New Challenges in Gynaecological Cancers Diagnosis and Treatment

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: closed (10 November 2023) | Viewed by 3229

Special Issue Editors


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Guest Editor
Department of Oncology, University of Turin, Medical Oncology, Ordine Mauriziano Hospital, Turin, Italy
Interests: Immunotherapy in endometrial and cervical cancer; targeted therapies in ovarian cancer; clinical trials in gynaecological cancer
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Guest Editor
Department of Oncology, University of Turin, Medical Oncology, Ordine Mauriziano Hospital, Turin, Italy
Interests: targeted therapies in gynaecological cancer; PARP inhibitors in ovarian cancer; clinical trials in gynaecological cancer

Special Issue Information

Dear Colleagues,

The five main types of gynecologic cancers are: cervical, ovarian, uterine, vaginal, and vulvar. Of all the gynecologic cancers, only cervical cancer has screening tests that can help to diagnose cancer early, when treatments can be curative. Since there is no simple and reliable method to screen for any gynecologic cancers, it is important to recognize warning signs and symptoms, especially for ovarian cancer which is often diagnosed in advanced stage.

Over the last five years, a great deal of progress has been made in the diagnosis and treatment of gynaecological cancers the 5-year survival rates have been improved for all gynecologic cancers. The introduction of PARP inhibitors in ovarian cancer (both at diagnosis and at relapse) and the use of immune checkpoint inhibitors in endometrial and cervical cancer have improved the strategies of care for gynaecological cancers. Therefore, more efforts can be made to further increase overall survival.

The aim of our Special Issue is to investigate new challenges diagnosis and treatment of gynaecological cancers. We are pleased to invite you to contribute with original research and comprehensive reviews to our Special issue due to your recognized expertise in the field.

Articles that highlight and inspire the rapid advancements in the field of gynecological cancers are particularly welcome. We are interested in research on gynecological cancer diagnosis, treatment, and molecular mechanisms of development and relapse, mode of action and drug resistance, new targets for personalized therapy of the disease, and models with which to investigate novel therapeutic approaches transferrable to clinical trials.

We look forward to receiving your contributions.

Prof. Dr. Giorgio Valabrega
Dr. Valentina Tuninetti
Guest Editors

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Keywords

  • new perspectives in gynaecological cancer diagnosis and treatment
  • mechanisms of resistance to drug in gynaecological cancers
  • targeted therapy
  • immune checkpoint inhibitors
  • personalized medicine in gynaecological cancer

Published Papers (2 papers)

