Observational studyJournal of gynecologic oncology2026
Validation of molecular classification on diagnostic biopsy in endometrial carcinoma: the first step for a tailored approach.
Observational study in Journal of gynecologic oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo validate the concordance of histologic subtype, tumor grade, molecular classification, and risk group between pre-operative endometrial biopsy and final hysterectomy specimens in patients with endometrial cancer (EC).
methodsThe PReOperative MOlecular Biopsy (ProMobi) study is a prospective, monocentric, observational study conducted from September 2023 to March 2024. All patients with suspicious finding for EC were included. Diagnosis was achieved by a pre-operative biopsy. On the latter, histopathology analysis, tumor grade, immunohistochemical (IHC) markers, molecular classification and risk group were determined. The same was performed on the final hysterectomy. Concordance was evaluated using Cohen's κ statistic.
resultsA total of 50 consecutive patients were included. Molecular classification showed perfect concordance for
conclusionThis study demonstrates a high concordance in molecular classification, histotype, tumor grade and risk group between hysteroscopic biopsy and hysterectomy specimens. These findings establish that a personalized surgical approach to EC patients can be guided by molecular classification on pre-operative biopsy.
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