Characteristics | Molecular class | P value | Multiple comparisons P value | |||
POLEmut (n=22) | p53abn (n=73) | POLEmut-p53abn (n=15) | POLEmut vs p53abn vs POLEmut-p53abn | POLEmut vs POLEmut-p53abn | p53abn vs POLEmut-p53abn | |
Clinical and pathologic characteristics | ||||||
Age at surgery (years), mean (SD) | 56.6 (11.0) | 66.7 (11.0) | 56.1 (10.9) | <0.001 | 1.000 | 0.003 |
BMI (kg/m2), mean±SD | 26.0 (5.5) | 28.0 (6.4) | 23.6 (3.7) | 0.055 | 0.796 | 0.060 |
Early vs advanced-stage, n (%) | <0.001 | 0.791 | 0.001 | |||
Early (I–II) | 20 (90.9) | 34 (46.6) | 14 (93.3) | |||
Advanced | 2 (9.1) | 39 (53.4) | 1 (6.7) | |||
Endometrioid vs other, n (%) | <0.001 | 0.220 | 0.002 | |||
Endometrioid | 22 (100.0) | 36 (50.0) | 14 (93.3) | |||
Non-endometrioid | 0 | 36 (50.0) | 1 (6.7) | |||
Missing | 0 | 1 | 0 | |||
Grade, n (%) | <0.001 | 0.008 | 0.724 | |||
G1–2 | 17 (77.3) | 21 (28.8) | 5 (33.3) | |||
G3 | 5 (22.7) | 52 (71.2) | 10 (66.7) | |||
Myometrial invasion, n (%) | 0.14 | – | – | |||
None | 6 (27.3) | 10 (14.1) | 5 (33.3) | |||
<50 | 12 (54.6) | 31 (43.7) | 5 (33.3) | |||
≥50 | 4 (18.2) | 30 (42.3) | 5 (33.3) | |||
Unknown | 0 | 2 | 0 | |||
LVSI, n (%) | 0.45 | – | – | |||
Absent or focal | 18 (81.8) | 54 (79.4) | 14 (93.3) | |||
Diffuse | 4 (18.2) | 14 (20.6) | 1 (6.7) | |||
Missing | 0 | 5 | 0 | |||
Lymph node metastases, n (%) | 0.11 | – | – | |||
Negative | 21 (95.5) | 40 (75.5) | 13 (100.0) | |||
ITC | 0 | 1 (1.9) | 0 | |||
Micro/macro | 1 (4.6) | 12 (22.6) | 0 | |||
Missing/unknown | 0 | 20 | 2 | |||
Risk classification*, n (%) | <0.001 | 0.135 | 0.007 | |||
Low | 15 (68.2) | 10 (13.7) | 5 (33.3) | |||
Intermediate | 2 (9.1) | 8 (11.0) | 5 (33.3) | |||
High-intermediate | 2 (9.09) | 8 (11.0) | 3 (20.0) | |||
High | 3 (13.6) | 30 (41.1) | 2 (13.3) | |||
Advanced/metastatic | 0 | 17 (23.3) | 0 | |||
Molecular characteristics | ||||||
p53 IHC, n (%) | – | <0.001 | ||||
Aberrant | – | 64 (91.4) | 5 (41.7) | |||
Subclonal | – | 2 (2.9) | 4 (33.3) | |||
Wild-type expression | – | 4 (5.7) | 3 (25.0) | |||
Missing | 3 | 3 | ||||
TP53 NGS, n (%) | – | 0.840 | ||||
Pathogenic | – | 67 (91.8) | 14 (93.3) | |||
Wild type | – | 6 (8.2)† | 1 (6.7) |
* ESGO/ESTRO/ESP guidelines,2020 – molecular classification unknown.
†a case of VUS was considered as wild-type.
BMI, body mass index; ESGO, European Society of Gynaecological Oncology; ESP, European Society of Pathology; ESTRO, European Society for Radiotherapy and Oncology; IHC, immunohistochemistry; ITC, isolated tumor cells; LVSI, lymphovascular space invasion; NGS, next-generation sequencing; p53abn, p53 abnormal; POLEmut, POLE mutated; SD, standard deviation; VUS, variant of uncertain significance.