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Gynecologic Cancer InterGroup (GCIG) consensus review for mullerian adenosarcoma of the female genital tract.

Identifieur interne : 003876 ( Main/Exploration ); précédent : 003875; suivant : 003877

Gynecologic Cancer InterGroup (GCIG) consensus review for mullerian adenosarcoma of the female genital tract.

Auteurs : Michael Leonard Friedlander ; Alan Covens ; Rosalind M. Glasspool ; Felix Hilpert ; Gunnar Kristensen ; Sanghoon Kwon ; Frederic Selle ; William Small ; Els Witteveen ; Peter Russell

Source :

RBID : pubmed:25341585

Descripteurs français

English descriptors

Abstract

Mullerian adenosarcomas of the female genital tract are rare malignancies, originally described in the uterus, the most common site of origin, but they may also arise in extrauterine locations. Uterine adenosarcomas make up 5% of uterine sarcomas and tend to occur in postmenopausal women. They are usually low-grade tumors and are characterized by a benign epithelial component with a malignant mesenchymal component, which is typically a low-grade endometrial stromal sarcoma but can also be a high-grade sarcoma. Tumors that exhibit a high-grade sarcomatous overgrowth have a worse outcome. Adenosarcomas have been described as being midway along the spectrum between benign adenofibromas and carcinosarcomas. They generally have a good prognosis with the exception of deeply invasive tumors or those with high-grade sarcomatous overgrowth. Extrauterine adenosarcomas also have a higher risk for recurrence. In view of their rarity, there have not been any clinical trials in mullerian adenosarcomas and relatively little research. This article reviews the current knowledge and provides recommendation for the management of mullerian adenosarcomas.

DOI: 10.1097/IGC.0000000000000239
PubMed: 25341585


Affiliations:


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Le document en format XML

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<nlm:affiliation>From the *Australia and New Zealand Gynecological Oncology Group (ANZGOG); †Sunnybrook Hospital, Toronto, Canada, (GOG); ‡Beatson West of Scotland Cancer Centre, Glasgow, Scotland, (SGCTG); §University Hospital of Schleswig-Holstein Campus Kiel, Germany, (AGO); ∥Norwegian Radium Hospital, Oslo, Norway, (NSGO); ¶School of Medicine, Dongsan Hospital, Keimyung University, Korea, (KGOG); #Centre Leon Berard, Lyon, France, (GINECO); **Department of Radiation Oncology, Stritch School of Medicine, Loyola University, Chicago, IL, (RTOG); ††University Medical Center, Utrecht Cancer Center, Utrecht, the Netherlands, (DGOG); and the ‡‡Department of Obstetrics Gynaecology and Neonatology, The University of Sydney, Sydney, New South Wales, Australia, (ANZGOG).</nlm:affiliation>
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<term>Female</term>
<term>Genital Neoplasms, Female (pathology)</term>
<term>Genital Neoplasms, Female (therapy)</term>
<term>Humans</term>
<term>Medical Oncology</term>
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<term>Femelle</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Oncologie médicale</term>
<term>Sociétés médicales</term>
<term>Tumeurs de l'appareil génital féminin ()</term>
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<div type="abstract" xml:lang="en">Mullerian adenosarcomas of the female genital tract are rare malignancies, originally described in the uterus, the most common site of origin, but they may also arise in extrauterine locations. Uterine adenosarcomas make up 5% of uterine sarcomas and tend to occur in postmenopausal women. They are usually low-grade tumors and are characterized by a benign epithelial component with a malignant mesenchymal component, which is typically a low-grade endometrial stromal sarcoma but can also be a high-grade sarcoma. Tumors that exhibit a high-grade sarcomatous overgrowth have a worse outcome. Adenosarcomas have been described as being midway along the spectrum between benign adenofibromas and carcinosarcomas. They generally have a good prognosis with the exception of deeply invasive tumors or those with high-grade sarcomatous overgrowth. Extrauterine adenosarcomas also have a higher risk for recurrence. In view of their rarity, there have not been any clinical trials in mullerian adenosarcomas and relatively little research. This article reviews the current knowledge and provides recommendation for the management of mullerian adenosarcomas.</div>
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