About the author: |
S. I. Safarova, Sh. H. Bagirova, N. G. Giblaliyeva |
Heading |
CLINICAL MEDICINE |
Type of article |
Scentific article |
Annotation |
Electron microscopy is crucial in diagnosing proliferative changes in endometrial cancer. Identifying atypical cells in cytology is challenging, and electron microscopy aids in overcoming this issue. This study involves patients with endometrial proliferation, including endometrial cancer, who were referred to the Oncology Clinic of AMU and observed from 1999 to 2004. Surgical samples were analyzed via light and electron microscopy. The patients were divided into three groups: highly differentiated variant (G1, n=53), moderately differentiated variant (G2, n=40), and poorly differentiated variant (G3, n=39). In highly differentiated adenocarcinomas, Findings revealed atypical glandular hyperplasia and structural deformities in desmosomes, such as reduced desmosome count in G2 tumors and complete disorganization in G3 tumors. Poorly differentiated tumors exhibited severe nuclear polymorphism, over 50 % desmosome degradation, and mitochondrial swelling, while well-differentiated adenocarcinomas showed mild nuclear deformation and less than 20 % desmosome degradation. These results offer valuable insight into the expected progression of proliferative processes in endometrial cancer, providing crucial information for understanding disease dynamics. |
Tags |
endometrial cancer,electron microscopy,atypical cells,desmosomes,nuclear polymorphism,mitochondrial swelling,tumor differentiation |
Bibliography |
- Sarychev LP, Starchenko II, Savchenko RB, Sarychev YV, Pustovoyt GL.Optymizatsiya likuvalnoyi taktyky u khvorykh na dobroyakisnu hiperplaziyu peredmikhurovoyi zalozy z urakhuvannyam morfolohichnykh zmin sechovoho mikhura. World of medicine and biology. 2021; 2 (76):132–135. Doi: 10.26724/2079-8334-2021-2-76-132-135. [in Ukrainian].
- Baker-Rand H, Kitson SJ. Recent advances in endometrial cancer prevention, early diagnosis and treatment. Cancers. 2024; 16:1028. https://doi.org/10.3390/cancers16051028.
- Barczyński B, Frąszczak K, Wnorowski A, Kotarski J. Menopausal status contributes to overall survival in endometrial cancer patients. Cancers (Basel). 2023 Jan 10; 15(2):45. https://doi.org/10.3390/cancers16051028.
- Buck VU, Hodecker M, Eisner S, Leube RF. Ultrastructural changes in endometrial desmosomes of desmoglein 2 mutant mice. Cell Tissue Res. 2018; 374:317–327. https://doi.org/10.1007/s00441-018-2869-z.
- Cormio A, Cormio G, Musicco C, Sardanelli AM, Gasparre G, Gadaleta MN. Mitochondrial changes in endometrial carcinoma: possible role in tumor diagnosis and prognosis (review). Oncology Reports. 2015; 33:1011–1018. https://doi.org/10.3892/or.2014.3690.
- Dobrzycka B, Terlikowska KM, Kowalczuk O, Niklinski J, Kinalski M, Terlikowski SJ. Prognosis of stage I endometrial cancer according to the FIGO 2023 classification taking into account molecular changes. Cancers (Basel). 2024 Jan 17; 16(2):390. https://doi.org/10.3390/cancers16051028.
- Grund S, Grümmer R. Direct cell-cell interactions in the endometrium and in endometrial pathophysiology. Int J Mol Sci. 2018 Jul 30; 19(8):2227. https://doi.org/10.3390/ijms19082227.
- Makker V, MacKay H, Ray-Coquard I, Levine DA. Westin SN, Aoki D, et al. Endometrial cancer. Nat Rev Dis Primers. 2021; 7(1):88. https://doi.org/10.1038/s41572-021-00324-8.
- Nagata K, Niwa K, Mori S, Kuwabara K, Takenaka M, Yamaguchi Y, et al. Primary small cell neuroendocrine carcinoma of the endometrium: a cytologically diagnosed case with immunocytochemical, immunohistochemical, and electron microscopic features. Open Journal of Pathology. 2020; 10:113–123. https://doi.org/10.4236/ojpathology.2020.104011.
- Safarova SI. Clinical, morphological, and ultrastructural features of the endometrium in uterine corpus cancer. Medical News. 2019; 2:62–63.
- Singh G, Cue L, Puckett Y. Endometrial hyperplasia. [Updated 2024 Apr 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan. https://www.ncbi.nlm.nih.gov/books/NBK560693/.
- Terzic MM, Aimagambetova G, Kunz J, Bapayeva G, Aitbayeva B, Terzic S, et al. Molecular basis of endometriosis and endometrial cancer: current knowledge and future perspectives. Int J Mol Sci. 2021 Aug 27; 22(17):9274. https://doi.org/10.3390/ijms22179274.
- Terzic MM, Aimagambetova G, Terzic S, Norton M, Bapayeva G, Garzon S. Current role of Pipelle endometrial sampling in early diagnosis of endometrial cancer. Transl Cancer Res. 2020 Dec; 9(12):7716–7724. https://doi.org/10.21037/tcr.2020.04.20.
- Vetter M, Powell MA. Evolving treatment landscape in endometrial cancer. Healthbook Times Onco Hema. 2024; 20(2):40–47. https://doi.org/10.36000/HBT.OH.2024.20.149.
- Wong RW, Talia KL, McCluggage WG. Gastric-type glandular lesions of the female genital tract excluding the cervix: emerging pathological entities. Histopathology. 2024 Jul; 85(1):20–39. https://doi.org/10.1111/his.15174.
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Publication of the article |
«World of Medicine and Biology» №4(90), 2024 year, 118-123 pages, index UDK 618.14-006 616-091(063) |
DOI |
10.26724/2079-8334-2024-4-90-118-123 |