Peer-Reviewed Publication
Cancer Med2026;15(9):e72228.September 1, 2026Journal Article

STK11 Mutations and Deletions Define an Aggressive Molecular Subgroup of Cervical Adenocarcinoma.

Emma W Robinson1,2, Elisabeth A Murphy3, Anaseidy Albanez4, Sonam Tulsyan1, Hong Lou2, Yi Xie1, Weiyin Zhou2, Qian Yang1, Tawnjerae Joe1,5, Tongwu Zhang1, Jia Liu2, Wen Luo2, Dongjing Wu2, Herbert Higson2, Mathias Viard6,7, Mary Carrington6,7,8, Matthew Oberley3, Hesler Morales4,9, Lisa Mirabello1, Enrique Alvirez10,11, Roberto Orozco9, Eduardo Gharzouzi12, Michael Dean1
1Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, Maryland, USA.
2Cancer Genomics Research Laboratory, Frederick National Laboratory for Cancer Research, Rockville, Maryland, USA.
3Caris Life Sciences, Irving, Texas, USA.
4Instituto de Cancerología (INCAN), Guatemala City, Guatemala.
5Interdisciplinary Health Program, Northern Arizona University, Flagstaff, Arizona, USA.
6Basic Science Program, Frederick National Laboratory for Cancer Research, National Cancer Institute, Frederick, Maryland, USA.
7Laboratory of Integrative Cancer Immunology, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland, USA.
8Ragon Institute of MGH, MIT, and Harvard, Cambridge, Massachusetts, USA.
9Hospital General San Juan de Dios, Guatemala City, Guatemala.
10Hospital Central Universitario "Dr. Antonio M Pineda", Barquisimeto, Lara State, Venezuela.
11Universidad Andino de Cusco, Cusco, Peru.
12Integra Cancer Center, Guatemala City, Guatemala.

Abstract

Cervical adenocarcinoma accounts for 15%-20% of cervical cancers and is associated with poorer survival and reduced response to screening and immunotherapy compared with squamous cell carcinoma (SCC). The genomic drivers underlying this molecular subgroup remain incompletely characterized. Whole-exome sequencing was performed on 302 invasive cervical cancers from Guatemala and Venezuela. Structura…

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