Endometriosis Associated Ovarian Cancer: Case Reports
摘要
Endometriosis is a chronic inflammatory disease that is estimated to affect up to 1 in 10 women of reproductive age group (Steinbuch et al. in Int J Mol Sci 25, 2024). Initially considered a benign disease, it is now thought that endometriosis, endometriomas specifically, are neoplastic conditions with the potential to become malignant.
ObjectiveOvarian cancer, although rare, is more common in women with endometriosis, particularly endometrioid and clear-cell carcinoma types. Over the past few decades, various genetic mutations, microRNAs, and tumour microenvironmental factors have been identified (Chiaffarino et al. in Reprod Sci 31:1642–1650, 2024). Atypical endometriosis is being considered as a transition between endometriosis and ovarian malignancy.
ConclusionThe knowledge of malignant transformation of endometriosis and an understanding of potential risk factors is of paramount importance for determining patients at risk. Women that are known cases of severe endometriosis, large endometriomas, and atypical endometriosis, are an important population for targeted cancer screening and prevention studies.