Clinical Outcomes of Patients with High-Grade Ovarian Carcinoma Arising in Endometriosis Compared to Ovarian High-Grade Serous Carcinoma
High-grade ovarian carcinoma arising in endometriosis showed lower recurrence rates and better 5-year disease-free survival compared to high-grade serous carcinoma, though overall survival was similar.
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This multicenter retrospective case–control study compared prognosis for high-grade ovarian carcinoma arising in endometriosis (OCAE) versus ovarian high-grade serous carcinoma (HGSC) in women treated at two gynecologic oncology centers in Turkey from 2006–2016. Seventy women with high-grade OCAE were included and matched by attributing each case to two women with ovarian HGSC, with recurrence and survival assessed using Kaplan–Meier methods. High-grade OCAE had a lower recurrent disease rate than HGSC (15.7% vs 33.6%, p = 0.008) and a higher 5-year disease-free survival (78.3% vs 56.2%, p = 0.007), while 5-year overall survival was not significantly different (79.5% vs 70.1%, p = 0.210). As a retrospective chart review, it is subject to limitations in design and potential selection or confounding. This paper is centrally about endometriosis — it specifically evaluates clinical outcomes of high-grade ovarian carcinoma arising in endometriosis compared with high-grade serous ovarian carcinoma.
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