The influence of early diagnosis of endometrioid endometrial cancer on disease stage and survival
Autor: | Ofer Gemer, Yael Laitman, Ronny Milgrom, Benjamin Piura, Ofer Lavie, Frida Barak, Michael Gdalevich, Leonid Kalichman |
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Rok vydání: | 2013 |
Předmět: |
Adult
medicine.medical_specialty Disease Gastroenterology Asymptomatic Cohort Studies Internal medicine medicine Carcinoma Humans Vaginal bleeding In patient Israel Stage (cooking) Early Detection of Cancer Survival analysis Aged Neoplasm Staging Gynecology business.industry Endometrial cancer Obstetrics and Gynecology General Medicine Middle Aged medicine.disease Survival Analysis Endometrial Neoplasms Treatment Outcome Uterine Neoplasms Female Uterine Hemorrhage medicine.symptom business Carcinoma Endometrioid |
Zdroj: | Archives of Gynecology and Obstetrics. 288:1361-1364 |
ISSN: | 1432-0711 0932-0067 |
DOI: | 10.1007/s00404-013-2898-5 |
Popis: | To evaluate whether the presence or duration of uterine bleeding is associated with disease stage, and survival of patients with endometrioid endometrial carcinoma (EEC). The records of 220 patients with EEC who underwent surgery were reviewed. The patients were divided into three groups according to the presence and duration of vaginal bleeding at the time of surgery. Group 1, without vaginal bleeding; group 2, vaginal bleeding up to 3 months; group 3, vaginal bleeding exceeding 3 months prior to surgery. Disease stage and survival were between the three groups. Of the 220 patients, 42 (19 %) were asymptomatic; 95 (43 %) had symptom duration of up to 3 months and 83 (38 %) experienced bleeding for >3 months. There were no significant differences between groups 1, 2 and 3 regarding the proportion of patients with deep invasion in stage I (21, 24, 26 %, p = 0.84; respectively), with grade 3 tumors (10, 13, 14 %, p = 0.42; respectively) or with advanced stage disease (12, 14, 15 %, p = 0.92; respectively). Survival analysis demonstrated a non-significant trend toward better survival in asymptomatic patients and in patients with a shorter duration of symptoms (p = 0.172). Diagnosis of EEC in asymptomatic patients or in patients with a short duration of bleeding is associated with comparable stage and survival. |
Databáze: | OpenAIRE |
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