Genomic aberrations relate early and advanced stage ovarian cancer
Background Because of the distinct clinical presentation of early and advanced stage ovarian cancer, we aim to clarify whether these disease entities are solely separated by time of diagnosis or whether they arise from distinct molecular events. Methods Sixteen early and sixteen advanced stage ovari...
Ausführliche Beschreibung
Autor*in: |
Zaal, Afra [verfasserIn] Peyrot, Wouter J. [verfasserIn] Berns, P. M. J. J. [verfasserIn] van der Burg, Maria E. L. [verfasserIn] Veerbeek, Jan H. W. [verfasserIn] Trimbos, J. Baptist [verfasserIn] Cadron, Isabelle [verfasserIn] van Diest, Paul J. [verfasserIn] van Wieringen, Wessel N. [verfasserIn] Krijgsman, Oscar [verfasserIn] Meijer, Gerrit A. [verfasserIn] Piek, Jurgen M. J. [verfasserIn] Timmers, Petra J. [verfasserIn] Vergote, Ignace [verfasserIn] Verheijen, René H. M. [verfasserIn] Ylstra, Bauke [verfasserIn] Zweemer, Ronald P. [verfasserIn] |
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Englisch |
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2012 |
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Übergeordnetes Werk: |
Enthalten in: Cellular oncology - Amsterdam [u.a.] : IOS Press, 2004, 35(2012), 3 vom: 12. Mai, Seite 181-188 |
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Übergeordnetes Werk: |
volume:35 ; year:2012 ; number:3 ; day:12 ; month:05 ; pages:181-188 |
Links: |
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DOI / URN: |
10.1007/s13402-012-0077-5 |
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SPR031591078 |
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520 | |a Background Because of the distinct clinical presentation of early and advanced stage ovarian cancer, we aim to clarify whether these disease entities are solely separated by time of diagnosis or whether they arise from distinct molecular events. Methods Sixteen early and sixteen advanced stage ovarian carcinomas, matched for histological subtype and differentiation grade, were included. Genomic aberrations were compared for each early and advanced stage ovarian cancer by array comparative genomic hybridization. To study how the aberrations correlate to the clinical characteristics of the tumors we clustered tumors based on the genomic aberrations. Results The genomic aberration patterns in advanced stage cancer equalled those in early stage, but were more frequent in advanced stage (p = 0.012). Unsupervised clustering based on genomic aberrations yielded two clusters that significantly discriminated early from advanced stage (p = 0.001), and that did differ significantly in survival (p = 0.002). These clusters however did give a more accurate prognosis than histological subtype or differentiation grade. Conclusion This study indicates that advanced stage ovarian cancer either progresses from early stage or from a common precursor lesion but that they do not arise from distinct carcinogenic molecular events. Furthermore, we show that array comparative genomic hybridization has the potential to identify clinically distinct patients. | ||
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700 | 1 | |a Peyrot, Wouter J. |e verfasserin |4 aut | |
700 | 1 | |a Berns, P. M. J. J. |e verfasserin |4 aut | |
700 | 1 | |a van der Burg, Maria E. L. |e verfasserin |4 aut | |
700 | 1 | |a Veerbeek, Jan H. W. |e verfasserin |4 aut | |
700 | 1 | |a Trimbos, J. Baptist |e verfasserin |4 aut | |
700 | 1 | |a Cadron, Isabelle |e verfasserin |4 aut | |
700 | 1 | |a van Diest, Paul J. |e verfasserin |4 aut | |
700 | 1 | |a van Wieringen, Wessel N. |e verfasserin |4 aut | |
700 | 1 | |a Krijgsman, Oscar |e verfasserin |4 aut | |
700 | 1 | |a Meijer, Gerrit A. |e verfasserin |4 aut | |
700 | 1 | |a Piek, Jurgen M. J. |e verfasserin |4 aut | |
700 | 1 | |a Timmers, Petra J. |e verfasserin |4 aut | |
700 | 1 | |a Vergote, Ignace |e verfasserin |4 aut | |
700 | 1 | |a Verheijen, René H. M. |e verfasserin |4 aut | |
700 | 1 | |a Ylstra, Bauke |e verfasserin |4 aut | |
700 | 1 | |a Zweemer, Ronald P. |e verfasserin |4 aut | |
