Endometriose e sua relação com o câncer de ovário: uma revisão integrativa

In: Research, Society and Development · 2021 · vol. 10(13) , pp. e14101320965 · doi:10.33448/rsd-v10i13.20965 · W3201968894
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This integrative review of 14 publications found no significant relationship between ovarian cancer and endometriosis, though more research is needed and earlier diagnosis is recommended.

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This integrative review assessed literature published from 2010 to 2020 for evidence linking endometriosis with the development of ovarian cancers, drawing on 14 publications spanning case reports, observational/comparative studies, and randomized clinical trials. Across the included studies, results were not uniform, and the review concluded that the analyzed evidence did not show a significant relationship between ovarian cancer and endometriosis, while noting that further investigation is needed and that earlier diagnosis of ovarian tumors is a theme of the findings. A major caveat explicitly reflected in the review is the lack of consistent agreement among study results. This paper is centrally about endometriosis — it synthesizes evidence on endometriosis’ relationship to ovarian cancer across multiple study types.

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Abstract

A endometriose é uma reação inflamatória causada pela presença de tecido endometrial extrauterino que acomete mulheres em idade reprodutiva, e pode estar associada ao surgimento de patologias como os diversos tipos de câncer de ovário. O objetivo do presente trabalho foi encontrar na literatura evidências que associem a endometriose ao desenvolvimento de cânceres de ovário. Para a seleção de artigos conduzida em 6 etapas metodológicas: elaboração da questão norteadora, estabelecimento dos critérios de inclusão e exclusão dos artigos, leitura exploratória dos títulos e resumos dos artigos para a pré-seleção, leitura integral dos artigos, interpretação dos resultados e síntese seguida de apresentação dos resultados identificados. Foram encontradas 14 publicações entre os anos 2010 e 2020, dos quais 4 (28,57%) foram publicados na China, 4 (28,57%) nos Estados Unidos, 3 (21,42%) na Espanha, 2 (14,8%) no Japão e 1 (7,14%) na Romênia. Os tipos de estudos variaram entre relato de caso, observacional, comparativos e ensaios clínicos randomizados. Não houve prevalente uniformidade dos resultados encontrados. Os estudos analisados neste trabalho não demonstraram relação significativa entre o câncer de ovário e a endometriose, sendo necessárias mais investigações, mas apontam para opções mais eficientes de diagnósticos de tumores ovarianos em suas fases inicias, possibilitando um melhor prognóstico.
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Endometriosis and its relation to ovarian cancer: an integrative review DOI: https://doi.org/10.33448/rsd-v10i13.20965Keywords: Endometriosis, Ovarian cancer, Tumor markers, Risk factors.Abstract Endometriosis is an inflammatory reaction caused by the presence of extrauterine endometrial tissue that affects women of reproductive age, and may be associated with the development of pathologies such as several types of ovarian cancer. The aim of this study was to find in the literature evidence that associates endometriosis with the development of ovarian cancers. For the selection of articles conducted in 6 methodological steps: preparation of the guiding question, establishment of inclusion and exclusion criteria of articles, exploratory reading of titles and abstracts of articles for pre-selection, full reading of articles, interpretation of results and synthesis followed by presentation of the results identified. Fourteen publications were found between the years 2010 and 2020, of which 4 (28.57%) were published in China, 4 (28.57%) in the United States, 3 (21.42%) in Spain, 2 (14.8%) in Japan, and 1 (7.14%) in Romania. Study types ranged from case report, observational, comparative, and randomized clinical trials. There was no prevalent uniformity of the results found. The studies analyzed in this paper showed no significant relationship between ovarian cancer and endometriosis, and further investigations are needed, but point to more efficient options for diagnosing ovarian tumors in their early stages, enabling a better prognosis. References Acién, P., Velasco, I., Acién. M., Capello, C. & Vela, P. (2015). Epithelial ovarian cancers and endometriosis. Gynecologic and obstetric investigation, 79(2),126-135. https://doi.org/ 10.1159/000367597. Bellelis, P., Jr, J. A. D., Podgaec, S., Gonzales, M., Baracat, E. C. & Abrão, M.S. (2010). 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J Adv Nurs, 52 (5), 546-553. https://doi.org/10.1111/j.1365-2648.2005.03621.x. Zhang, W., Jia, S., Xiang, Y., Yang, J., Jia, C. & Leng, J. (2018). Comparative study of endometrioid borderline ovarian tumor with and without endometriosis. Journal of ovarian research, 11(1), 67. https://doi.org/10.1186/s13048-018-0440-x. Downloads Published Issue Section License Copyright (c) 2021 Tamyris Silva Alves; Talita Silva Alves ; Igor Camargos Cunha Ferreira de Queiroz ; Sabrina Marques Ferreira; Júlia Oliveira Perez ; Paulo Adriano Ricardo Júnior ; Heloise Paranaiba Almeida Drummond ; Douglas Reis Abdalla This work is licensed under a Creative Commons Attribution 4.0 International License. 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