Advances in the Diagnosis and Management of Gynecological Cancers

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: 30 November 2024 | Viewed by 1696

Special Issue Editor


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Guest Editor
DASA (Diagnósticos da América S.A.), Salomão e Zoppi Hospital, Av. Divino Salvador, 876, São Paulo, SP, Brazil
Interests: NGS; SNP-array; methylation; functional assays; molecular biology

Special Issue Information

Dear Colleagues,

Gynecological cancers are defined as the overgrowth of neoplastic cells mainly in the cervix, ovaries, uterus, vagina, and vulva. The diagnosis and management of these cancers have evolved over the years and molecular diagnosis and artificial intelligence (AI) are helping and improving early detection. Currently, the advancement of AI can speed up and help pathologists to detect tumor cells from cytologic images. Moreover, applying the most advanced molecular techniques, such as next-generation sequencing (NGS) of RNA, together with genetic methylation profiles, can help differentiate uterine sarcomas and uterine mesenchymal neoplasms, respectively. However, despite advances in medical science, human papillomavirus (HPV) is still prevalent in low-income countries in spite of the vaccine recommendation for preteens aged 11 to 12.

We are pleased to invite you to publish in Diagnostics (ISSN 2075-4418), an international scholarly open-access journal on medical diagnosis, for the Special Issue entitled Diagnosis and Management of Gynecological Cancers. In this issue, we are focusing on molecular diagnostics, medical screening, prognosis, and artificial intelligence in diagnostics, in order to cover the past, present and future of gynecological cancers and understand how the most advanced technologies are improving the molecular detection and management of these cancers.

In this Special Issue, we would like to (i) cover the history of gynecological cancer, (ii) show how the most advanced technologies are improving detection and management, (iii) assess the genetic background of these cancers, and (iv) understand the epidemiology of gynecological cancer between high/low-income countries.

Research areas may include (but are not limited to) the following:

  • The history of gynecological cancers: diagnosis and management;
  • The detection of HPV subtypes and their risk;
  • The epidemiology of gynecological cancer (high- vs low-income countries);
  • Genetic screening;
  • Targeted therapies for genomic instabilities (GIs) in gynecological carcinomas;
  • The molecular classification of uterine sarcomas using NGS for RNA;
  • DNA methylation profile for the molecular classification of uterine mesenchymal neoplasia;
  • The use of AI in diagnosis and management.

I look forward to receiving your contributions.

Dr. Luiz Gustavo De Almeida
Guest Editor

Manuscript Submission Information

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Keywords

  • gynecologic oncology
  • molecular biology
  • artificial intelligence
  • NGS
  • DNA
  • RNA
  • methylation
  • epidemiology

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Published Papers (1 paper)

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Research

11 pages, 728 KiB  
Article
Urine Protein to Creatinine Ratio for the Assessment of Bevacizumab-Associated Proteinuria in Patients with Gynecologic Cancers: A Diagnostic and Quality Improvement Study
by Kuan-Ju Huang, Wen-Chun Chang, Chi-Hau Chen, Wei-Chen Lin, William Wei-Lin Pan, Hao-I. Hsieh, Yu-Hsiung Hsieh, Lin-Hung Wei and Bor-Ching Sheu
Diagnostics 2024, 14(17), 1852; https://doi.org/10.3390/diagnostics14171852 - 24 Aug 2024
Viewed by 968
Abstract
Proteinuria is a common adverse event arising from treatment with bevacizumab, requiring diagnostic testing via 24-h urine collection. However, this method is cumbersome. We assessed urine screenings in gynecologic cancer patients from February 2021 to May 2022. Along with a simple urine dipstick [...] Read more.
Proteinuria is a common adverse event arising from treatment with bevacizumab, requiring diagnostic testing via 24-h urine collection. However, this method is cumbersome. We assessed urine screenings in gynecologic cancer patients from February 2021 to May 2022. Along with a simple urine dipstick (UD), the urine microalbumin, total protein, and creatinine were measured and calculated as the urine albumin to creatinine ratio (UACR) and the urine protein to creatinine ratio (UPCR), which were further adjusted through the Modification of Diet in Renal Disease and Chronic Kidney Disease Epidemiology Collaboration equations to be estimated and correlated with 24-h urine total protein content. The incremental cost-effectiveness ratio was used for cost analysis. There were 129 urine samples from 36 patients. The sensitivity and specificity for the UACR were 0.56 and 0.97, and for the UPCR, 0.71 and 0.88, respectively. The 24-h TP correlated strongly with the UACR (r = 0.75; p < 0.001) and UPCR (r = 0.79; p < 0.001) and fair for the simple UD (r = 0.35; p < 0.001). The UPCR saves one unnecessary 24-h urine test for less than a dollar compared to a simple UD. The results indicate that using the UPCR could enhance diagnostic accuracy, lower costs, and reduce unnecessary 24-h urine sampling. Full article
(This article belongs to the Special Issue Advances in the Diagnosis and Management of Gynecological Cancers)
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