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10.1007/s13402-012-0077-5 doi (DE-627)SPR031591078 (SPR)s13402-012-0077-5-e DE-627 ger DE-627 rakwb eng 610 570 ASE Zaal, Afra verfasserin aut Genomic aberrations relate early and advanced stage ovarian cancer 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Because of the distinct clinical presentation of early and advanced stage ovarian cancer, we aim to clarify whether these disease entities are solely separated by time of diagnosis or whether they arise from distinct molecular events. Methods Sixteen early and sixteen advanced stage ovarian carcinomas, matched for histological subtype and differentiation grade, were included. Genomic aberrations were compared for each early and advanced stage ovarian cancer by array comparative genomic hybridization. To study how the aberrations correlate to the clinical characteristics of the tumors we clustered tumors based on the genomic aberrations. Results The genomic aberration patterns in advanced stage cancer equalled those in early stage, but were more frequent in advanced stage (p = 0.012). Unsupervised clustering based on genomic aberrations yielded two clusters that significantly discriminated early from advanced stage (p = 0.001), and that did differ significantly in survival (p = 0.002). These clusters however did give a more accurate prognosis than histological subtype or differentiation grade. Conclusion This study indicates that advanced stage ovarian cancer either progresses from early stage or from a common precursor lesion but that they do not arise from distinct carcinogenic molecular events. Furthermore, we show that array comparative genomic hybridization has the potential to identify clinically distinct patients. Oligonucleotide array (dpeaa)DE-He213 Ovarian neoplasms (dpeaa)DE-He213 Chromosome aberrations (dpeaa)DE-He213 Neoplasm staging (dpeaa)DE-He213 Prognosis (dpeaa)DE-He213 Peyrot, Wouter J. verfasserin aut Berns, P. M. J. J. verfasserin aut van der Burg, Maria E. L. verfasserin aut Veerbeek, Jan H. W. verfasserin aut Trimbos, J. Baptist verfasserin aut Cadron, Isabelle verfasserin aut van Diest, Paul J. verfasserin aut van Wieringen, Wessel N. verfasserin aut Krijgsman, Oscar verfasserin aut Meijer, Gerrit A. verfasserin aut Piek, Jurgen M. J. verfasserin aut Timmers, Petra J. verfasserin aut Vergote, Ignace verfasserin aut Verheijen, René H. M. verfasserin aut Ylstra, Bauke verfasserin aut Zweemer, Ronald P. verfasserin aut Enthalten in Cellular oncology Amsterdam [u.a.] : IOS Press, 2004 35(2012), 3 vom: 12. Mai, Seite 181-188 (DE-627)392964430 (DE-600)2158254-3 1875-8606 nnns volume:35 year:2012 number:3 day:12 month:05 pages:181-188 https://dx.doi.org/10.1007/s13402-012-0077-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 AR 35 2012 3 12 05 181-188 |
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10.1007/s13402-012-0077-5 doi (DE-627)SPR031591078 (SPR)s13402-012-0077-5-e DE-627 ger DE-627 rakwb eng 610 570 ASE Zaal, Afra verfasserin aut Genomic aberrations relate early and advanced stage ovarian cancer 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Because of the distinct clinical presentation of early and advanced stage ovarian cancer, we aim to clarify whether these disease entities are solely separated by time of diagnosis or whether they arise from distinct molecular events. Methods Sixteen early and sixteen advanced stage ovarian carcinomas, matched for histological subtype and differentiation grade, were included. Genomic aberrations were compared for each early and advanced stage ovarian cancer by array comparative genomic hybridization. To study how the aberrations correlate to the clinical characteristics of the tumors we clustered tumors based on the genomic aberrations. Results The genomic aberration patterns in advanced stage cancer equalled those in early stage, but were more frequent in advanced stage (p = 0.012). Unsupervised clustering based on genomic aberrations yielded two clusters that significantly discriminated early from advanced stage (p = 0.001), and that did differ significantly in survival (p = 0.002). These clusters however did give a more accurate prognosis than histological subtype or