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Japanese Journal of Clinical Oncology 32:110-112 (2002)
© 2002 Foundation for Promotion of Cancer Research

Microsatellite Instability and Immunohistochemical Analysis of MLH1 and MSH2 in Normal Endometrium, Endometrial Hyperplasia and Endometrial Cancer from a Hereditary Nonpolyposis Colorectal Cancer Patient

Yoshihito Ichikawa, Hajime Tsunoda, Katsumi Takano, Akinori Oki and Hiroyuki Yoshikawa+

Department of Obstetrics and Gynecology, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan

Hereditary nonpolyposis colorectal cancer (HNPCC)-related endometrial cancer is associated with mutations in DNA mismatch repair genes. However, chronological changes of these genes in the endometrium have not been studied in women from HNPCC families. Tissue samples of normal endometrium, endometrial hyperplasia without atypia and endometrial cancer were collected at different times from a 41-year-old Japanese woman with a family history of HNPCC. Combined microsatellite instability (MSI) and immunohistochemical analysis of MLH1 and MSH2 predicted the presence of a mutation in MSH2 when she had endometrial hyperplasia without atypia 7 months before the diagnosis of endometrial cancer. Endometrial hyperplasia without atypia may indicate an early development of endometrial cancer in women from HNPCC families.

+ For reprints and all correspondence: Yoshihito Ichikawa, Department of Obstetrics and Gynecology, Institute of Clinical Medicine, University of Tsukuba, 1–1–1 Tennohdai, Tsukuba, Ibaraki 305-8575, Japan. E-mail: yoichika@md.tsukuba.ac.jp


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