IMR Press / EJGO / Volume 38 / Issue 6 / DOI: 10.12892/ejgo3521.2017
Open Access Original Research
BRCA1 single nucleotide polymorphisms and microsatellite instability in endometrial cancer and their association with patient prognosis in a Chinese population
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1 Department of Gynecology and Obstetrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
2 Department of Gynecology and Obstetrics, Shenzhen Guangming New District People's Hospital, Shenzhen, China
3 The Maternal & Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning, China
Eur. J. Gynaecol. Oncol. 2017 , 38(6), 871–877; https://doi.org/10.12892/ejgo3521.2017
Published: 10 December 2017
Abstract

Purpose of investigation: This study investigated the presence of breast cancer susceptibility gene 1 (BRCA1) single nucleotide polymorphisms (SNPs) and microsatellite instability (MSI) in Chinese patients with endometrial cancer (EC) and evaluated factors affecting prognosis. Materials and Methods: Polymerase chain reaction-single-strand conformation polymorphism was performed on fresh endometrial tissue to detect SNPs and MSI in five BRCA1 exons. Clinicopathologic features and overall survival were compared between patients with and without polymorphisms and MSI, and a multivariate analysis was performed to identify prognostic factors. Results: There were significant differences in the presence of SNPs and MSI among the three groups. The BRCA1 polymorphism-positive rate was associated with muscular infiltration depth. BRCA1 MSI positivity was related to pathology grade and clinical stage. Pathology grade and polymorphism positivity were independent risk factors affecting the prognosis of EC patients. Conclusions: BRCA1 SNPs or MSI was associated with the occurrence and development of EC.
Keywords
BRCA1 gene
Chinese
Endometrial cancer
Microsatellite instability
Single nucleotide polymorphisms
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