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1 Cover Page The handle holds various files of this Leiden University dissertation. Author: Stelloo, E. Title: Molecular alterations in endometrial cancer: implications for clinical management Issue Date:

2 List of publications List of publications van Esterik M, Van Gool IC, de Kroon CD, Nout RA, Creutzberg CL, Smit VT, Bosse T, Stelloo E. Limited impact of intratumour heterogeneity on molecular risk assignment in endometrial cancer. Oncotarget. 2017; in press. Stelloo E, Jansen AM, Osse EM, Nout RA, Creutzberg CL, Ruano D, Church DN, Morreau H, Smit VT, van Wezel T, Bosse T, Practical guidance for mismatch repair-deficiency testing in endometrial cancer. Ann Oncol Stelloo E*, Versluis MA*, Nijman HW, de Bruyn M, Plat A, Osse EM, van Dijk RH, Nout RA, Creutzberg CL, de Bock GH, Smit VT, Bosse T, Hollema H. Microsatellite instability derived JAK1 frameshift mutations are associated with tumor immune evasion in endometrioid endometrial cancer. Oncotarget. 2016; 7(26): Stelloo E, Nout RA, Osse EM, Jürgenliemk-Schulz IJ, Jobsen JJ, Lutgens LC, van der Steen- Banasik EM, Nijman HW, Putter H, Bosse T, Creutzberg CL, Smit VT. Improved risk assessment by integrating molecular and clinicopathological factors in early-stage endometrial cancer - combined analysis of PORTEC cohorts. Clin Cancer Res Van Gool IC, Stelloo E, Nout RA, Nijman HW, Edmondson RJ, Church DN, MacKay HJ, Leary A, Powell ME, Mileshkin L, Creutzberg CL, Smit VT, Bosse T. Prognostic significance of L1CAM expression and its association with mutant p53 expression in high-risk endometrial cancer. Mod Pathol. 2016; 29(2): Van Gool IC, Eggink FA, Freeman-Mills L, Stelloo E, Marchi E, de Bruyn M, Palles C, Nout RA, de Kroon CD, Osse EM, Klenerman P, Creutzberg CL, Tomlinson IP, Smit VT, Nijman HW, Bosse T, Church DN. POLE Proofreading Mutations Elicit an Antitumor Immune Response in Endometrial Cancer. Clin Cancer Res. 2015; 21(14): Stelloo E, Bosse T, Nout RA, MacKay HJ, Church DN, Nijman HW, Leary A, Edmondson RJ, Powell ME, Crosbie EJ, Kitchener HC, Mileshkin L, Pollock PM, Smit VT, Creutzberg CL. Refining prognosis and identifying targetable pathways for high-risk endometrial cancer; a TransPORTEC initiative. Mod Pathol. 2015; 28(6): Church DN, Stelloo E, Nout RA, Valtcheva N, Depreeuw J, ter Haar N, Noske A, Amant F, Tomlinson IP, Wild PJ, Lambrechts D, Jürgenliemk-Schulz IM, Jobsen JJ, Smit VT, Creutzberg CL, Bosse T. Prognostic significance of POLE proofreading mutations in endometrial cancer. J Natl Cancer Inst. 2014; 107(1):

3 Stelloo E, Nout RA, Naves LC, Ter Haar NT, Creutzberg CL, Smit VT, Bosse T. High concordance of molecular tumor alterations between pre-operative curettage and hysterectomy specimens in patients with endometrial carcinoma. Gynecol Oncol. 2014; 133(2): Bosse T*, Nout RA*, Stelloo E, Dreef E, Nijman HW, Jürgenliemk-Schulz IM, Jobsen JJ, Creutzberg CL, Smit VT. L1 cell adhesion molecule is a strong predictor for distant recurrence and overall survival in early stage endometrial cancer: pooled PORTEC trial results. Eur J Cancer. 2014; 50(15): Spaans VM*, Trietsch MD*, Crobach S, Stelloo E, Kremer D, Osse EM, Haar NT, van Eijk R, Muller S, van Wezel T, Trimbos JB, Bosse T, Smit VT, Fleuren GJ. Designing a highthroughput somatic mutation profiling panel specifically for gynaecological cancers. PLoS One. 2014; 9(3): e Azijli K, Stelloo E, Peters GJ, van den Eertwegh AJ. New developments in the treatment of metastatic melanoma: immune checkpoint inhibitors and targeted therapies. Anticancer Res. 2014; 34(4): AbuAli G, Chaisaklert W, Stelloo E, Pazarentzos E, Hwang MS, Qize D, Harding SV, Al- Rubaish A, Alzahrani AJ, Al-Ali A, Sanders TA, Aboagye EO, Grimm S. The anticancer gene ORCTL3 targets stearoyl-coa desaturase-1 for tumour-specific apoptosis. Oncogene. 2015; 34(13):

