Ovarian Sertoli-Leydig and granulosa cell tumor: comparison of epidemiology and survival outcomes

Autor: Spyridon A. Mastroyannis, Emily M. Ko, A.F. Haggerty, Dimitrios Nasioudis, Nawar A. Latif
Rok vydání: 2020
Předmět:
Zdroj: Archives of Gynecology and Obstetrics. 302:481-486
ISSN: 1432-0711
0932-0067
DOI: 10.1007/s00404-020-05633-z
Popis: To investigate the epidemiology, clinico-pathological characteristics and outcomes of patients diagnosed with malignant ovarian Sertoli-Leydig cell tumors (SLCTs) in comparison to granulosa cell tumors (GCTs). The National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) database were accessed and patients diagnosed with a malignant SLCT and GCT between 1988 and 2013 were selected. Demographic and clinico-pathological characteristics were compared using the Mann–Whitney and chi-square tests. Overall (OS) and cancer-specific survival (CSS) rates were estimated with the Kaplan–Meier method and compared with the log-rank test. Cox hazard models were constructed to control for confounders. A total of 175 and 1361 patients diagnosed with SLCT and GCT, respectively, were identified. Compared to patients with GCT, those with SLCT were younger (median age 32 vs. 51 years, p 10 cm), SCLTs were associated with a worse cancer-specific mortality compared to GCTs. SLCTs are extremely rare, commonly arise in premenopausal patients. They are associated with a poorer prognosis compared to GCT.
Databáze: OpenAIRE