Evidence map›Paper›PMID 40275683›Full record

ArticleJournal of gynecologic oncology2025

Analysis of fertility-preserving treatment outcomes in patients with POLE-mutated endometrioid carcinoma.

Zhuoyu Zhai, Yiqin Wang, He Li, Nan Kang, Yuanyuan Liu, Jianliu Wang

Abstract read
In one paragraph

Article in Journal of gynecologic oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Zhuoyu Zhai *Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China.ORCID 0009-0002-1535-8315
Yiqin Wang *Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China.ORCID 0000-0002-1125-4802
He LiDepartment of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China.ORCID 0000-0001-9139-0873
Nan KangDepartment of Pathology, Peking University People's Hospital, Beijing, China.ORCID 0000-0003-4182-2169
Yuanyuan LiuDepartment of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China.ORCID 0009-0000-8604-5450
Jianliu WangDepartment of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China. wangjianliu1203@163.com.ORCID 0000-0003-0338-0427

Funding

Chinese Maternal and Child Health Research Association Program 2023CAMCHS0402National Key Technology Research and Developmental Program of China 2022YFC2704400National Key Technology Research and Developmental Program of China 2022YFC2704405
6 · The paper itself

Abstract

To explore the clinical outcomes of fertility-sparing treatment (FST) in patients with POLE-mutated endometrioid carcinoma (EEC). A total of 9 EEC patients who received FST and were classified to the POLE-mutated subtype in Peking University People's Hospital from April 2020 to October 2023, were retrospectively collected. Clinical and pathological data were analyzed to describe the outcomes of FST in patients with POLE-mutated EEC. A total of 9 patients with EEC including 6 cases with well-differentiated (G1) and 3 cases with moderately-differentiated (G2). The average age was 34.8±2.1 years. POLE mutation sites were P286R (5 cases), V411L (2 cases), L424I (1 cases), and S459F (1 cases), respectively. The median follow-up time was 16 months (9-41 months). The complete response (CR) rate was 88.9% (8/9), with a median time to CR of 5.5 months (3-18 months). The partial response (PR) rate was 11.1% (1/9). The relapse rate was 50.0% (4/8), with a median recurrence time of 9.5 months (5-25 months). Of these, 75% (3/4) underwent secondary FST, with all achieving CR again (3/3). Three of 5 who were out-of-indication patients achieved CR by individual therapy. FST in patients with POLE-mutated EEC achieve a CR rate of 88.9% in this study, the largest number of retrievable reports. In certain patients who are out-of-indication, individualized treatment may also result in remission. However, unlike surgical patients, some patients experience disease recurrence and whether POLE-mutated EEC is sensitive to conventional therapy in FST is controversial given its pathogenesis.

Indexed as

Carcinoma, EndometrioidDNA Polymerase IIEndometrial NeoplasmsFertility PreservationPoly-ADP-Ribose Binding ProteinsAdultFemaleHumansMiddle AgedMutationNeoplasm Recurrence, LocalRetrospective StudiesTreatment OutcomeDNA Polymerase IIPOLE protein, humanPoly-ADP-Ribose Binding ProteinsConservative TreatmentEndometrial CancerFertilityMolecular ClassificationPOLE

Identifiers

PMID40275683
PMCPMC12226322

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.