The relation between endometrioma and ovarian cancer

Flavia Sorbi, Sorbi F, Capezzuoli T, Tommaso Capezzuoli, Srdjan Saso, Saso S, Massimiliano Fambrini, Martina CORDA, Corda M, Giulia Fantappiè, Fantappiè G, Felice Petraglia, Petraglia F
Minerva obstetrics and gynecology · 2021 · vol. 73(3) , pp. 347–353 · doi:10.23736/s2724-606x.21.04757-2 · PMID:34008389 · W3162643534
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Patients with ovarian endometriosis have a slightly increased risk of developing ovarian cancer, particularly in postmenopausal women or those with specific risk factors, with these cancers often being diagnosed at an earlier stage.

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Abstract

INTRODUCTION: The relationship between endometrioma and ovarian cancer is a topic of discussion in the field of endometriosis and to date it is still debated whether ovarian endometriosis may represent a risk factor for ovarian cancers. EVIDENCE ACQUISITION: A literature search was carried out using Cochrane Library, EMBASE, Medline and Google Scholar up to October 2020. Primary outcome of interest was ovarian cancer incidence in patients with endometriosis. Secondary outcome was ovarian cancer prognosis in patients with endometriosis compared to patient without endometriosis. EVIDENCE SYNTHESIS: Patients with ovarian endometriosis has a slight increase risk of developing ovarian cancer (merely 1.8%), being the general population risk for ovarian cancer 1.31%. In patient at postmenopausal age, long-lasting endometriosis, early-age diagnosis, infertility and/or infertility treatment the risk of developing ovarian cancer is higher. Endometriosis-related ovarian cancers are generally clear cell and endometrioid and are diagnosed at early stage compared to non-endometriosis related ovarian cancer. CONCLUSIONS: The lifetime risk for ovarian cancer is low in endometriosis patients in general and higher in subgroups of patients allowing a tailored management based on patient characteristics. Endometriosis is a chronic disease negatively affecting the quality of life, nonetheless, concerns on ovarian cancer should be avoided in order to reduce the burden of the disease on women's health.

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Condition tags

endometriosisendometriomainfertility

MeSH descriptors

Endometriosis Endometriosis Endometriosis Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Carcinoma, Ovarian Epithelial Carcinoma, Ovarian Epithelial Endometrium Endometrium Female Female Humans Humans Quality of Life Quality of Life

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (72)

Cited by (8)

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