未分化子宫内膜癌的诊断和治疗挑战

IF 0.1 Q4 PATHOLOGY
Yow-Shan Lee, Cheng-Han Lee
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引用次数: 0

摘要

未分化/去分化子宫内膜癌在临床上具有高度侵袭性,特别是当其定义为核心SWI/SNF蛋白失活时(ARID1B、SMARCA4或SMARCB1表达缺失的共同缺失)。我们在此报告一位37岁女性的病例,她表现为月经过多,随后的病理和临床检查显示为晚期ARID1A/ arid1b缺陷错配修复熟练的未分化子宫内膜癌。尽管盆腔外束放疗和铂/紫杉烷为基础的化疗(6个计划周期中的4个),患者经历了疾病进展,骨性转移到左肘,并在临床表现后7个月死于疾病。本病例强调了与子宫内膜未分化/去分化癌相关的诊断和治疗挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Undifferentiated Endometrial Carcinoma—Diagnostic and Therapeutic Challenges
Abstract Undifferentiated/dedifferentiated endometrial carcinoma is clinically highly aggressive, particularly when it is defined by inactivation of core SWI/SNF proteins (co-loss of ARID1B, loss of SMARCA4, or loss SMARCB1 expression). We report here the case of a 37-year-old woman who presented with menorrhagia and the subsequent pathologic and clinical workup showed an advanced-stage ARID1A/ARID1B-deficient mismatch repair–proficient undifferentiated endometrial carcinoma. Despite pelvic external beam radiation and platinum/taxane-based chemotherapy (4 of 6 planned cycles), the patient experienced disease progression with osseous metastasis to her left elbow and died of her disease 7 months after clinical presentation. This case highlights the diagnostic and treatment challenges associated with such undifferentiated/dedifferentiated cancer types of the endometrium.
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CiteScore
0.30
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