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子宫浆液性癌的多方面研究:美国国立癌症研究所关于研究现状与进展机遇的研讨会

The Diverse Aspects of Uterine Serous Cancer: an NCI workshop on the status of and opportunities for advancement of research.

作者信息

Janakiram Naveena B, Clarke Megan A, Kai Mihoko, Wallace Tiffany A, Russo Sandra, Hecht Toby T, Kohn Elise C, Heckman-Stoddard Brandy

机构信息

Division of Cancer Treatment and Diagnosis, National Cancer Institute, Rockville, MD 20850, United States.

Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD 20850, United States.

出版信息

J Natl Cancer Inst. 2025 May 1;117(5):833-839. doi: 10.1093/jnci/djae277.

DOI:10.1093/jnci/djae277
PMID:39499157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12058257/
Abstract

The marked increase in the incidence and mortality associated with endometrial cancer over the past 2 decades is driven in part by rising rates of higher-grade, more aggressive endometrial cancers with variations in TP53, uterine serous cancers and their dedifferentiated component, uterine carcinosarcomas. Uterine serous cancer rates have been increasing among all racial and ethnic groups, with higher rates of this aggressive uterine cancer in Black women. The National Cancer Institute hosted a workshop in June 2023 to examine the diverse aspects of uterine serous cancers across epidemiology, biology, and molecular genetics and to advance knowledge from basic to preclinical and translational efforts. Key stakeholders, including basic scientists, clinical investigators, and patient advocates, came together to identify critical research gaps that, when addressed, would facilitate more comprehensive and rapid progress in understanding and ultimately treating uterine serous cancers across all patients. The National Cancer Institute released a supplemental funding opportunity (NOT-CA-24-044) in spring 2024 to facilitate rapid translation of these recommendations.

摘要

在过去20年中,子宫内膜癌的发病率和死亡率显著上升,部分原因是高级别、侵袭性更强的子宫内膜癌发病率上升,这些癌症存在TP53变异、子宫浆液性癌及其去分化成分、子宫癌肉瘤。子宫浆液性癌在所有种族和族裔群体中的发病率都在上升,黑人女性中这种侵袭性子宫癌的发病率更高。美国国立癌症研究所于2023年6月举办了一次研讨会,以研究子宫浆液性癌在流行病学、生物学和分子遗传学方面的不同层面,并推动从基础研究到临床前和转化研究工作的知识进步。包括基础科学家、临床研究人员和患者倡导者在内的关键利益相关者齐聚一堂,确定关键的研究空白,解决这些空白将有助于在理解并最终治疗所有患者的子宫浆液性癌方面取得更全面、快速的进展。美国国立癌症研究所于2024年春季发布了一项补充资金机会(编号NOT-CA-24-044),以促进这些建议的快速转化。

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J Natl Cancer Inst. 2025 May 1;117(5):833-839. doi: 10.1093/jnci/djae277.
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本文引用的文献

1
Racial disparities in endometrial cancer: Where are we after 26 years?子宫内膜癌中的种族差异:26 年后我们处于什么位置?
Gynecol Oncol. 2024 May;184:236-242. doi: 10.1016/j.ygyno.2024.01.054. Epub 2024 Feb 20.
2
Cancer statistics, 2024.2024年癌症统计数据。
CA Cancer J Clin. 2024 Jan-Feb;74(1):12-49. doi: 10.3322/caac.21820. Epub 2024 Jan 17.
3
In Vivo Intra-Uterine Delivery of TAT-Fused Cre Recombinase and CRISPR/Cas9 Editing System in Mice Unveil Histopathology of Pten/p53-Deficient Endometrial Cancers.体内子宫内递送 TAT 融合 Cre 重组酶和 CRISPR/Cas9 编辑系统可揭示 Pten/p53 缺陷型子宫内膜癌的组织病理学特征。
Adv Sci (Weinh). 2023 Nov;10(32):e2303134. doi: 10.1002/advs.202303134. Epub 2023 Sep 25.
4
Molecular Characterization of Endometrial Carcinomas in Black and White Patients Reveals Disparate Drivers with Therapeutic Implications.黑人和白人患者的子宫内膜癌的分子特征揭示了具有治疗意义的不同驱动因素。
Cancer Discov. 2023 Nov 1;13(11):2356-2369. doi: 10.1158/2159-8290.CD-23-0546.
5
HER2 Oncogene as Molecular Target in Uterine Serous Carcinoma and Uterine Carcinosarcoma.HER2原癌基因作为子宫浆液性癌和子宫癌肉瘤的分子靶点
Cancers (Basel). 2023 Aug 14;15(16):4085. doi: 10.3390/cancers15164085.
6
Integration of clinical sequencing and immunohistochemistry for the molecular classification of endometrial carcinoma.整合临床测序和免疫组织化学技术对子宫内膜癌进行分子分类。
Gynecol Oncol. 2023 Jul;174:262-272. doi: 10.1016/j.ygyno.2023.05.059. Epub 2023 May 26.
7
Trastuzumab Deruxtecan for Human Epidermal Growth Factor Receptor 2-Expressing Advanced or Recurrent Uterine Carcinosarcoma (NCCH1615): The STATICE Trial.曲妥珠单抗-德鲁替康用于人表皮生长因子受体 2 表达的晚期或复发性子宫癌肉瘤(NCCH1615):STATICE 试验。
J Clin Oncol. 2023 May 20;41(15):2789-2799. doi: 10.1200/JCO.22.02558. Epub 2023 Mar 28.
8
Targeted Molecular Testing in Endometrial Carcinoma: Validation of a Clinically Driven Selective ProMisE Testing Protocol.子宫内膜癌的靶向分子检测:临床驱动的选择性 PromisE 检测方案的验证。
Int J Gynecol Pathol. 2023 Jul 1;42(4):353-363. doi: 10.1097/PGP.0000000000000898. Epub 2022 Oct 5.
9
Risk factors for endometrial cancer in Black women.黑人女性患子宫内膜癌的风险因素。
Cancer Causes Control. 2023 May;34(5):421-430. doi: 10.1007/s10552-022-01653-z. Epub 2022 Nov 23.
10
Racial Disparities in Surgical Outcomes Among Women with Endometrial Cancer.子宫内膜癌患者手术结局的种族差异。
Ann Surg Oncol. 2022 Dec;29(13):8338-8344. doi: 10.1245/s10434-022-12527-8. Epub 2022 Sep 22.