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KMID : 1137020220330050083
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Journal of Gynecologic Oncology
2022 Volume.33 No. 5 p.83 ~ p.83
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Peritoneal dissemination of high-grade serous ovarian cancer: pivotal roles of chromosomal instability and epigenetic dynamics
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Konishi Ikuo
Abiko Kaoru
Hayashi Takuma
Yamanoi Koji
Murakami Ryusuke
Yamaguchi Ken
Hamanishi Junzo
Baba Tsukasa
Matsumura Noriomi
Mandai Masaki
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Abstract
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Epithelial ovarian cancer remains the lethal gynecological malignancy in women. The representative histotype is high-grade serous carcinoma (HGSC), and most patients with HGSC present at advanced stages with peritoneal dissemination. Since the peritoneal dissemination is the most important factor for poor prognosis of the patients, complete exploration for its molecular mechanisms is mandatory. In this narrative review, being based on the clinical, pathologic, and genomic findings of HGSC, chromosomal instability and epigenetic dynamics have been discussed as the potential drivers for cancer development in the fallopian tube, acquisition of cancer stem cell (CSC)-like properties, and peritoneal metastasis of HGSC. The natural history of carcinogenesis with clonal evolution, and adaptation to microenvironment of peritoneal dissemination of HGSC should be targeted in the novel development of strategies for prevention, early detection, and precision treatment for patients with HGSC.
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KEYWORD
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High-Grade Serous Ovarian Cancer, Peritoneal Dissemination, Chromosomal Instability, Epigenetic Dynamics, Cancer Stem Cell-Like Properties, Clonal Evolution
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