differentiation grade. Conclusion This study indicates that advanced stage ovarian cancer either progresses from early stage or from a common precursor lesion but that they do not arise from distinct carcinogenic molecular events. Furthermore, we show that array comparative genomic hybridization has the potential to identify clinically distinct patients. Oligonucleotide array (dpeaa)DE-He213 Ovarian neoplasms (dpeaa)DE-He213 Chromosome aberrations (dpeaa)DE-He213 Neoplasm staging (dpeaa)DE-He213 Prognosis (dpeaa)DE-He213 Peyrot, Wouter J. verfasserin aut Berns, P. M. J. J. verfasserin aut van der Burg, Maria E. L. verfasserin aut Veerbeek, Jan H. W. verfasserin aut Trimbos, J. Baptist verfasserin aut Cadron, Isabelle verfasserin aut van Diest, Paul J. verfasserin aut van Wieringen, Wessel N. verfasserin aut Krijgsman, Oscar verfasserin aut Meijer, Gerrit A. verfasserin aut Piek, Jurgen M. J. verfasserin aut Timmers, Petra J. verfasserin aut Vergote, Ignace verfasserin aut Verheijen, René H. M. verfasserin aut Ylstra, Bauke verfasserin aut Zweemer, Ronald P. verfasserin aut Enthalten in Cellular oncology Amsterdam [u.a.] : IOS Press, 2004 35(2012), 3 vom: 12. Mai, Seite 181-188 (DE-627)392964430 (DE-600)2158254-3 1875-8606 nnns volume:35 year:2012 number:3 day:12 month:05 pages:181-188 https://dx.doi.org/10.1007/s13402-012-0077-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 AR 35 2012 3 12 05 181-188 |
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10.1007/s13402-012-0077-5 doi (DE-627)SPR031591078 (SPR)s13402-012-0077-5-e DE-627 ger DE-627 rakwb eng 610 570 ASE Zaal, Afra verfasserin aut Genomic aberrations relate early and advanced stage ovarian cancer 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Because of the distinct clinical presentation of early and advanced stage ovarian cancer, we aim to clarify whether these disease entities are solely separated by time of diagnosis or whether they arise from distinct molecular events. Methods Sixteen early and sixteen advanced stage ovarian carcinomas, matched for histological subtype and differentiation grade, were included. Genomic aberrations were compared for each early and advanced stage ovarian cancer by array comparative genomic hybridization. To study how the aberrations correlate to the clinical characteristics of the tumors we clustered tumors based on the genomic aberrations. Results The genomic aberration patterns in advanced stage cancer equalled those in early stage, but were more frequent in advanced stage (p = 0.012). Unsupervised clustering based on genomic aberrations yielded two clusters that significantly discriminated early from advanced stage (p = 0.001), and that did differ significantly in survival (p = 0.002). These clusters however did give a more accurate prognosis than histological subtype or differentiation grade. Conclusion This study indicates that advanced stage ovarian cancer either progresses from early stage or from a common precursor lesion but that they do not arise from distinct carcinogenic molecular events. Furthermore, we show that array comparative genomic hybridization has the potential to identify clinically distinct patients. Oligonucleotide array (dpeaa)DE-He213 Ovarian neoplasms (dpeaa)DE-He213 Chromosome aberrations (dpeaa)DE-He213 Neoplasm staging (dpeaa)DE-He213 Prognosis (dpeaa)DE-He213 Peyrot, Wouter J. verfasserin aut Berns, P. M. J. J. verfasserin aut van der Burg, Maria E. L. verfasserin aut Veerbeek, Jan H. W. verfasserin aut Trimbos, J. Baptist verfasserin aut Cadron, Isabelle verfasserin aut van Diest, Paul J. verfasserin aut van Wieringen, Wessel N. verfasserin aut Krijgsman, Oscar verfasserin aut Meijer, Gerrit A. verfasserin aut Piek, Jurgen M. J. verfasserin aut Timmers, Petra J. verfasserin aut Vergote, Ignace verfasserin aut Verheijen, René H. M. verfasserin aut Ylstra, Bauke verfasserin aut Zweemer, Ronald P. verfasserin aut Enthalten in Cellular oncology Amsterdam [u.a.] : IOS Press, 2004 35(2012), 3 vom: 12. Mai, Seite 181-188 (DE-627)392964430 (DE-600)2158254-3 1875-8606 nnns volume:35 year:2012 number:3 day:12 month:05 pages:181-188 https://dx.doi.org/10.1007/s13402-012-0077-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 AR 35 2012 3 12 05 181-188 |
