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Article detail · 2023

Erken Evre Grade 1 ve 2 Endometrioid Tip Endometrium Kanseri Tanılı Olgularda Uzun Dönem Sonuçları

Journal

Genel Tıp Dergisi

ISSN 2602-3741

The ISSN points to another catalog journal; the name is from the YÖKSİS record.

YÖKSİS OpenAlex Open access · diamond SJR Q4 TR Index Citations 0 Percentile 7.6% FWCI 0.0
Year
2023
Type
article

Data source split

  • YÖKSİS YÖKSİS article record
  • YÖKSİS venue Genel Tıp Dergisi
  • Catalog match (ISSN) Genel Tip Dergisi
  • OpenAlex OpenAlex enrichment (abstract, citations, topics)

Abstract

English (OpenAlex)

Aims: Early-stage endometrioid-type endometrial cancer (EC) has a favorable prognosis. The recurrence is still the biggest issue. There are differences in the literature in terms of treatment modalities in early-stage. We investigated long-term survival outcomes of early-stage grade 1 and 2 endometrioid-type EC patients. Methods: Out of 327 cases, 294 cases in stage 1 and 33 cases in stage 2 were evaluated. Age, stage, tumor size, histologic grade, degree of myometrial invasion, presence of lymphovascular invasion (LVSI), peritoneal cytology positive, presence of recurrence, overall survival (OS), and disease-free survival (DFS) between two groups were evaluated statistically. Results: The mean age of 327 patients was 64.0±10.0 years. Out of 327, 65.7% were ≥60 years, 90% were stage 1, 74.6% were grade 1, 1.8% had positive peritoneal cytology, 8.3% had LVSI and 86% had ≤50% myometrial invasion. Recurrence was detected in 6.4% of patients. 40.7% of patients received adjuvant radiotherapy. Only the adjuvant radiotherapy was found a significant association between two groups. Only presence of recurrence in terms of OS and DFS durations was a significant parameter in the regression analysis. Conclusions: Development of recurrence in early-stage endometrioid-type EC is the main prognostic predictor for survival. The early diagnosis and treatment of recurrence have a positive impact on the prognosis.

Topics

  • Endometrial and Cervical Cancer Treatments
  • Endometriosis Research and Treatment
  • Ovarian cancer diagnosis and treatment

Primary topic Endometrial and Cervical Cancer Treatments

Authors

  1. FAZIL AVCI
  2. ORHAN ÖNDER EREN
  3. AHMET BİLGİ SELÇUK ÜNİVERSİTESİ
  4. HAMİT BAŞARAN SELÇUK ÜNİVERSİTESİ
  5. MEHMET KULHAN
  6. MURAT ÇELİK
  7. MELEK ÇAĞLAYAN
  8. ÇETİN ÇELİK