Current status and molecular biology of human papillomavirus-independent gastric-type adenocarcinoma of the cervix

J Obstet Gynaecol Res. 2023 Apr;49(4):1106-1113. doi: 10.1111/jog.15578. Epub 2023 Feb 9.

Abstract

This article reviews the findings of clinical studies on gastric-type adenocarcinoma of the cervix to date, outline the molecular biological features identified in recent studies, and discusses the future therapeutic strategies. Gastric-type adenocarcinoma of the cervix is a new classification in the World Health Organization 2014 classification. The World Health Organization 2020 classification further divides cervical tumors into two categories: human papillomavirus-associated and human papillomavirus-independent. Thus, gastric-type adenocarcinoma of the cervix is now classified as a human papillomavirus-independent gastric type. Clinical studies have reported that gastric adenocarcinoma of the cervix is refractory to conventional chemotherapy and radiotherapy, and it is desirable to elucidate its molecular biological mechanism. A series of gene mutations characteristic to the gastric-type adenocarcinoma of the cervix encourage the development of future treatment strategies.

Keywords: HPV-independent gastric-type adenocarcinoma of the cervix; gene mutation; molecular biological features.

Publication types

  • Review

MeSH terms

  • Adenocarcinoma* / genetics
  • Adenocarcinoma* / pathology
  • Cervix Uteri / pathology
  • Female
  • Human Papillomavirus Viruses
  • Humans
  • Molecular Biology
  • Papillomaviridae / genetics
  • Papillomavirus Infections* / pathology
  • Uterine Cervical Neoplasms* / pathology