Curriculum Vitae NAME: Ann-Cathrin Hellström. Date of birth: 17th of March, 1951. Education: Preclinical and Clinical Studies at Karolinska Institute/Hospital (KI/KS). 1975: MD at KI. 1984: Certified Specialist in Gynaecology & Obstetrics. 1991: Certified Specialist in Gynaecological Oncology. 1997: Ph.D. Thesis at KI – “ Primary fallopian tube cancer –a clinical, histopathological, biological , and prognostic study”. Working Experience: 1984-1990: Department of Gynecology & Obstetrics at Nacka Hospital, Huddinge University Hospital, Stockholm. 2001: Assoc.Prof. 1990 to date: Department of Gynaecological Oncology, Radiumhemmet, Karolinska University Hospital, Stockholm. Predominantly working as a clinician with cervical cancer, using external radiotherapy and brachytherapy treatment. I have been responsible for the development work concerning radiotherapy at our Department of Gynecological Oncology for many years. International Appointments: Member of National and International Associations in Gynaecological Oncology and National Gynaecology & Obstetrics. Research: I collaborate with several groups in clinical translational research work mostly focused on cervical cancer in different aspects since the middle of 1990s. Working in celland molecular-biological research, as well as to optimize the diagnosis of and tumor response in cervical cancer with imaging examination. Research publication: Research has been published in approx.40 publications in international peer-reviewed journals. Co-supervisor for a Ph.D thesis in biomedical research on ca vaginae 2005. Co-supervisor for a Ph.D student research on MRT and cervical cancer. Posters/Presentations (abstracts): 1. Moberger B., Fornander T.& Hellström A-C.: DNA-content in endometrial carcinoma of Tamoxifen-treated breast cancer patients. Poster vid IV Baltic Congress of Obstetrics and Gynecology, May 20-22, 1993. Åbo, Finland. 2. 2. Hellström A-C., Hue Jie& Auer G.: DNA ploidy and mutant p53 overexpression in primary Fallopin tube cancer. Poster vid Fourth Biennial Meeting of the International Gynecologic Cancer Society, August 29 - September 2, 1993, Stockholm, Sweden. 3. Hellström A-C., Silfverswärd C., Nilsson B.& Pettersson F.: Carcinoma of the Fallopian tube. A clinical and histopathological review of 187 cases treated at Radiumhemmet, Karolinska Hospital. Föredrag vid Fourth Biennial Meeting of the International Gynecologic Cancer Society, August 29 - September 2, 1993, Stockholm, Sweden. 4. Hellström A-C., Auer G.; Silfverswärd C. & Pettersson F.: Malignant mixed Müllerian tumour of the Fallopian tube. The Radiumhemmet series 1923-1994. Report of prognostic factors in nine cases and review of literature . Poster vid Fifth Biennial Meeting of the International Gynecologic Cancer Society, September 4 - 8, 1995, Philadelphia , USA. 5. Hellström A-C, Tegerstedt G, Silfverswärd C, Pettersson F. Malignant mixed Müllerian tumors of the ovary: histopathological and clinical review of 32 cases. Poster presented at the Sixth Biennial Meeting of the International Gynecologic Cancer Society October 20-24, 1997 Fukuoka, Japan 6. Hellström A-C, Sigurjonson T., Pettersson F. Carcinoma of the cervical stump. The Radiumhemmet series. 1959-1987. Treatment and prognosis. A case - control study. Poster submitted to the Seventh Biennial Meeting of the International Gynecologic Cancer Society September 26-30, 1999, Rom, Italy. 7. Hellström A-C, Pettersson F. Adenocarcinom i cervix uteri, Radiumhemmets material 1914-1989. Förändringar i stadie- och åldersfördelning samt överlevnadstrender. Poster på Läkarstämman i Göteborg november-december 2000. 8. A-C Hellström, M.Ryberg, C Silfverswärd, E.