The invention relates to application of B7H4 in preparation of an
endometrial cancer molecular typing reagent and
system. The method comprises the following steps: firstly, screening out a POLE
mutant by a sequencing method; detecting four kinds of mismatch repair proteins on a specimen without
pathogenic mutation, and screening out a dMMR type; screening out a p53
mutant from a sample without dMMR by means of immunohistochemical detection of p53
protein; if the p53
mutation does not exist, determining that the p53
mutation is an NSMP type; and for specimens for interpreting the dMMR type and the NSMP type, detecting expression of
protein B7H4 through
immunohistochemistry, wherein B7H4 coloring in more than 1% of
tumor cells is judged as a B7H4 expression type, and B7H4 non-expression types are judged in the rest. According to the invention,
endometrial cancer is divided into a POLE
mutant type, a B7H4 expression type, a B7H4 non-expression type and a p53 mutant type; and the improved
molecular typing is still based on
molecular pathology, has the characteristics of relative objectiveness, high
repeatability and clinical feasibility of the existing
molecular typing, but has higher predictive ability than the existing model, and is beneficial to avoiding excessive treatment and insufficient treatment.