Conference Proceedings

Molecular classification of the PORTEC-3 trial for high-risk endometrial cancer: Impact on adjuvant therapy

CL Creutzberg, A Leon-Castillo, SM de Boer, ME Powell, LR Mileshkin, HJ Mackay, A Leary, HW Nijman, N Singh, P Pollock, A Fyles, C Haie-Meder, VTHBM Smit, RJ Edmondson, H Putter, HC Kitchener, EJ Crosbie, M de Bruyn, R Nout, T Bosse

ANNALS OF ONCOLOGY | ELSEVIER | Published : 2019

Abstract

Background The PORTEC-3 trial investigated the benefit of combined adjuvant chemotherapy and radiotherapy (CTRT) versus radiotherapy alone (RT) for women with stage I-III endometrial cancer with high-risk features (HREC). Since the TCGA defined 4 molecular subgroups of EC with strong prognostic value, we investigated outcomes and impact of chemotherapy for each molecular subgroup using tissue samples from PORTEC-3 trial participants. Methods Paraffin-embedded tissues of 423 consenting patients (64% of 660) were collected. Immunohistochemistry for p53 and mismatch repair (MMR) proteins, and DNA sequencing for POLE pathogenic exonuclease domain mutations were done to classify tumours as p53 mu..

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University of Melbourne Researchers