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Intercepting pelvic cancer in the distal fallopian tube: Theories and realities

期刊

MOLECULAR ONCOLOGY
卷 3, 期 2, 页码 165-170

出版社

ELSEVIER SCI LTD
DOI: 10.1016/j.molonc.2009.01.004

关键词

Serous carcinoma; Ovarian carcinoma; Intraepithelial carcinoma; p53; BRCA

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资金

  1. NCI [P50 CA105009, NCI KO8 CA108748, NCI 1R21CA124688-01A1]
  2. The Charlotte Geyer Foundation
  3. Columbia Hospital For Women Research Foundation
  4. Division of Women's and Perinatal Pathology, Brigham and Women's Hospital

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The pathogenesis of high-grade serous carcinoma of the ovary has come into sharper focus as closer attention has been paid to the earlier phases of this disease. The study of patients with BRCA mutation has been of particular value, in as much as the examination of prophylactic salpingo-oophorectomies will reveal an early cancer in approximately 5% of individuals. Recently studies have shown that about 80% of these early carcinomas originate in the distal fallopian tube. This review summarizes the recent data supporting the distal fallopian tube as air important site for serous carcinogenesis, stressing both the presence of a novel precursor (the p53 signature) and the application of this model to all women irrespective of BRCA status. The challenges and unmet needs unmasked by this paradigm shift in ovarian cancer research are discussed. (C) 2009 Federation of European Biochemical Societies. Published by Elsevier B.V. All rights reserved.

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