Åvall-Lundqvist, M.Lundell Dose reduction in relation to increased dose rate at MDR brachytherapy treatments for cancer of the uterine cervix.Poster på Gec-Estro Budapest 200505. 9. S. Eriksson,A-C Hellström, M. Lundell. HDR dose planning for inoperable endometrial carcinoma with modified Heyman packing technique. Poster på Gec-Estro Budapset 2005-05. 10. IGCS, Bangkok- Proteome analysis of vaginal carcinoma Lomnytska Marta , Becker Susanne, Hellman Kristina, Hellström Ann-Cathrin, Volodko Nataliya, Prymak Liliya, Struk Svitlana5, Hellman Ulf, Souchelnytskyi Serhiy, Mints Miriam, Andersson Sonia, Auer Gert 11. Fysiker Emil Bengtsson, Marie Lundell, Ann-cathrin Hellström, Bo Nordell, Roberto vargas. Estro 27 Göteborg 2008-09 MRT + brachybehandling. Hur synliggörs kanalerna /källpositionerna på rtg-bild ? Markers to be used with MR 3 posters presented on IGCS – Prag 2010 *Adenocarcinoma of the uterine cervix. The Radiumhemmets series 1914-2004. Changes in stage and age distribution and survival trends. Ann-Cathrin Hellström, Kristina Hellman, B. Folke Pettersson *90- years experience of uterine cervix cancer treatment at Radiumhemmet. Age-stage and histopathology distribution Kristina Hellman, Ann-Cathrin Hellström and B. Folke Pettersson * Tissue and plasma protein marker patterns of endometrial cancer . M. Lomnytska, S. Becker, U. Hellman, U. Engström, A. Olsson, A.-C. Hellström, K. Hellman, C. Lundgren, M. Mints, S. Andersson, G. Auer 1 poster ESTRO Milano 2011 Prognostic significance of cell-cycle and invsio related molecular markers and DNA content in primary carcinoma of the vagina. Kristina Hellman, Hemming Johansson, Sonia Andersson, Annn-Cathrin Hellström, Folke Pettersson, Gert Auer. 1 poster 2011 ASTRO Miami Beach Comparison of the SBRT frame prcedure versus Gold Anchor fiiducila marker IGRT oon Accuracy, Precision and Economy. Peter Wersäll, E Castellanos ,B. Soderen, A-C Hellstrom, P Nafstadius Publication list 1. Fornander T., Hellström A-C. & Moberger B.: A descriptive clinicopathological study of 17 cases of endometrial cancer during or after adjuvant Tamoxifen in early breast cancer. J. Natl Cancer Inst 1993; 85 ( No. 22) : 1850-1855. 2. Hellström A-C., Hu Jie & Auer G.: DNA ploidy and mutant p53 overexpression in primary Fallopian tube cancer. Int J Gynaecol Cancer 1994; 4: 408-413. 3. Hellström A-C., Silfverswärd C., Nilsson B. & Pettersson F.: Carcinoma of the Fallopian tube. A clinical and histopathological review.The Radiumhemmet series Int J Gynecol Cancer 1994;4:395-400. 4. Moberger B., Fornander T. & Hellström A-C.: DNA-content in endometrial carcinoma of Tamoxifen -treated breast cancer patients. Int J Gynaecol Cancer 1994; 4: 131-134. 5. Flam F., Almström AH., Hellström A-C.& Moberger B.: Value of uterine artery doppler in endometrial cancer. Acta Oncologica 1995; Vol. 34 (No. 6): 779-782. 6. Hellstöm A-C, Auer G, Silfverswärd C, Pettersson F: Prognostic factors in malignant mixed Müllerian tumor of the fallopian tube: the Radiumhemmet series 1923-1994. Int J of Gynaecol Cancer 1996;6:467-472. 7. Hellström A-C, Frankendal B, Nilsson B, Pettersson F, Silfverswärd C, Auer G: Primary fallopian tube carcinoma: The prognostic impact of stage, histopathology and biological parameters. Int J of Gynaecol Cancer 1996;6:456 -62. 8. Heselmeyer K, Macville M, Schröck E, Blegen H, Hellström A-C, Shah K, Auer G, Ried T. Advanced-stage cervical carcinomas are defined by a recurrent pattern of chromosomal aberrations revealing high genetic instability and a consistent gain of chromosome arm 3q. Genes Chromosome Cancer 1997; 19:233-240. 