LymphedemaV1, Main, Exploration, bibRecord, 001976

Prediction of lymph node metastasis in patients with apparent early endometrial cancer

Identifieur interne : 001976 ( Main/Exploration ); précédent : 001975; suivant : 001977

Prediction of lymph node metastasis in patients with apparent early endometrial cancer

Auteurs : Joo-Hyuk Son [Corée du Sud] ; Tae-Wook Kong [Corée du Sud] ; Su Hyun Kim [Corée du Sud] ; Jiheum Paek [Corée du Sud] ; Suk-Joon Chang [Corée du Sud] ; Eun Ju Lee [Corée du Sud] ; Hee-Sug Ryu [Corée du Sud]

Source :

Obstetrics & Gynecology Science [ 2287-8572 ] ; 2015.

RBID : PMC:4588843

Abstract

Objective

The purpose of this study is to investigate the incidence of lymph node metastasis in early endometrial cancer patients and to evaluate preoperative clinicopathological factors predicting lymph node metastasis.

Methods

We identified 142 patients with endometrial cancer between January 2000 and February 2013. All patients demonstrated endometrioid adenocarcinoma with grade 1 or 2 on preoperative endometrial biopsy. Preoperative magnetic resonance imaging showed that tumors were confined to the uterine corpus with superficial myometrial invasion (less than 50%), and there were no lymph nodes enlargements. All patients had complete staging procedures and were surgically staged according to the 2009 FIGO (International Federation of Gynecology and Obstetrics) staging system. Clinical and pathological data were obtained from medical records and statistically analyzed.

Results

Of the 142 patients, 127 patients (89.4%) presented with stage 1A, 8 (5.6%) with stage IB, 3 (2.1%) with stage II, and 4 (2.8%) with stage III disease. Three patients (2.1%) had lymph node metastasis-2 IIIC1 and 1 IIIC2 disease. Age, preoperative tumor grade, and myometrial invasion less than 50% on preoperative MRI were not associated with lymph node metastasis. A high preoperative serum CA-125 level (>35 IU/mL) was a statistically significant factor for predicting lymph node metastasis on univariate and multivariate analyses. Lymph node metastasis was only found in patients with preoperative grade 2 tumors or a high serum CA-125 level.

Conclusion

Preoperative tumor grade and serum CA-125 level can predict lymph node metastasis in apparent early endometrial cancer patients.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4588843

DOI: 10.5468/ogs.2015.58.5.385
PubMed: 26430663
PubMed Central: 4588843

Affiliations:

Corée du Sud

Le document en format XML

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<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>The purpose of this study is to investigate the incidence of lymph node metastasis in early endometrial cancer patients and to evaluate preoperative clinicopathological factors predicting lymph node metastasis.</p>
</sec>
<sec><title>Methods</title>
<p>We identified 142 patients with endometrial cancer between January 2000 and February 2013. All patients demonstrated endometrioid adenocarcinoma with grade 1 or 2 on preoperative endometrial biopsy. Preoperative magnetic resonance imaging showed that tumors were confined to the uterine corpus with superficial myometrial invasion (less than 50%), and there were no lymph nodes enlargements. All patients had complete staging procedures and were surgically staged according to the 2009 FIGO (International Federation of Gynecology and Obstetrics) staging system. Clinical and pathological data were obtained from medical records and statistically analyzed.</p>
</sec>
<sec><title>Results</title>
<p>Of the 142 patients, 127 patients (89.4%) presented with stage 1A, 8 (5.6%) with stage IB, 3 (2.1%) with stage II, and 4 (2.8%) with stage III disease. Three patients (2.1%) had lymph node metastasis-2 IIIC1 and 1 IIIC2 disease. Age, preoperative tumor grade, and myometrial invasion less than 50% on preoperative MRI were not associated with lymph node metastasis. A high preoperative serum CA-125 level (>35 IU/mL) was a statistically significant factor for predicting lymph node metastasis on univariate and multivariate analyses. Lymph node metastasis was only found in patients with preoperative grade 2 tumors or a high serum CA-125 level.</p>
</sec>
<sec><title>Conclusion</title>
<p>Preoperative tumor grade and serum CA-125 level can predict lymph node metastasis in apparent early endometrial cancer patients.</p>
</sec>
</div>
</front>
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<affiliations><list><country><li>Corée du Sud</li>
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   |clé=     PMC:4588843
   |texte=   Prediction of lymph node metastasis in patients with apparent early endometrial cancer
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Serveur d'exploration sur le lymphœdème

Prediction of lymph node metastasis in patients with apparent early endometrial cancer

Prediction of lymph node metastasis in patients with apparent early endometrial cancer

Source :

Abstract

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	Serveur d'exploration sur le lymphœdème
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