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The study aims to determine whether next generation sequencing and microsatellite analysis of cervical cytology is sensitive for the detection of endometrial carcinoma.
Definitive diagnosis of endometrial cancer relies on endometrial biopsy, in addition to imaging. Biopsy is however invasive and often painful, and its sensitivity in only moderate. Cervical cytology could be an alternative. This is a proof-of-concept study. The investigators will carry out next generation sequencing of cervical cytology in patients with confirmed endometrial carcinoma, in order to determine whether activating variants are identified. About 15% of endometrial carcinomas are microsatellite instable (MSI). The investigators will therefore also carry out MSI analysis using MSICare in the subset of cases with MMR-deficient cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Endometrial cancer patients | Experimental | Endometrial cancer patients Cervical cytology during surgical intervention. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cervical cytology during surgery. | Procedure | Cervical cytology will be performed by the surgeon in the operating theatre before hysterectomy. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Activating variants and MSI via cytology | proportion of cases in whom genetic activating variants and microsatellite instability are detected by cytology | 16 months |
| Measure | Description | Time Frame |
|---|---|---|
| Type of variants | Variant details | 16 months |
| Number of variants | Variant details | 16 months |
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Inclusion Criteria:
Exclusion Criteria:
- Chemotherapy
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Patrick BENUSIGLIO, MD PhD | Contact | + 33 1 42 17 76 59 | patrick.benusiglio@aphp.fr | |
| Clémence EVREVIN, MD | Contact | + 33 1 42 17 76 59 | Clemence.evrevin@aphp.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical genetics department | Recruiting | Paris | France |
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| ID | Term |
|---|---|
| D016889 | Endometrial Neoplasms |
| D053842 | Microsatellite Instability |
| ID | Term |
|---|---|
| D014594 | Uterine Neoplasms |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
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| Frequency of variants | Variant details | 16 months |
| Comparison with the proportion of variants seen on the pathological | Tumoral correlation | 16 months |
| Comparison with the proportion of microsatellite instability detected on the pathological specimen. | Tumoral correlation | 16 months |
| D009369 |
| Neoplasms |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D042822 | Genomic Instability |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |