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POLE-mutated Endometrial "Carcinosarcoma".

Astrid De BoeckErik NohrSoufiane El-HallaniPrafull GhatageCheng Han LeeMartin Köbel
Published in: International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists (2024)
The molecular subtype classification of endometrial carcinomas has conceptually changed our approach to this disease. However, open questions remain about how to integrate certain histotype diagnoses with the molecular subtype. We report 2 cases with morphologic suspicion for endometrial carcinosarcoma, that still fell short of the essential criteria for diagnosing carcinosarcoma. On subsequent molecular testing pathogenic POLE mutations were detected and a descriptive diagnosis of endometrial endometrioid carcinomas, low-grade with a homologous sarcoma component was rendered. This challenges the existence of POLE-mutated "carcinosarcoma."
Keyphrases
  • low grade
  • endometrial cancer
  • high grade
  • machine learning
  • single molecule
  • minimally invasive
  • dna repair
  • wild type