9. Heselmeyer K, Hellström A-C, Blegen H, Silfverswärd C, Shah K, Auer G, Ried T. Primary fallopian tube carcinoma: Comparative genomic hybridization reveals high genetic instability and a specific pattern of chromosomal aberrations. Int J of Gynecol Pathol. 17: 245-254, 1998. 10.. Hellström A-C. Primary fallopian tube cancer - a review of the literature. Medical Oncology 1998;15:6-14. 11. Bark T., Blomquist, Hellström.A-C Effect of external radiation on intestinal permeability in patients with gynecological malignancy. Surg. Res. Comm. 1998; Vol 19: pp.237-245. 12. Blomqvist L, Göranson H, Hellström A-C., Kalin B., Nilsson B., Nordell B., Ruden B-I., Svanström R., Ryberg M. CT, MRT, and clinical staging of cervical carcinoma vs outcome. Asian Oceanian Journal of Radiology ( AOJR ) 1998; Vol.3. (No 2): Oct-Dec. 13. Hellström A-C, Tegerstedt G, Silfverswärd C, Pettersson F. Malignant mixed Müllerian tumors of the ovary: histopathological and clinical review of 36 cases. Int J of Gynaecol Cancer 1999; 9: 312-316. . 14. Hellström A-C, Silfverswärd C, Malec M, Blegen H, Lystad S, Børresen-Dale A-L, Auer G. Recurrent fallopian tube carcinoma: p53 mutation and clinical course. Int J of Gynecol Pathol.2000;Vol. 19 (2): 145-151. 15. Hellman K., Hellström A-C., Silfverswärd C., Aspenblad U., Nilsson B., Frankendal B., Tryggvasson K., Auer G. Cancer of the vagina: Laminin-52 chain expression and prognosis. Int J of Gynecol. Cancer 2000; 10: 391-396. 16. Hellström A-C, Sigurjonson T., Pettersson F. Carcinoma of the Cervical Stump. The Radiumhemmet series 1959-1987. Treatment and prognosis. A case control study.. Acta Obstet. et Gynecol. Scand 2001; 80: 152-157. 17. Skyldberg B., Fujioka K., Hellström A-C.; Sylvén L., Moberger B., Auer G. HPV infektion, centrosome aberration, and genetic stability in cervical lesions. Modern Pathology 2001;14 (4): 279-284. 18. Zhang A, Zheng C Hou M, Lindwall C, Wallin KL, Anstrom T, Yang X, Hellstrom A-C, Blennow E, Bjorkholm M, Zetterberg A, Gruber A, Xu D. Amplification of the telomerase reverse transcriptase (hTERT) gene in Cervical Carcinomas . Genes, Chromosomes & Cancer 2002, 34(3) :269-75. 19. Fredrik Erlandsson, Carolina Wählby, Susanna Ekhom, Ann-Cathrin Hellström, Ewert Bengtsson, Anders Zetterberg. Abnormal expression pattern of cyclin E in tumor cells. Int J Cancer 2003; Apr 10; 104 (3): 369-75. 20. Habermann J, Hellman K, Freitag S, Heselmeyer-Haddad K , Hellström A-C, Shah K, Auer G , Ried T, . A recurrent gain of chromosome arm 3q in primary squamous carcinoma of the vagina . Cancer Genetics and Cytogenetics 148 (2004) 7-13. 21. Hellman K, Silfverswärd C, Nilsson B, Hellström A-C , Frankendal B, Pettersson F. Primary carcinoma of the vagina. Factors influencing the age at diagnosis. The Radiumhemmet series 1956 – 1996. Int. J of Gynecol. Cancer, 2004, 14, 491-501. 22 Kristina Hellman, Ayodele A, Alaiya, Kjell Schedvins, Winfried Steinberg, Ann-Cathrin Hellström, Gert Auer. Protein expression patterns in primary carcinoma of the vagina. Brit. J of Cancer, 2004, 91, 319-326. 23. Andersson S, Hellström A-C, Ångström T, Stendahl U, Auer G, Wallin K-L . Clinicopathologic significance of laminin-5gamma2 chain expression in cervical squamous cells carcinoma and adenocarcinomas. Int. J of Gynecol.Cancer 2005, 15, 1065-1072. 24. Fredrik Erlandsson, Hanna-Stina Mattinsson, Keng-Ling Wallin, Ann-Cathrin Hellström, Sonia Andersson, Anders Zetterberg. Parallel cyclin E and cyclin A expression in neoplastic lesions of the uterine cervix. Br J Cancer 2006 10; 94 (7) , 1045-1050. 25 Jianliu Wang, Sonia Andersson, Xidan Li, Ann-Cathrin Hellström, Gert Auer, Tord Ångström, Mikael S. Lindström, Keng-Ling Wallin. p16INK4A and laminin5λ2 chain expression during the progression of cervical neoplasia. Acta Oncol. 