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.
| Characteristics | Type I tumors | Type II tumors |
| Clinicopathological | | | Incidence | 80% | 20% | Age at initial diagnosis | Pre/peri-menopausal | Postmenopausal | Histology | Endometrioid | Non-endometrioid (predominantly serous and clear cell) | Grade | Usually low | Usually high | Premalignant phase | Atypical hyperplasia | Glandular dysplasia (for serous tumours) | Predisposing factors | Obesity, prolonged estrogen exposure | | ER, PgR | > 90% | 0–31% | Molecular | | | HER-2/neu (overexpression) | 3% | 18% | EGFR expression | 46% | 34% | P53 mutations | 5–10% | 80–90% | Ploidy | 67% diploid | 45% diploid | PTEN (loss of function through deletion or mutation) | 50–80% | 10–11% | P16 inactivation | 10% | 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 |
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