Fertility Sparing Treatments in Endometrial Cancer Patients: The Potential Role of the New Molecular Classification

Endometrial cancer is the most frequent gynecological malignancy, and, although epidemiologically it mainly affects advanced age women, it can also affect young patients who want children and who have not yet completed their procreative project. Fertility sparing treatments are the subject of many studies and research in continuous evolution, and represent a light of hope for young cancer patients who find themselves having to face an oncological path before fulfilling their desire for motherhood. The advances in molecular biology and the more precise clinical and prognostic classification of endometrial cancer based on the 2013 The Cancer Genome Atlas classification allow for the selection of patients who can be submitted to fertility sparing treatments with increasing oncological safety. It would also be possible to predict the response to hormonal treatment by investigating the state of the genes of the mismatch repair.

Automated summary

Endometrial cancer is the most common gynecological malignancy, and fertility sparing treatments offer hope for young cancer patients who wish to preserve their ability to have children while undergoing treatment. Advances in molecular biology and the refined clinical and prognostic classification of endometrial cancer based on The Cancer Genome Atlas allow for the selection of patients who can undergo fertility sparing treatments with increased oncological safety.