Advances in treatment strategies for low-grade serous ovarian cancer

Lucia Musacchio1, Domenica Lorusso2, Giulia Sabetta1

  • 1Gynecologic Oncology Unit, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome 00168, Italy.

Cancer Treatment Reviews
|September 11, 2025
PubMed

Insights

Low-grade serous ovarian carcinoma (LGSOC) requires novel treatments due to chemotherapy resistance. Precision medicine, targeting specific molecular pathways, offers promising therapeutic strategies for this rare cancer.

Area of Science:

  • Gynecologic Oncology
  • Molecular Oncology
  • Translational Cancer Research

Background:

  • Low-grade serous ovarian carcinoma (LGSOC) is a rare subtype of epithelial ovarian cancer (EOC) with distinct molecular features.
  • LGSOC exhibits limited sensitivity to conventional chemotherapy, necessitating alternative treatment approaches.
  • Genomic profiling has identified key signaling pathway alterations in LGSOC, including MAPK and PI3K.

Purpose of the Study:

  • To review the current treatment landscape for LGSOC.
  • To explore emerging therapeutic strategies, including targeted agents and endocrine therapies.
  • To discuss the integration of molecular biomarkers in LGSOC treatment decision-making.

Main Methods:

  • Literature review of recent advances in LGSOC research.
  • Analysis of genomic profiling data and clinical trial outcomes.
  • Synthesis of evidence on targeted therapies and biomarker-driven approaches.

Main Results:

  • Recurrent molecular alterations in MAPK, PI3K, and cell cycle pathways are identified in LGSOC.
  • Targeted agents and endocrine strategies show promise in early clinical investigations.
  • The rarity of LGSOC presents challenges for developing evidence-based treatment standards.

Conclusions:

  • Precision medicine approaches are crucial for advancing LGSOC treatment.
  • Biomarker-driven clinical trials are essential for optimizing therapeutic strategies.
  • Tailoring treatment based on LGSOC's unique biology is key to improving patient outcomes.

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