Evidence map›Paper›PMID 41552063›Full record

ReviewCureus2025

Mismatch Repair Deficiency Profiling and Its Impact on Management and Prognosis in Endometrial Cancer Patients: A Comprehensive Update.

Emmanouela-Aliki Almperi, Chrysoula Margioula-Siarkou, Aristarchos Almperis, Georgia Margioula-Siarkou, Stefanos Flindris, Alexandros I Daponte, Theodora Papamitsou, Konstantinos Dinas, Stamatios Petousis

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Emmanouela-Aliki Almperi2nd Department of Obstetrics and Gynaecology, Gynaecologic Oncology Unit, Ippokrateio General Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Chrysoula Margioula-Siarkou2nd Department of Obstetrics and Gynaecology, Gynaecologic Oncology Unit, Aristotle University, School of Medicine, Thessaloniki, GRC.
Aristarchos Almperis2nd Department of Obstetrics and Gynaecology, Gynaecologic Oncology Unit, Ippokrateio General Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Georgia Margioula-Siarkou2nd Department of Obstetrics and Gynaecology, Gynaecologic Oncology Unit, Ippokrateio General Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Stefanos Flindris2nd Department of Obstetrics and Gynaecology, Gynaecologic Oncology Unit, Ippokrateio General Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Alexandros I DaponteDepartment of Obstetrics and Gynaecology, University of Thessaly, Larissa, GRC.
Theodora PapamitsouLaboratory of Histology-Embryology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Konstantinos Dinas2nd Department of Obstetrics and Gynaecology, Gynaecologic Oncology Unit, Ippokrateio General Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Stamatios Petousis2nd Department of Obstetrics and Gynaecology, Gynaecologic Oncology Unit, Ippokrateio General Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With an increasing incidence, endometrial cancer (EC) is the most prevalent gynecologic cancer in developed countries. Although histological classification has been used traditionally, its usage in forecasting clinical behavior was less effective. A molecular classification of EC has been introduced by the Cancer Genome Atlas (TCGA), which has separated it into four subgroups: p53-abnormal (p53abn), mismatch repair deficiency (MMRd), polymerase epsilon (POLE)-mutated (POLEmut), and no specific molecular profile (NSMP). The prognostic value of this molecular subtyping is superior. This narrative review analyzes the clinicopathological features of MMRd tumors, highlighting their intermediate prognosis relative to other molecular subtypes, while also noting associations with high-grade, lymphovascular space invasion, and lymph node metastasis. For this purpose, relevant studies were retrieved from PubMed, Scopus, and Web of Science up to 2025, focusing on clinicopathological correlations and treatment outcomes. Furthermore, we analyze the important therapeutic implications of MMR status. About 25%-30% of cases are classified as MMRd EC and are associated with an intermediate prognosis. The increased mutational burden in MMRd tumors enhances their susceptibility to immune checkpoint inhibitors such as pembrolizumab and dostarlimab, which have demonstrated considerable efficacy and altered the treatment approach for patients with advanced or recurrent MMRd EC. This review highlights the significance of MMR testing in risk stratification, prognosis, and planning of personalized treatment, ultimately improving patient outcomes.

Indexed as

cancer immunotherapyendometrial cancer (ec)mmr deficientmolecular profileplatinum based chemotherapy

Identifiers

PMID41552063
PMCPMC12805798

What OpenQuestion holds

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Registered trials

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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.