Postoperative adjuvant chemotherapy in surgically staged grade 3 endometrial cancer.

Abstract:

BACKGROUND:The effectiveness of postoperative adjuvant chemotherapy for surgically staged grade 3 endometrial cancer was investigated. PATIENTS AND METHODS:Sixty-three consecutive patients with grade 3 endometrial cancer (49 with surgical stage I-II disease and 14 with stage III disease) were treated surgically. Postoperatively, 40 patients (63.5%) were treated with a chemotherapy regimen consisting of ifosfamide, epiadriamycin, and cisplatin scheduled for 3-5 cycles. No patient underwent radiotherapy. RESULTS:Recurrence developed in 8 out of the 63 patients, all within two years. Six of the 8 recurrences were found to be extrapelvic lesions. Recurrences occurred predominantly at distant sites in the absence of pelvic radiation. Estimated 5-year disease-free survival rates were 89.8% for patients with surgical stage I-II disease, 78.6% for those with surgical stage III disease, and 87.3% overall. CONCLUSION:The current study suggests the potential role of adjuvant chemotherapy alone in grade 3 endometrial cancer.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Takeshima N,Ota T,Omatsu K,Hasumi K,Takizawa K

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

1785-8

issue

3B

eissn

0250-7005

issn

1791-7530

journal_volume

28

pub_type

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