Review Article

Endometrial Cancer: What Is New in Adjuvant and Molecularly Targeted Therapy?

Table 2

Types of endometrial cancer according to the Bokhman model and correlations with clinicopathological and molecular characteristics.

CharacteristicsType I tumorsType II tumors

Clinicopathological
 Incidence 80% 20%
 Age at initial diagnosisPre/peri-menopausalPostmenopausal
 HistologyEndometrioidNon-endometrioid (predominantly serous and clear cell)
 GradeUsually lowUsually high
 Premalignant phaseAtypical hyperplasiaGlandular dysplasia (for serous tumours)
 Predisposing factorsObesity, prolonged estrogen exposure
 ER, PgR> 90%0–31%
Molecular
 HER-2/neu (overexpression)3%18%
 EGFR expression46%34%
 P53 mutations5–10%80–90%
 Ploidy67% diploid45% diploid
 PTEN (loss of function through deletion or mutation)50–80%10–11%
 P16 inactivation10%40%
 K-ras (mutational activation)13–26%0–10%
 E-cadherin (reduced or non expression)10–20%62–87%
-catenin CTNNB1 (gain of function mutation)25–38%Rare