浆液性乳头状癌:一种低放射敏感性的子宫内膜癌亚型

作     者：Martin J.D. Gilks B. Lim P. 刘亦恒 

作者机构：Department of Radiation Oncology British Columbia Cancer Agency Vancouver Cancer Centre 600 West 10th Avenue Vancouver BC V5Z 4E6 Canada 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2005年第1卷第11期

页      面：43-44页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：浆液性乳头状 放射敏感性 放疗方法 肿瘤分期 放射反应 子宫切除术 放疗反应 样本来源 于术 预测信息 

摘      要：Objective. To explore factors that determine the response of endometrial cancer to radiation therapy. Such factors may influence treatment outcome and yield predictive information about individual patients and their tumors. Methods. A retrospective study of the complete pathologic response (pCR) rates in the hysterectomy specimens of patients, who had undergone preoperative radiotherapy for ≥ Stage Ⅱ biopsy-proven endometrial carcinoma, was performed. 62 patient records were reviewed with respect to patient characteristics, tumor stage, histological grade and subtype, radiation technique and dose, and presence or absence of pCR in the post-operative hysterectomy specimen. Results. 24 of 62 specimens exhibited a pCR. The only significant factor with respect to pCR was presence of uterine papillary serous carcinoma (UPSC). None of the seven cases of UPSC displayed a pCR (P = 0.036 Fischer’ s exact test), despite not differing from the non-UPSC cases in any other tumor, treatment, or patient factors. No factors were found that separated non-UPSC cases with a pCR from those without. Conclusions. These data suggest an intrinsic radioresistance within UPSC, which may have implications for future treatment strategies. UPSC has documented genetic aberrations that may account for this, although its true radiosensitivity has yet to be quantitated directly. Future studies should focus on the molecular basis of its response to radiation. The reasons for the heterogeneous response of non-UPSC has yet to be elucidated and should also be investigated.