Epithelial Ovarian Cancers and Endometriosis
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This study found a significant association between endometriosis and endometrioid and clear cell epithelial ovarian cancers, with associated cases showing better survival.
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Abstract
AIMS: To determine the prevalence of endometriosis in epithelial ovarian cancers (EOC) and the association among their histological subtypes and with endometrial carcinoma. METHODS: An observational cohort study performed in 192 patients operated on for EOC, 30 women with atypical endometriosis and 17 with p53 positive endometriosis. Data on associated endometriosis and endometrial carcinomas, histological subtypes, tumor stage, clinical and pathological characteristics and survival were analyzed. RESULTS: Twenty cases of EOC (10.4%) had also endometriosis (12.7 in borderline and 9.3% in invasive cases), being a synchronous finding in most cases. Endometriosis associated with serous or mucinous EOC was observed in 2.2 and 2.7% of cases, respectively. However, this association was observed in 50 of endometrioid and 23% of clear cell EOC. Age, parity and tumor stage were lower in endometriosis-associated EOC patients; and all associated cases were type I (Kurman and Shih's classification) and showed better results in survival rate. Endometrial carcinoma was more frequently associated with endometrioid EOC (25%). CONCLUSIONS: There is a significant association between endometriosis, including atypical forms, and endometrioid and clear cell carcinomas, but not with other EOC histotypes. The presence of endometriosis in EOC suggests a better prognosis and an intermediate stage within the progression endometriosis-carcinoma.
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Cited by (22)
- Risk, Prevalence and Survival Outcomes of Ovarian Cancer in Women with Endometriosis: The ENDOCANCER Systematic Review and Meta-Analysis 2026
- Analysis of the Malignancy Risk of Endometriosis and Ovarian Cancer Related to Endometriosis-associated Ovarian Cancer: A Histopathological Review and Genetic Mutation 2025
- Atypical endometriosis and the progression to endometriosis-associated ovarian cancer: an updated review 2025
- Transformation maligne d’endométriome découverte dans un contexte de surinfection d’endométriome : cas clinique 2025
- Histologic Subtypes in Endometriosis-Associated Ovarian Cancer and Ovarian Cancer Arising in Endometriosis: A Systematic Review and Meta-Analysis 2024
- At what age endometriosis-associated ovarian cancer is diagnosed? The implications for women in the reproductive age 2023
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- Malignancy Risks Associated with Endometriosis: Clinical Aspects 2022
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- Endometriosis and ovarian cancer risk 2020
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