Endometrial carcinoma. Clinical and pathological correlations with survival and surgical treatment.

Abstract:

:From 1978 to 1985 a total of 151 patients were treated for endometrial carcinoma. Of these, 25 patients underwent extrafascial abdominal hysterectomy and pelvic lymphadenectomy, 25 were treated according to Wertheim procedure and pelvic lymphadenectomy and 32 underwent intrafascial abdominal hysterectomy; 62 women underwent vaginal surgery, 7 of whom according to Shauta. A correlation between the degree of myometrial invasion, histological grading, hystological type and stage of the tumor showed no statistically significant difference. The 5-year actuarial survival rate was found to be 76.5%. A comparison between survival and age of patients showed a significant difference in the survival (p less than .01) of the group less than 55 years as compared to the older age group. As far as the surgical treatment instituted is concerned, no statistical difference in survival was found between patients operated vaginally and those operated abdominally (p greater than .05). The site of recurrences were then analyzed in 22 patients, 50% were local recurrences, and the remaining distant metastases. Of these only one patient was cured and is still free of disease 5 years after recurrence. The criteria used to select patients for vaginal surgery are also indicated.

journal_name

Eur J Gynaecol Oncol

authors

Scotto V,Cirese E,Segatore M,Di Gianfrancesco E,Mazzon I,Crisci G,Miceli E,Masci P,Guidi ML,Sbiroli C

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

265-9

issue

3

eissn

0392-2936

issn

2709-0086

journal_volume

9

pub_type

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