Serous tubal intraepithelial carcinoma (STIC) - clinical impact and management.

Abstract:

INTRODUCTION:Serous tubal intraepithelial carcinoma (STIC) is most likely precursor lesion of the most part of high-grade serous pelvis carcinomas, carcinosarcoma and undifferentiated carcinoma with incidence of 0.6% to 7% in BRCA carriers or women with strong family history of breast or ovarian carcinoma. STIC is a pathomorphologically and immunohistochemically detectable lesion which biological significance and clinical relevance is unknown. Areas covered: We investigate methods of STIC diagnostics and we present an overview of recent studies and available knowledge on surgical management, adjuvant chemotherapy and subsequent follow-up procedure in women with an isolated STIC. Expert commentary: Patients found to have an incidental STIC lesion should be referred for screening of BRCA1/2 mutation. In absence of an invasive disease, follow-up of patient remains a reasonable choice. A rational scheme should include check-ups every 6 months consisting of gynecological examinations, CA 125 and/or HE4 and pelvic ultrasound examination by an expert sonographer.

authors

Weinberger V,Bednarikova M,Cibula D,Zikan M

doi

10.1080/14737140.2016.1247699

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1311-1321

issue

12

eissn

1473-7140

issn

1744-8328

journal_volume

16

pub_type

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