4 Curriculum Vitae Curriculum Vitae Ellen Stelloo werd geboren op 27 april 1989 te Amersfoort. In 2006 behaalde zij haar Hoger Algemeen Voortgezet Onderwijs diploma aan t Atrium te Amersfoort, waarna zij de studie Biologie en Medisch Laboratoriumonderzoek begon aan de Hogeschool Utrecht. Na het behalen van haar Bachelor of Science diploma in 2010, werd de studie Oncologie gevolgd aan de Vrije Universiteit Amsterdam. Haar wetenschappelijk doctoraal stage deed zij op de afdeling Toxicologie van Imperial College, Londen, Verenigd Koninkrijk, onder begeleiding van prof. dr. S. Grimm and G. AbuAli. Na het behalen van haar Master of Science diploma, begon zij in mei 2013 met het werk beschreven in dit proefschrift verricht op de afdeling Pathologie onder begeleiding van prof. dr. V.T.H.B.M. Smit, dr. T. Bosse en prof. dr. C.L. Creutzberg. Eén van de onderzoeken in dit proefschrift was in samenwerking met de afdeling Moleculaire Pathologie van de Universiteit van Urbino, Fano, Italië, waar Ellen een aantal maanden van haar promotietraject heeft doorgebracht. Op 5 februari 2014 kreeg zij hiervoor de René Vogels reisbeurs uitgereikt. Verder bezocht Ellen, in het kader van haar promotietraject, diverse congressen in het binnen- en buitenland waar ze posters en presentaties gaf. In 2015 kreeg zij de LUF reisbeurs voor het Keystone Symposia in Denver, Colorado, Verenigde Staten, en de beste presentatieprijs tijdens het Europees gynaeco-oncologisch congres in Nice, Frankrijk. In 2017 bezocht zij de Wellcome Trust Centre for Human Genetics in Oxford, Engeland voor een bioinformatische stage van twee maanden in de onderzoeksgroep van dr. D.N. Church. Ellen zal haar carrière voortzetten als postdoc in de onderzoeksgroep van dr. W. P. Kloosterman en dr. R.P. Zweemer op de afdeling Genetica van het Universitair Medisch Centrum Utrecht. 175

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6 Dankwoord Dankwoord In dit dankwoord wil ik iedereen van harte bedanken die een bijdrage heeft geleverd aan de tot standkoming van dit proefschrift. Enkele mensen wil ik in het bijzonder bedanken voor hun bijdragen: Allereerst mijn promotoren prof. dr V.T.H.B.M. Smit en prof. dr. C.L. Creutzberg en copromotor dr. T. Bosse. Vincent en Carien veel dank voor jullie vertrouwen in mij als promovendus, jullie begeleiding en de altijd kritische blik. Tjalling, jouw enthousiasme voor het onderzoek is ongekend. Bedankt dat ik altijd bij je binnen kon lopen met mijn vragen en stapel coupebladen. Alle medeauteurs wil ik bedanken voor hun kritische beoordeling van de manuscripten en natuurlijk de prettige samenwerking die heeft geleid tot dit mooie resultaat, met name Michelle Osse, Natalja ter Haar, Enno Dreef en dr. Remi Nout. Michelle, Natalja en Enno bedankt voor jullie onmisbare hulp op het lab. Remi bedankt voor alle hulp bij de statistische analyses. Studenten Reinhardt, Irene, Suzanne, Leticia en Manouk, die hebben geholpen met het verzamelen van onderzoeksgegevens wil ik bedanken voor hun inzet. Prof. dr. Mirco Fanelli, dr. Stefano Amatori, en Alfredo Enricco Provenzano bedankt voor het bijbrengen van de techniek chromatine immunoprecipitatie op paraffine weefsel en voor de onvergetelijke tijd in Fano. Zonder al het beschikbare baarmoederkankerweefsel kon dit onderzoek niet worden uitgevoerd. Heel hartelijk dank aan alle patiënten en alle specialisten betrokken bij de PORTEC studiegroep. Alle PA laboratoria door heel Nederland bedankt voor het aanleveren van de weefselblokken. Alle collega s van de afdeling pathologie bedankt voor de ontzettend leuke tijd die ik heb gehad in Leiden. In het bijzonder collega s van kamer P1-40: Jolijn, Simone, Inge, Inge, Linda, Stephanie, Sanne, Vivian, Marlies, Marthe en Elke. Tenslotte wil ik mijn familie bedanken. Lieve mam en pap, ontzettend veel dank voor jullie onvoorwaardelijke steun en liefde, en jullie vertrouwen in mijn kunnen. Oma bedankt voor het corrigeren van de Nederlandse samenvatting. Suzan, ik ben zo blij dat ik er met jou als mijn zus nooit alleen voorsta! 177

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