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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Condition tags

endometriosis

MeSH descriptors

Adenocarcinoma, Clear Cell Carcinoma, Endometrioid Endometrial Neoplasms Endometriosis Neoplasms, Glandular and Epithelial Ovarian Neoplasms Adenocarcinoma, Clear Cell Adult Aged Aged, 80 and over Carcinoma, Endometrioid Carcinoma, Ovarian Epithelial Cohort Studies Comorbidity Endometrial Neoplasms Endometriosis Female Humans Middle Aged Neoplasms, Glandular and Epithelial

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References (54)

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License: CC0 · commercial use OK