Prognostic analysis of ovarian cancer associated with endometriosis

Kumar S, Sanjeev Kumar, Adnan Munkarah, Munkarah A, Haitham Arabi, Bandyopadhyay S, Sudeshna Bandyopadhyay, Subhayu Bandyopadhyay, Semaan A, Assaad Semaan, Kinda Hayek, Hayek K, Gunjal Garg, Garg G, Morris R, Robert Morris, Ali-Fehmi R, Rouba Ali-Fehmi, Rouba Ali‐Fehmi
American journal of obstetrics and gynecology · 2010 · vol. 204(1) , pp. 63.e1–63.e7 · doi:10.1016/j.ajog.2010.08.017 · PMID:21074136 · W2046046824
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This paper analyzed prognostic factors in ovarian cancer patients with a history of endometriosis.

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Abstract

ObjectiveThe objective of the study was to evaluate the prognosis of ovarian cancer arising in endometriosis.Study designWe retrospectively compared 42 cases of endometriosis-associated ovarian cancer (EAOC) with 184 cases of ovarian carcinoma without endometriosis (OC).ResultsThe median age in the EAOC group was 52 vs 59 years in OC (P < .05). In comparison with OC, the EAOC patients were more likely to have low-grade (21% vs 8%; P = .04) and early-stage tumors (International Federation of Gynecology and Obstetrics I and II combined) (49% vs 24%; P = .002). Clear cell (21% vs 2%) and endometrioid (14% vs 3%) tumors were more frequent in EAOC, whereas mucinous tumors were more prevalent in OC (P = .001). The median survival (199 vs 62 months) and the 5 year survival (62% vs 51%) were better for EAOC when compared with OC (P = .038). After controlling for age, stage, grade, and treatment, association with endometriosis was not an independent predictor of better survival in ovarian cancer.ConclusionAs such, EAOC has a much better survival rate than OC. This could be explained by the higher prevalence of early-stage and low-grade tumors in EAOC when compared with OC.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ovarian Neoplasms Adenocarcinoma, Clear Cell Adenocarcinoma, Clear Cell Adenocarcinoma, Clear Cell Adenocarcinoma, Mucinous Adenocarcinoma, Mucinous Adenocarcinoma, Mucinous Carcinoma, Endometrioid Carcinoma, Endometrioid Carcinoma, Endometrioid Cystadenocarcinoma, Serous Cystadenocarcinoma, Serous Cystadenocarcinoma, Serous Endometriosis Endometriosis Female Humans Middle Aged Ovarian Neoplasms

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (27)

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