KEGG   DISEASE: Choriocarcinoma
Entry
H00028                      Disease                                
Name
Choriocarcinoma
Description
Gestational choriocarcinoma is a highly malignant epithelial tumor that can be associated with any type of gestational event, most often a complete hydatidiform mole (CM). CM occur in about one per 1000 pregnancies, and about 5-20% of CM progress to invasive moles or choriocarcinoma. Several molecular studies have been done to establish the expression of tumor-associated proteins in choriocarcinoma. In the p53 pathway, overexpression of the p53 protein and the p53-associated protein, MDM2, have been detected. Synergistic upregulation of c-MYC, c-ERB-2, c-FMS, and BCL-2 oncoproteins have also been suggested to have an important role in the pathogenesis of choriocarcinoma. Moreover, choriocarcinomas have been shown to express increased concentrations of MMP and decreased concentrations of TIMP to help with tumor invasion and metastasis.
Category
Cancer
Brite
Human diseases in ICD-11 classification [BR:br08403]
 02 Neoplasms
  Malignant neoplasms, except primary neoplasms of lymphoid, haematopoietic, central nervous system or related tissues
   Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphoid, haematopoietic, central nervous system or related tissues
    Malignant neoplasms of female genital organs
     2C75  Malignant neoplasms of placenta
      H00028  Choriocarcinoma
Tumor markers [br08442.html]
 H00028
Gene
p53 (overexpression) [HSA:7157] [KO:K04451]
MdM2 (overexpression) [HSA:4193] [KO:K06643]
EGFR (overexpression) [HSA:1956] [KO:K04361]
c-MYC (overexpression) [HSA:4609] [KO:K04377]
ERBB2 (overexpression) [HSA:2064] [KO:K05083]
c-FMS (overexpression) [HSA:1436] [KO:K05090]
Bcl-2 (overexpression) [HSA:596] [KO:K02161]
MMP-1 (overexpression) [HSA:4312] [KO:K01388]
MMP-2 (overexpression) [HSA:4313] [KO:K01398]
Drug
Methotrexate sodium [DR:D02115]
Vinblastine sulfate [DR:D01068]
Bleomycin sulfate [DR:D02177]
Other DBs
ICD-11: 2C75
ICD-10: C58
MeSH: D002822
Reference
  Authors
Shih IeM.
  Title
Gestational trophoblastic neoplasia--pathogenesis and potential therapeutic targets.
  Journal
Lancet Oncol 8:642-50 (2007)
DOI:10.1016/S1470-2045(07)70204-8
Reference
  Authors
Li HW, Tsao SW, Cheung AN
  Title
Current understandings of the molecular genetics of gestational trophoblastic diseases.
  Journal
Placenta 23:20-31 (2002)
DOI:10.1053/plac.2001.0744
Reference
  Authors
Garner EI, Goldstein DP, Feltmate CM, Berkowitz RS.
  Title
Gestational trophoblastic disease.
  Journal
Clin Obstet Gynecol 50:112-22 (2007)
DOI:10.1097/GRF.0b013e31802f17fc

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