How do different histologic components of mixed endometrial carcinomas affect prognosis? Does it really matter?
-
Nikolaos Thomakos
,
Stefania Dimopoulou
,
Anastasios Pandraklakis
Abstract
The aim of this study is to evaluate and compare outcomes of patients with mixed and pure endometrial carcinomas (MEC). We reviewed data of patients with MEC, endometroid (EC), serous (SC), and clear cell (CC) carcinomas between 2002 and 2015. Overall survival (OS) and disease-free (DF) survival rates were evaluated, according to the percentage of histologic components. Clinicopathological variables and treatment strategies were assessed. Furthermore, χ2 tests were used to compare proportions and Kaplan–Meier curves to compare recurrence and survival. Sample consisted of 302 cases with mean age 66.3 years. Early-stage disease was recorded in EC compared with CC and SC. Adnexal involvement was more frequent in MEC compared with EC (p=0.043). Extra uterine metastasis was more frequent in the SC compared to the EC group, while lymphovascular space involvement was more frequent in the MEC and CC compared to the SC (p=0.001). EC had less omentum involvement compared to CC (p=0.035) and SC (p<0.001). Furthermore, cervical involvement was more frequent in CC compared to EC (p=0.011). Recurrence (p=0.265) and OS (p=0.533) were found to be similar in MEC compared with CC, SC, and EC. Moreover, recurrence and OS were similar between EC-CC and EC-SC. There were no differences in recurrence and survival in MEC with a type II component larger than 10% or 20% (p>0.05).
Research funding: None declared.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission. All authors had an equal contribution.
Competing interests: Authors declare that there is no conflict of interest.
Informed consent: Not applicable.
Ethical approval: Not applicable.
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Articles in the same Issue
- Frontmatter
- Letter to the Editor
- Kerala model for combating COVID-19 pandemic
- Original Articles
- Evaluation of the potential anticancer activity of different vitamin D metabolites on colorectal and breast cancer cell lines
- Relationship between the levels of serum fibroblast growth factor 19 and metabolic factors in obese and normal weight subjects with and without type 2 diabetes mellitus: a case-control study
- Early-life stress altered pancreatic Krebs cycle-related enzyme activities in response to young adulthood physical and psychological stress in male rat offspring
- Effect of short-term and long-term traffic noise exposure on the thyroid gland in adult rats: a sexual dimorphic study
- The effect of thyroid dysfunction and treatment on adropin, asprosin and preptin levels in rats
- Comparison of the effects of zinc oxide and zinc oxide nanoparticles on the expression of hepcidin gene in rat liver
- Comparison between Iberet Folic® and Zincofer® in treatment of iron deficiency anaemia in pregnancy
- Mini Review
- COVID-19 and pregnancy: are they friends or enemies?
- Review Articles
- COVID-19: a review on SARS-CoV-2 origin, epidemiology, virology, clinical manifestations and complications with special emphasis on adverse outcome in Bhopal Gas Tragedy survivor
- COVID-19 and neurology perspective
- COVID-19 and nutritional deficiency: a review of existing knowledge
- COVID-19 and geriatric population: from pathophysiology to clinical perspectives
- COVID-19 and cardiovascular disease: a review of current knowledge
- How do different histologic components of mixed endometrial carcinomas affect prognosis? Does it really matter?