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10.1007/s13402-012-0077-5 doi (DE-627)SPR031591078 (SPR)s13402-012-0077-5-e DE-627 ger DE-627 rakwb eng 610 570 ASE Zaal, Afra verfasserin aut Genomic aberrations relate early and advanced stage ovarian cancer 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Because of the distinct clinical presentation of early and advanced stage ovarian cancer, we aim to clarify whether these disease entities are solely separated by time of diagnosis or whether they arise from distinct molecular events. Methods Sixteen early and sixteen advanced stage ovarian carcinomas, matched for histological subtype and differentiation grade, were included. Genomic aberrations were compared for each early and advanced stage ovarian cancer by array comparative genomic hybridization. To study how the aberrations correlate to the clinical characteristics of the tumors we clustered tumors based on the genomic aberrations. Results The genomic aberration patterns in advanced stage cancer equalled those in early stage, but were more frequent in advanced stage (p = 0.012). Unsupervised clustering based on genomic aberrations yielded two clusters that significantly discriminated early from advanced stage (p = 0.001), and that did differ significantly in survival (p = 0.002). These clusters however did give a more accurate prognosis than histological subtype or differentiation grade. Conclusion This study indicates that advanced stage ovarian cancer either progresses from early stage or from a common precursor lesion but that they do not arise from distinct carcinogenic molecular events. Furthermore, we show that array comparative genomic hybridization has the potential to identify clinically distinct patients. Oligonucleotide array (dpeaa)DE-He213 Ovarian neoplasms (dpeaa)DE-He213 Chromosome aberrations (dpeaa)DE-He213 Neoplasm staging (dpeaa)DE-He213 Prognosis (dpeaa)DE-He213 Peyrot, Wouter J. verfasserin aut Berns, P. M. J. J. verfasserin aut van der Burg, Maria E. L. verfasserin aut Veerbeek, Jan H. W. verfasserin aut Trimbos, J. Baptist verfasserin aut Cadron, Isabelle verfasserin aut van Diest, Paul J. verfasserin aut van Wieringen, Wessel N. verfasserin aut Krijgsman, Oscar verfasserin aut Meijer, Gerrit A. verfasserin aut Piek, Jurgen M. J. verfasserin aut Timmers, Petra J. verfasserin aut Vergote, Ignace verfasserin aut Verheijen, René H. M. verfasserin aut Ylstra, Bauke verfasserin aut Zweemer, Ronald P. verfasserin aut Enthalten in Cellular oncology Amsterdam [u.a.] : IOS Press, 2004 35(2012), 3 vom: 12. Mai, Seite 181-188 (DE-627)392964430 (DE-600)2158254-3 1875-8606 nnns volume:35 year:2012 number:3 day:12 month:05 pages:181-188 https://dx.doi.org/10.1007/s13402-012-0077-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 AR 35 2012 3 12 05 181-188 |
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10.1007/s13402-012-0077-5 doi (DE-627)SPR031591078 (SPR)s13402-012-0077-5-e DE-627 ger DE-627 rakwb eng 610 570 ASE Zaal, Afra verfasserin aut Genomic aberrations relate early and advanced stage ovarian cancer 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Because of the distinct clinical presentation of early and advanced stage ovarian cancer, we aim to clarify whether these disease entities are solely separated by time of diagnosis or whether they arise from distinct molecular events. Methods Sixteen early and sixteen advanced stage ovarian carcinomas, matched for histological subtype and differentiation grade, were included. Genomic aberrations were compared for each early and advanced stage ovarian cancer by array comparative genomic hybridization. To study how the aberrations correlate to the clinical characteristics of the tumors we clustered tumors based on the genomic aberrations. Results The genomic aberration patterns in advanced stage cancer equalled those in early stage, but were more frequent in advanced stage (p = 0.012). Unsupervised clustering based on genomic aberrations yielded two clusters that significantly discriminated early from advanced stage (p = 0.001), and that did differ significantly in survival (p = 0.002). These clusters however did give a more accurate prognosis than histological subtype or differentiation grade. Conclusion This study indicates that advanced stage ovarian cancer either progresses from early stage or from a common precursor lesion but that they do not arise from distinct carcinogenic molecular events. Furthermore, we show that array comparative genomic hybridization has the potential to identify clinically distinct patients. Oligonucleotide array (dpeaa)DE-He213 Ovarian neoplasms (dpeaa)DE-He213 Chromosome aberrations (dpeaa)DE-He213 Neoplasm staging (dpeaa)DE-He213 Prognosis (dpeaa)DE-He213 Peyrot, Wouter J. verfasserin aut Berns, P. M. J. J. verfasserin aut van der Burg, Maria E. L. verfasserin aut Veerbeek, Jan H. W. verfasserin aut Trimbos, J. Baptist verfasserin aut Cadron, Isabelle verfasserin aut van Diest, Paul J. verfasserin aut van Wieringen, Wessel N. verfasserin aut Krijgsman, Oscar verfasserin aut Meijer, Gerrit A. verfasserin aut Piek, Jurgen M. J. verfasserin aut Timmers, Petra J. verfasserin aut Vergote, Ignace verfasserin aut Verheijen, René H. M. verfasserin aut Ylstra, Bauke verfasserin aut Zweemer, Ronald P. verfasserin aut Enthalten in Cellular oncology Amsterdam [u.a.] : IOS Press, 2004 35(2012), 3 vom: 12. Mai, Seite 181-188 (DE-627)392964430 (DE-600)2158254-3 1875-8606 nnns volume:35 year:2012 number:3 day:12 month:05 pages:181-188 https://dx.doi.org/10.1007/s13402-012-0077-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 AR 35 2012 3 12 05 181-188 |
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Methods Sixteen early and sixteen advanced stage ovarian carcinomas, matched for histological subtype and differentiation grade, were included. Genomic aberrations were compared for each early and advanced stage ovarian cancer by array comparative genomic hybridization. To study how the aberrations correlate to the clinical characteristics of the tumors we clustered tumors based on the genomic aberrations. Results The genomic aberration patterns in advanced stage cancer equalled those in early stage, but were more frequent in advanced stage (p = 0.012). Unsupervised clustering based on genomic aberrations yielded two clusters that significantly discriminated early from advanced stage (p = 0.001), and that did differ significantly in survival (p = 0.002). These clusters however did give a more accurate prognosis than histological subtype or differentiation grade. Conclusion This study indicates that advanced stage ovarian cancer either progresses from early stage or from a common precursor lesion but that they do not arise from distinct carcinogenic molecular events. 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Zaal, Afra Peyrot, Wouter J. Berns, P. M. J. J. van der Burg, Maria E. L. Veerbeek, Jan H. W. Trimbos, J. Baptist Cadron, Isabelle van Diest, Paul J. van Wieringen, Wessel N. Krijgsman, Oscar Meijer, Gerrit A. Piek, Jurgen M. J. Timmers, Petra J. Vergote, Ignace Verheijen, René H. M. Ylstra, Bauke Zweemer, Ronald P. |
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genomic aberrations relate early and advanced stage ovarian cancer |
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Genomic aberrations relate early and advanced stage ovarian cancer |
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Background Because of the distinct clinical presentation of early and advanced stage ovarian cancer, we aim to clarify whether these disease entities are solely separated by time of diagnosis or whether they arise from distinct molecular events. Methods Sixteen early and sixteen advanced stage ovarian carcinomas, matched for histological subtype and differentiation grade, were included. Genomic aberrations were compared for each early and advanced stage ovarian cancer by array comparative genomic hybridization. To study how the aberrations correlate to the clinical characteristics of the tumors we clustered tumors based on the genomic aberrations. Results The genomic aberration patterns in advanced stage cancer equalled those in early stage, but were more frequent