Division of Gynecologic Oncology, Department of Gynecology and Obstetrics, University of British Columbia, Vancouver, British Columbia, Canada.
Division of Gynecologic Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Cancer. 2022 Aug 1;128(15):2853-2857. doi: 10.1002/cncr.34328. Epub 2022 Jun 3.
Endometrial carcinoma (EC) classification and risk stratification have undergone a global transformation in the last decade, shifting from a reliance on poorly reproducible histomorphological parameters such as grade and histotype, toward a molecular classification that is consistent and biologically informative. Molecular classification enables reliable categorization of ECs, provides prognostic information, and is now beginning to drive clinical management, including surgery and adjuvant therapy. Within this framework, we now have the ability to further refine both the prognostic and predictive value of molecular classification. As we move toward the routine implementation of this classification system as a stratification tool for research, clinical trials, and patient care, it is imperative that access to these tests be equitable. Furthermore, continued education will be critical for patients and providers to understand the value that this molecular information provides.
在过去的十年中,子宫内膜癌 (EC) 的分类和风险分层发生了全球性转变,从依赖于组织形态学参数(如分级和组织类型)的重现性差,转向了一致且具有生物学意义的分子分类。分子分类可实现对 EC 的可靠分类,提供预后信息,并且现在开始推动临床管理,包括手术和辅助治疗。在此框架内,我们现在有能力进一步完善分子分类的预后和预测价值。随着我们将这种分类系统作为研究、临床试验和患者护理的分层工具进行常规实施,确保这些检测的可及性公平至关重要。此外,对于患者和提供者来说,持续的教育对于理解这种分子信息的价值至关重要。