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Research

10 pages, 452 KiB  
Article
MITO39: Efficacy and Tolerability of Pegylated Liposomal Doxorubicin (PLD)–Trabectedin in the Treatment of Relapsed Ovarian Cancer after Maintenance Therapy with PARP Inhibitors—A Multicenter Italian Trial in Ovarian Cancer Observational Case-Control Study
by Margherita Turinetto, Andrea Ricotti, Claudia Marchetti, Carmela Pisano, Claudio Zamagni, Chiara Cassani, Paola Malaguti, Alessandra Baldoni, Paolo Scollo, Giuseppa Scandurra, Alessandro Parisi, Grazia Artioli, Innocenza Palaia, Laura Vertechy, Alice Bergamini, Elisa Picardo, Valentina Tuninetti, Giulia Scotto, Giovanni Scambia, Sandro Pignata and Giorgio Valabregaadd Show full author list remove Hide full author list
Cancers 2024, 16(1), 41; https://0-doi-org.brum.beds.ac.uk/10.3390/cancers16010041 - 20 Dec 2023
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Abstract
Objective: While PLD-Trabectedin is an approved treatment for relapsed platinum-sensitive ovarian cancer, its efficacy and tolerability has so far not been tested extensively in patients who progress after poly ADP-ribose polymerase inhibitor (PARPi) treatment. Methodology: This multicenter, retrospective analysis had the objective of [...] Read more.
Objective: While PLD-Trabectedin is an approved treatment for relapsed platinum-sensitive ovarian cancer, its efficacy and tolerability has so far not been tested extensively in patients who progress after poly ADP-ribose polymerase inhibitor (PARPi) treatment. Methodology: This multicenter, retrospective analysis had the objective of comparing patients receiving PLD-Trabectedin after being treated with PARP-I (cases) with PARPi-naïve patients. Descriptive and survival analyses were performed for each group. Results: Data from 166 patients were collected, composed of 109 cases and 57 controls. In total, 135 patients were included in our analyses, composing 46 controls and 89 cases. The median PFS was 11 months (95% IC 10–12) in the control group vs. 8 months (95% IC 6–9) in the case group (p value 0.0017). The clinical benefit rate was evaluated, with an HR for progression of 2.55 (1.28–5.06) for the case group (p value 0.008), persisting when adjusted for BRCA and line with treatment. We compared hematological toxicity, gastro-intestinal toxicity, hand–foot syndrome (HFS), fatigue, and liver toxicity, and no statistically significant disparity was noted, except for HFS with a p value of 0.006. The distribution of G3 and G4 toxicities was also equally represented. Conclusion: The MITO39 study showed a statistically significant difference in terms of PFS, suggesting that previous exposure to PARPi might inhibit the efficacy of PLD-Trabectedin. Regarding tolerability, no remarkable disparity was noted; PLD-Trabectedin was confirmed to be a well-tolerated scheme in both groups. To our knowledge, these are the first data regarding this topic, which we deem to be of great relevance in the current landscape. Full article
(This article belongs to the Special Issue New Challenges in Gynaecological Cancers Diagnosis and Treatment)
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11 pages, 964 KiB  
Article
Retrospective Analysis of the Correlation of MSI-h/dMMR Status and Response to Therapy for Endometrial Cancer: RAME Study, a Multicenter Experience
by Valentina Tuninetti, Luca Pace, Eleonora Ghisoni, Virginia Quarà, Francesca Arezzo, Andrea Palicelli, Vincenzo Dario Mandato, Elena Geuna, Gennaro Cormio, Nicoletta Biglia, Lucia Borsotti, Silvia Gallo, Annamaria Ferrero, Elena Jacomuzzi, Luca Fuso, Jeremy Oscar Smith Pezua Sanjinez, Andrea Puppo, Andrea Caglio, Chiara Rognone, Margherita Turinetto, Giulia Scotto, Massimo Di Maio and Giorgio Valabregaadd Show full author list remove Hide full author list
Cancers 2023, 15(14), 3639; https://0-doi-org.brum.beds.ac.uk/10.3390/cancers15143639 - 15 Jul 2023
Cited by 2 | Viewed by 1821
Abstract
Background: There is poor evidence regarding sensitivity to chemotherapy in endometrial cancer (EC) based on microsatellite instability (MSI)/mismatch repair (MMR) status. Methodology: The RAME study is a retrospective analysis aiming to assess response to chemotherapy in MSI-high (h)/deficient (d) MMR and MSI-low (l)/proficient [...] Read more.
Background: There is poor evidence regarding sensitivity to chemotherapy in endometrial cancer (EC) based on microsatellite instability (MSI)/mismatch repair (MMR) status. Methodology: The RAME study is a retrospective analysis aiming to assess response to chemotherapy in MSI-high (h)/deficient (d) MMR and MSI-low (l)/proficient (p) MMR EC patients. Primary endpoints were recurrence-free survival (RFS) for patients with localized disease and progression-free survival (PFS) and overall survival (OS) in patients with advanced/recurrent disease. Results: A total of 312 patients treated between 2010 and 2022 in four high-volume Multicenter Italian Trial in Ovarian cancer and gynecological malignancies (MITO) centers were selected. In total, 239 patients had endometrioid EC (76.6%), 151 had FIGO stage I at diagnosis (48.9%) and 71 were MSI-h/dMMR (22.8%). Median age was 65 (range 31–91) years. Among patients with localized disease, median RFS was 100.0 months (95% CI 59.4–140.7) for MSI-l/pMMR and 120.9 months (60.0–181.8) for MSI-h/dMMR (p = 0.39). Seventy-seven patients received first-line chemotherapy for advanced/recurrent disease. Patients with MSI-h/dMMR ECs had a significantly worse OS (p = 0.039). In patients receiving platinum-based chemotherapy, no statistically significant differences in PFS (p = 0.21) or OS (p = 0.057) were detected, although PFS and OS were numerically longer in the MSI-l/pMMR population. Conclusions: Patients with metastatic MSI-h/dMMR EC receiving first-line chemotherapy had a significantly worse OS. Full article
(This article belongs to the Special Issue New Challenges in Gynaecological Cancers Diagnosis and Treatment)
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