Development and validation of a blood biomarker risk prediction model for postmenopausal endometrioid endometrial cancer - Report - MDSpire

Development and validation of a blood biomarker risk prediction model for postmenopausal endometrioid endometrial cancer

  • By

  • Hubin Xu

  • Mengyu Zhang

  • Huinan Zhu

  • Haimin Jiang

  • Wenjie Zeng

  • Xiaoyan Chen

  • Huafeng Shou

  • Lingqian Zhao

  • July 3, 2026

  • 0 min

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Clinical Report: Blood-Based Biomarker Model for Postmenopausal EEC Risk Prediction

Overview

This study developed a clinical risk prediction model for postmenopausal endometrioid endometrial carcinoma (EEC) using preoperative blood biomarkers. The model demonstrated high sensitivity and specificity.

Background

Endometrial cancer (EC) is a significant health concern, particularly among postmenopausal women, who represent over 80% of cases. Current diagnostic methods have limitations, necessitating the exploration of blood-based biomarkers for risk assessment.

Data Highlights

FactorValue
Area Under Curve (AUC)0.936
Specificity89.1%
Sensitivity90.1%

Key Findings

  • Five independent risk factors for postmenopausal EEC were identified: BMI, CA125, HE4, PLR, and ALB.
  • The clinical prediction model showed an AUC of 0.936, indicating excellent predictive performance.
  • At the optimal Youden index, the model achieved a specificity of 89.1% and sensitivity of 90.1%.
  • The model was implemented in an online calculator for clinical use.
  • Current diagnostic modalities for EEC have limitations that blood biomarkers may help address.

Clinical Implications

The identification of specific blood biomarkers as risk factors for postmenopausal EEC may assist in risk stratification.

Conclusion

The study established a blood-based biomarker model for predicting postmenopausal EEC risk, demonstrating robust performance metrics.

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  7. Development and validation of hypermethylated gene markers in cervical cytological samples for detecting endometrial cancer (EndoMethy-I trial)
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  9. https://www.esgo.org/media/2026/02/PocketGuidelinesA5_EndometrialCarcinoma.pdf
  10. Evaluating pretreatment serum CA-125 levels as prognostic biomarkers in endometrial cancer: a comprehensive meta-analysis

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