Impact of Bariatric Surgery on Endometrial Cancer Tumor Pathology

Autor: David A. Mahvi, Eric G. Sheu, Ali Ardestani, Olivia Foley, Ali Tavakkoli
Rok vydání: 2021
Předmět:
Zdroj: Obesity Surgery. 31:2426-2433
ISSN: 1708-0428
0960-8923
Popis: Obesity is a well-established risk factor for endometrial cancer and is thought to adversely affect outcomes. The impact of significant and sustained weight loss as achieved by bariatric surgery for women with endometrial cancer is not well understood. We performed an institutional retrospective review of patients who underwent bariatric surgery and were diagnosed with premalignant or malignant uterine disease from 1989 to 2019 (n=171). We compared tumor characteristics and cancer-specific outcomes in patients diagnosed with uterine disease before (“PRE” group) or after (“POST” group) undergoing bariatric surgery and in a BMI- and age-matched cohort who did not undergo bariatric surgery. Of the 171 patients, 120 were in the PRE group and 51 in the POST group. The POST group was more likely to have adenocarcinoma (68.6 vs 45.0%, p=0.012) and more likely to have a minimally invasive hysterectomy (80.9 vs 46.2%, p
Databáze: OpenAIRE