in advanced stage (p = 0.012). Unsupervised clustering based on genomic aberrations yielded two clusters that significantly discriminated early from advanced stage (p = 0.001), and that did differ significantly in survival (p = 0.002). These clusters however did give a more accurate prognosis than histological subtype or differentiation grade. Conclusion This study indicates that advanced stage ovarian cancer either progresses from early stage or from a common precursor lesion but that they do not arise from distinct carcinogenic molecular events. Furthermore, we show that array comparative genomic hybridization has the potential to identify clinically distinct patients. |
abstractGer |
Background Because of the distinct clinical presentation of early and advanced stage ovarian cancer, we aim to clarify whether these disease entities are solely separated by time of diagnosis or whether they arise from distinct molecular events. Methods Sixteen early and sixteen advanced stage ovarian carcinomas, matched for histological subtype and differentiation grade, were included. Genomic aberrations were compared for each early and advanced stage ovarian cancer by array comparative genomic hybridization. To study how the aberrations correlate to the clinical characteristics of the tumors we clustered tumors based on the genomic aberrations. Results The genomic aberration patterns in advanced stage cancer equalled those in early stage, but were more frequent in advanced stage (p = 0.012). Unsupervised clustering based on genomic aberrations yielded two clusters that significantly discriminated early from advanced stage (p = 0.001), and that did differ significantly in survival (p = 0.002). These clusters however did give a more accurate prognosis than histological subtype or differentiation grade. Conclusion This study indicates that advanced stage ovarian cancer either progresses from early stage or from a common precursor lesion but that they do not arise from distinct carcinogenic molecular events. Furthermore, we show that array comparative genomic hybridization has the potential to identify clinically distinct patients. |
abstract_unstemmed |
Background Because of the distinct clinical presentation of early and advanced stage ovarian cancer, we aim to clarify whether these disease entities are solely separated by time of diagnosis or whether they arise from distinct molecular events. Methods Sixteen early and sixteen advanced stage ovarian carcinomas, matched for histological subtype and differentiation grade, were included. Genomic aberrations were compared for each early and advanced stage ovarian cancer by array comparative genomic hybridization. To study how the aberrations correlate to the clinical characteristics of the tumors we clustered tumors based on the genomic aberrations. Results The genomic aberration patterns in advanced stage cancer equalled those in early stage, but were more frequent in advanced stage (p = 0.012). Unsupervised clustering based on genomic aberrations yielded two clusters that significantly discriminated early from advanced stage (p = 0.001), and that did differ significantly in survival (p = 0.002). These clusters however did give a more accurate prognosis than histological subtype or differentiation grade. Conclusion This study indicates that advanced stage ovarian cancer either progresses from early stage or from a common precursor lesion but that they do not arise from distinct carcinogenic molecular events. Furthermore, we show that array comparative genomic hybridization has the potential to identify clinically distinct patients. |
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Genomic aberrations relate early and advanced stage ovarian cancer |
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Peyrot, Wouter J. Berns, P. M. J. J. van der Burg, Maria E. L. Veerbeek, Jan H. W. Trimbos, J. Baptist Cadron, Isabelle van Diest, Paul J. van Wieringen, Wessel N. Krijgsman, Oscar Meijer, Gerrit A. Piek, Jurgen M. J. Timmers, Petra J. Vergote, Ignace Verheijen, René H. M. Ylstra, Bauke Zweemer, Ronald P. |
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