Risk Prediction for Gynecological Cancer

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Obstetrics & Gynecology".

Deadline for manuscript submissions: 20 March 2025 | Viewed by 676

Special Issue Editor


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Guest Editor
Department of Clinical and Experimental Sciences, University of Brescia, 25136 Brescia, Italy
Interests: gynecological cancers; primary peritoneal cancer; tubo-ovarian cancer; uterine and cervical cancer; vaginal and vulvar cancer

Special Issue Information

Dear Colleagues,

Risk prediction for gynaecological cancer is crucial for the early prevention, timely diagnosis, and effective treatment of cervical, endometrial and tubo-ovarian cancers. These cancers pose significant health threats to women worldwide, and understanding risk factors and tools to achieve early diagnosis can help researchers to reduce their incidence and mortality rates. Cervical cancer risk prediction relies heavily on screening and vaccination. Human papillomavirus (HPV) is the primary cause, so regular pap smears and HPV testing are essential, and screening programs and new assessments should be incorporated in clinical practice worldwide. Endometrial cancer, primarily affecting postmenopausal women, is often linked to obesity, diabetes, hypertension, and hormonal imbalances. Predictive models focus on these factors,  as well as genetic predispositions and lifestyle choices. Early detection through symptom awareness and ultrasound assessment, both combined with timely endometrial biopsies, is crucial, and in this context, a hysteroscopic approach is of utmost importance. Ovarian cancer presents the greatest challenge due to its often-late diagnosis and subtle early symptoms. Risk factors include age, a family history of ovarian or breast cancer, and genetic mutations like BRCA1 and BRCA2. Risk prediction involves genetic testing, particularly for those with a family history, and regular pelvic exams. Prophylactic surgeries (such as salpingo-oophorectomy) are considered for high-risk individuals. Research into biomarkers and advanced imaging techniques continues to evolve, aiming to improve early detection rates. Integrating these risk prediction strategies into routine healthcare can significantly enhance the prevention and early diagnosis of gynaecological cancers. This Special Issue will highlight recent advances in the context of diagnosis, treatment, and the prediction of prognosis for these malignancies.

Dr. Federico Ferrari
Guest Editor

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Keywords

  • cervical cancer
  • endometrial cancer
  • tubo-ovarian cancer
  • diagnosis
  • treatment
  • prognosis

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Published Papers (1 paper)

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Review

14 pages, 613 KiB  
Review
Advancements in Minimally Invasive Techniques and Biomarkers for the Early Detection of Endometrial Cancer: A Comprehensive Review of Novel Diagnostic Approaches and Clinical Implications
by Aleksandra Asaturova, Andrew Zaretsky, Aleksandra Rogozhina, Anna Tregubova and Alina Badlaeva
J. Clin. Med. 2024, 13(24), 7538; https://doi.org/10.3390/jcm13247538 - 11 Dec 2024
Viewed by 428
Abstract
This review evaluates the advances in the early detection and diagnosis of endometrial cancer (EC), emphasizing the growing importance of minimally invasive techniques and novel biomarkers. Current diagnostic protocols for EC rely heavily on invasive procedures such as transvaginal ultrasound (TVU), hysteroscopy, and [...] Read more.
This review evaluates the advances in the early detection and diagnosis of endometrial cancer (EC), emphasizing the growing importance of minimally invasive techniques and novel biomarkers. Current diagnostic protocols for EC rely heavily on invasive procedures such as transvaginal ultrasound (TVU), hysteroscopy, and endometrial biopsy, which, although effective, can be overly burdensome for patients and inefficient for asymptomatic or low-risk populations. As there is no consensus on EC screening in high-risk or general populations, recent studies have explored alternative methods using biofluids and genomic biomarkers to improve sensitivity and specificity and facilitate access for patients. This review summarizes findings on DNA methylation markers, circulating tumor-derived nucleic acids, and the potential of liquid biopsy approaches for the early detection of EC. These innovations may not only streamline screening but also reduce the need for invasive procedures. This review highlights the potential of these biomarkers to be integrated seamlessly into the existing cervical cancer screening programs, which could transform screening methods for endometrial cancer and support the development of personalized, less invasive diagnostic procedures. Full article
(This article belongs to the Special Issue Risk Prediction for Gynecological Cancer)
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