Current Perspectives on Gynecologic Cancers

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Cancer Biology and Oncology".

Deadline for manuscript submissions: 31 December 2025 | Viewed by 646

Special Issue Editor


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Guest Editor
Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Interests: epidemiology; genetics; meta-analysis; gynecologic cancer

Special Issue Information

Dear Colleagues,

Gynecologic cancers—encompassing malignancies of the cervix, ovaries, uterus, vulva, and vagina—remain a critical global health challenge, accounting for significant morbidity and mortality among women worldwide. Despite advancements in screening and treatment, these cancers persistently highlight disparities in access to care, variable therapeutic responses, and unmet needs in survivorship. This Special Issue, Current Perspectives on Gynecologic Cancers, seeks to illuminate the rapidly evolving landscape of research and clinical practice, offering a synthesis of cutting-edge discoveries, translational innovations, and multidisciplinary approaches that are reshaping the field.

Recent years have witnessed transformative progress in understanding the molecular underpinnings of gynecologic malignancies. Breakthroughs in genomic and epigenomic profiling have unraveled tumor heterogeneity, identified driver mutations (e.g., TP53BRCA1/2PIK3CA), and uncovered biomarkers predictive of treatment response or resistance. The rise of immunotherapy, particularly immune checkpoint inhibitors targeting PD-1/PD-L1 in cervical and endometrial cancers, has reinvigorated hope for patients with advanced or recurrent disease. Similarly, PARP inhibitors have become a cornerstone in managing BRCA-mutated ovarian cancer, while antibody-drug conjugates like mirvetuximab soravtansine offer precision targeting of folate receptor-alpha-positive tumors.

Equally groundbreaking are advances in early detection and prevention. Liquid biopsy technologies, including circulating tumor DNA (ctDNA) and exosome-based assays, now enable non-invasive monitoring of minimal residual disease and recurrence. Meanwhile, HPV vaccination campaigns and AI-enhanced cervical screening programs are driving progress in primary prevention. Beyond biology, the integration of artificial intelligence (AI) into diagnostic imaging, risk prediction models, and treatment planning exemplifies the fusion of technology and oncology. Furthermore, it highlights the role of the tumor microenvironment, microbiome interactions, and metabolic reprogramming in tumor progression, offering novel therapeutic targets.

By compiling reviews and original research, this collection underscores the importance of interdisciplinary collaboration—bridging oncology, genetics, bioengineering, and public health—to translate scientific discovery into equitable clinical practice. We invite readers to explore these contributions, which collectively aim to redefine standards of care and inspire future innovation in the fight against gynecologic cancers.

Dr. Kecheng Huang
Guest Editor

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Keywords

  • gynecology
  • genetics
  • biology
  • bioinformatics
  • review
  • predictive model
  • artificial intelligence

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Published Papers (1 paper)

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Review

17 pages, 2396 KB  
Review
Early Non-Response to Neoadjuvant Chemotherapy Will Increase the Recurrence of Cervical Cancer: A Systematic Review
by Shiqing Huang, Runfeng Yang, Li Yang, Shiyi Kong and Kecheng Huang
Biomedicines 2025, 13(8), 2016; https://doi.org/10.3390/biomedicines13082016 - 19 Aug 2025
Viewed by 380
Abstract
Objectives: Cervical cancer remains a significant global health burden for women. While neoadjuvant chemotherapy (NACT) has emerged as a potential treatment option, the prognostic implications of early non-response to NACT remain inadequately characterized. This systematic review aims to elucidate the association between [...] Read more.
Objectives: Cervical cancer remains a significant global health burden for women. While neoadjuvant chemotherapy (NACT) has emerged as a potential treatment option, the prognostic implications of early non-response to NACT remain inadequately characterized. This systematic review aims to elucidate the association between early non-response to NACT and long-term disease-free survival (DFS) in cervical cancer patients. Methods: A comprehensive systematic review was conducted following PRISMA guidelines. PubMed, Embase, Elsevier, Springer, EBSCO, and Cochrane Library were systematically searched to identify eligible studies. Pooled hazard ratios (HRs) for DFS with 95% confidence intervals (CIs) were calculated using R software (version 4.5.1). Heterogeneity was assessed via Cochran’s Q test and I2 statistics. Publication bias was evaluated using funnel plots, Begg’s test, Egger’s test, and trim-and-fill methods. Sensitivity analyses further validated result robustness. Results: Eleven studies (n = 2064 patients; 1546 responders, 518 non-responders) met inclusion criteria. The pooled early non-response rate ranged from 13% to 39%. Early non-response significantly correlated with poorer DFS (HR = 3.29, 95% CI 2.35–4.62). Subgroup analyses by response criteria showed HRs of 2.94 (95% CI 1.72–5.03) for WHO criteria and 4.00 (95% CI 2.52–6.34) for RECIST criteria. No significant publication bias was detected (Begg’s p = 0.35; Egger’s p = 0.28). Sensitivity analyses and trim-and-fill adjustments confirmed result stability. Conclusions: Early non-response to NACT predicts worse DFS in women with cervical cancer. These findings proposed the need for large-scale or prospective studies to validate the prognostic value of early non-response and optimize treatment strategies for non-responders. Future prospective trials with standardized protocols are essential to validate these findings and establish criteria for optimizing patient selection for NACT-based therapeutic strategies. Full article
(This article belongs to the Special Issue Current Perspectives on Gynecologic Cancers)
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