Prognostic value of microcirculatory changes and alterations in the cellular microenvironment in patients with glandular hyperplasia of the endometrium and endometrial cancer (literature review)

Author:

Korneva Yu. S.1ORCID,Ukrainets R. V.2ORCID,Dorosevich A. E.1

Affiliation:

1. Smolensk State Medical University, Ministry of Health of Russia; Smolensk Regional Institute of Pathology

2. Smolensk Regional Institute of Pathology

Abstract

This article summarizes the results of the most recent studies exploring changes in the stromal component of the endometrial tissue during malignant transformation in patients with precancerous conditions, particularly transformation of glandular hyperplasia of the endometrium into endometrioid adenocarcinoma. We cover the most important issues related to microcirculatory remodeling and changes in the cellular microenvironment of the stroma in terms of the effects exerted by biologically active molecules produced by different cell populations. We analyzed specific changes occurring in the stromal components in various types of glandular hyperplasia of the endometrium and changes during endometrioid adenocarcinoma progression. We focus on the prognostic and diagnostic values of these morphological changes, considering the results of the latest molecular studies, which can be later used for personalization of patient prognosis.

Publisher

Publishing House ABV Press

Subject

Pharmacology (medical),Obstetrics and Gynecology,Radiology, Nuclear Medicine and imaging,Oncology,Surgery

Reference53 articles.

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3. Bantysh B.B., Paukov V.S., Kogan E.A. Immunomorphologic features of epithelial-stromal relationships at hyperplasia and endometrial carcinoma. Arkhive Patologii 2012;(3):22–5. (In Russ.).

4. Czekierdowski A., Czekierdowska S., Czuba B. et al. Microvessel density assessment in benign and malignant endometrial changes. J Physiol Pharmacol 2008;59(4):45–51.

5. Horrée N., van Diest P.J., van der Groep P. et al. Hypoxia and angiogenesis in endometrioid endometrial carcinogenesis. Cell Oncol 2007;29(3):219–27.

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