2006;45(6):676-84. 26. Sonia Andersson, A-C Hellström, Zhing-Ping Ren, E Wilander . The carcinogenic role of Oncogenic HPV in p53 gene mutation in cervical adenocarcinomas. Medical Oncology 2006; 23(1):113-9. 27. Sonia Andersson, Keng-Ling Wallin, Ann-Cathrin Hellström, Gert Auer, Larry Morrison, Thomas Ried, Catharina Larsson, Kerstin Heselmeyer-Haddad. Frequent gain of human telomerase gene TERC at 3q26 in cervical adenocarcinomas. Brit. J Cancer 2006 Aug 7; 95 (3):331-8. 28. Hellman K, Lundell M, Silfverswärd C, Nilsson B, Hellström AC, Frankendal B. Clinical and histopathological factors in relation to prognosis in primary squamous cell carcinoma of the vagina. Int J Gynecol Cancer 2006 May-Jun; 16 (3): 1201-11. 29. Liselotte Dahlgren, Fredrik Erlandsson, David Lindqvist, Claes Silfverswärd, Ann-Cathrin Hellström , Tina Dalianis. Differences in Human Papilloma Virus type may influence clinical outcome in early stage cervical cancer . Anticancer Research 2006 Mar-Apr; 26 829-32. 30. Muller Susanne, Flores-Staino C, Skyldberg B, Hellström A-C, Johansson B. Hagmar B, Wallin KL, Andersson S, Expression of p16INK4a and MIB-1 in relation to histopathology and HPV types in cervical adenocarcinoma. Int.J Oncol.-2008 Febr; 32(2): 333-40. 32311. 3131 31. Hellman K, Alaiya AA, Becker S, Lomnytska M, Schedvins K, Steinberg W, Hellström A-C Andersson S, Hellman U, Auer G. Differential tissue-specific protein markers of vagina carcinoma. BJC.2009 Apr 21; 100(8): 1303-14. 32. Pettersson BF, Andersson S, Hellman K, Hellström A-C.-Invasive carcinoma of the uterine cervix associated with pregnancy - 90 years of experience. Cancer. 2010 May 15;116(10):2343-9 33. Lomnytska MI, Becker S, Bodin I, Olsson A, Hellman K, Hellström AC, Mints M, Hellman U, Auer G, Andersson S. Differential expression of ANXA6, HSP27, PRDX2, NCF2, and TPM4 during uterine cervix carcinogenesis: diagnostic and prognostic value. Br J Cancer. 2011 Jan 4;104(1):110-9. 34. Lomnytksa MI , Becker S, Hellman K, Hellström A-C , Serhly Souchelnytskyi S. Mints M, Hellman U, Andersson S , Auer G . Diagnostic protein marker patterns in squamous cervical cancer. Proteomics Clin. Appl. 2010,4,17-31. 35. Stenstedt K, Hellström AC, Fridsten S, Blomqvist L. Impact of MRI in the management and staging of cancer of the uterine cervix. Acta Oncol. 2011Apr;50(3):420-6.Epub 2010 dec 20. 36. Hellström A-C, Hellman K , Pettersson BF, Andersson S. Carcinoma of the cervical stump: Fifty years of experience. Oncology rep. 2011 Jun; 2525: 1651-1654, 2011. 37. Pettersson B. F, Hellman K, Vaziri R, Andersson A, Hellström AC Cervical cancer in the screening era: who fell victim in spite of successful screening programs? J Gynecol Oncol 2011 Jun 30;22(2): 76-82. 38. Hellstrom A-C , Muntzing J. The pollen extract drug Femal-a non-estrogenic alternative to hormone therapy in women with menopausal symtoms. Menopause 2012 Febr.13 . 39. Lomnytska M, Becker S., Lundgren, Habermann, Olsson, Bodin, Engström, Hellman U, Hellman K, , Hellström A-C, Andersson , Mints, Auer. Impact of genomic stability on protein expression in endometrioid endometrial cancer. BJC 2012 Mars 27; 106 (7): 1297-305. 40. Ostensson E, Hellström AC, Hellman K, Gustavsson I, Gyllensten U, Wilander E, Zethraeus N, Andersson S. Projected cost-effectiveness of repeat high-risk human papillomavirus testing using self-collected vaginal samples in the Swedish cervical cancer screening program. Acta Obstet Gynecol Scand. 2013 Mar 27. 41. Hellman K, Hellström A-C, Pettersson BF: Uterine cervix cancer treatment at Radiumhemmet:90 years´ experience. Time trends of age, stage and histopathology distribution. Cancer Med. 2014 Jan 14