Clinicopathologic significance of defective DNA mismatch repair in endometrial carcinoma.
OBJECTIVE
Defective DNA mismatch repair is commonly present in sporadic manifestations of gastrointestinal, endometrial, and other cancers. The pathognomonic molecular manifestation of this repair defect is microsatellite instability (MSI). Here, we test the hypothesis that MSI predicts the clinicopathologic features of endometrial carcinoma.


METHODS
A retrospective cohort of 473 patients treated for endometrial carcinoma at this institution was identified. All cases were reviewed by a gynecologic pathologist, and clinical information was abstracted from medical records. Using consensus criteria, DNA samples from nontumor and tumor tissue pairs were genotyped for MSI. Associations between MSI status and pathologic and clinical variables were assessed.


RESULTS
Ninety-three (20%) of 473 tumors were MSI+. In the MSI+ tumor group compared with the MSI- tumor group, the proportion of advanced compared with early-stage tumors was higher (92% v 81%; P = .01), as was the proportion of tumors of endometrioid compared with nonendometrioid histologic subtype (94% v 23%; P = .001), and the proportion of tumors with myometrial invasion compared with those with none (92% v 78%; P = .01). By multivariate analyses, disease-free survival (hazard ratio, 0.3; 95% CI, 0.2 to 0.7) and disease-specific survival (hazard ratio, 0.3; 95% CI, 0.1 to 0.8) were significantly improved in patients with MSI+ tumors.


CONCLUSIONS
In endometrial carcinoma, the presence of MSI was independently associated with a more favorable clinical outcome.
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.
Destin
D
Black
Robert A
RA
Soslow
Douglas A
DA
Levine
Carmen
C
Tornos
Shirley C
SC
Chen
Amanda J
AJ
Hummer
Faina
F
Bogomolniy
Narciso
N
Olvera
Richard R
RR
Barakat
Jeff
J
Boyd
D049914:DNA Repair-Deficiency Disorders / Q000235:genetics*; D018572:Disease-Free Survival; D016889:Endometrial Neoplasms / Q000235:genetics* / Q000401:mortality / Q000473:pathology; D005260:Female; D005838:Genotype; D018095:Germ-Line Mutation / Q000235:genetics*; D006801:Humans; D008967:Molecular Biology; D012189:Retrospective Studies