Leslie M

机构信息

University of California Irvine Medical Center, Orange, CA 92868, United States.

出版信息

Gynecol Oncol Rep. 2019 Jan 18;27:65-68. doi: 10.1016/j.gore.2019.01.004. eCollection 2019 Feb.

DOI:10.1016/j.gore.2019.01.004
PMID:30723762
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6351352/
Abstract

Undifferentiated endometrial carcinoma, a rare histopathologic diagnosis, has a poor prognosis with high risk of progression during or shortly after completion of adjuvant treatment. We present two cases of undifferentiated endometrial carcinoma: one in a postmenopausal female who experienced recurrent disease immediately after completion of adjuvant treatment and one in a premenopausal female who experienced disease progression while receiving adjuvant treatment. These cases exemplify the aggressive behavior of undifferentiated endometrial carcinoma and suggest the need for a more effective treatment in the upfront setting than the current standard of care for endometrioid endometrial adenocarcinoma.

摘要

未分化子宫内膜癌是一种罕见的组织病理学诊断,预后较差,在辅助治疗期间或完成后不久有很高的进展风险。我们报告两例未分化子宫内膜癌病例:一例为绝经后女性,在辅助治疗完成后立即出现疾病复发;另一例为绝经前女性,在接受辅助治疗期间出现疾病进展。这些病例例证了未分化子宫内膜癌的侵袭性,并表明在初始治疗中需要一种比目前子宫内膜样腺癌的标准治疗更有效的治疗方法。

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本文引用的文献

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Frequent loss of claudin-4 expression in dedifferentiated and undifferentiated endometrial carcinomas.在去分化和未分化子宫内膜癌中经常丢失 claudin-4 的表达。
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Cancer statistics, 2018.癌症统计数据,2018 年。
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Dedifferentiated endometrial carcinoma: A report of three cases and review of the literature.去分化子宫内膜癌:三例报告及文献复习
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Undifferentiated Endometrial Carcinomas Show Frequent Loss of Core Switch/Sucrose Nonfermentable Complex Proteins.未分化子宫内膜癌常出现核心开关/蔗糖非发酵复合物蛋白缺失。
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Undifferentiated and Dedifferentiated Endometrial Carcinomas With POLE Exonuclease Domain Mutations Have a Favorable Prognosis.伴有POLE核酸外切酶结构域突变的未分化和去分化子宫内膜癌预后良好。
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Dedifferentiated endometrioid carcinoma of the uterus : report of four cases and review of literature.子宫去分化子宫内膜样癌:4例报告并文献复习
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Molecular genetic heterogeneity in undifferentiated endometrial carcinomas.未分化子宫内膜癌中的分子遗传异质性。
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Undifferentiated Carcinoma of the Endometrium: An Expanded Immunohistochemical Analysis Including PAX-8 and Basal-Like Carcinoma Surrogate Markers.子宫内膜未分化癌:一项扩展的免疫组织化学分析,包括PAX-8和基底样癌替代标志物
Int J Gynecol Pathol. 2016 Sep;35(5):410-8. doi: 10.1097/PGP.0000000000000248.
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A role for the transducer of the Hippo pathway, TAZ, in the development of aggressive types of endometrial cancer.Hippo 通路转导子 TAZ 在子宫内膜癌侵袭性类型发展中的作用。
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Undifferentiated uterine carcinoma: analysis of eighteen cases.未分化子宫癌:18例分析
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