Liang Cheng: Histologic Features Identify MMR Deficiency in Endometrioid Carcinoma
Liang Cheng/LinkedIn

Liang Cheng: Histologic Features Identify MMR Deficiency in Endometrioid Carcinoma

Liang Cheng, President of International Society of Urological Pathology, Vice Chair for Translational Research at the Warren Alpert Medical School of Brown University, shared on LinkedIn:

What Histologic Features Predict Mismatch Repair Deficiency in Endometrial Endometrioid Carcinoma?

Delighted to share this article, recently published in Pathology – Research and Practice, led by Drs. Marketkar and Caindec Brown Pathology. Our investigation demonstrates that routine histopathologic evaluation can help identify tumors likely to harbor MLH1/PMS2 deficiency.

Five morphologic features were evaluated:

  1. microacinar architecture
  2. intraluminal acute inflammation
  3. ntraluminal necrosis
  4. extraluminal acute inflammation
  5. and a dense peritumoral lymphoid response.

The presence of three or more of these features predicted MMR deficiency with an 80.6% positive predictive value and 85% specificity, with moderate interobserver agreement. These findings support a practical, cost-effective approach for triaging cases for MMR testing, particularly in resource-limited settings where universal testing may not be feasible.

Honored to be part of this study!”

Title: Histological predictors of mismatch repair deficiency in endometrial endometrioid carcinoma

Authors: Angelica Marisse S. Caindec, M. Ruhul Quddus, Kamaljeet Singh, Sadeq Islam, Padmini Manrai, C. James Sung, Liang Cheng, Shivali Marketkar

Read the full article.

Liang Cheng: Histologic Features Identify MMR Deficiency in Endometrioid Carcinoma

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