The role of reoperation in the management of endometrial carcinoma found in simple hysterectomy

Objective To evaluate our experience in patients with endometrial cancer found in simple hysterectomy. Methods Forty patients treated for endometrial cancer after simple hysterectomy were evaluated, retrospectively. Twenty‐one patients (Group 1) underwent surgical staging procedure while 19 patients...

Full description

Saved in:
Bibliographic Details
Published in:Journal of surgical oncology 2006-04, Vol.93 (5), p.373-378
Main Authors: Ayhan, Ali, Kart, Cavit, Guven, Suleyman, Boynukalin, Kubra, Kucukali, Turkan
Format: Article
Language:English
Subjects:
Adult
Aged
Disease-Free Survival
endometrial cancer
Endometrial Neoplasms - mortality
Endometrial Neoplasms - pathology
Endometrial Neoplasms - surgery
Female
Humans
Hysterectomy
Logistic Models
lympadenectomy
Lymph Node Excision
Middle Aged
Neoplasm Recurrence, Local - epidemiology
Neoplasm Staging
recurrence
Reoperation
Retrospective Studies
surgery
Survival Rate
Turkey - epidemiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective To evaluate our experience in patients with endometrial cancer found in simple hysterectomy. Methods Forty patients treated for endometrial cancer after simple hysterectomy were evaluated, retrospectively. Twenty‐one patients (Group 1) underwent surgical staging procedure while 19 patients were not subjected to complementary surgical staging procedure (Group 2). Results The mean age was 53.80 years. Residual disease following reoperation was found in only four patients (19.0%). The three of them who were considered Stage IC (two Grade 1, one Grade 2) were found to be Stage IIIC and one patient who was considered Stage IB (Grade 2) was found to be Stage IIIC. The overall recurrence rates in Groups 1 and 2 were 4.8% versus 10.5% (P > 0.05). The overall disease‐free survival rates were 95.24% in Group 1 and 87.50% in Group 2 (P > 0.05). Considering the patients who received postoperative adjuvant radiotherapy (RT), the overall disease‐free survival rates were 88.89% in Group 1 and 84.62% in Group 2 (P > 0.05). Conclusion We believe that complementary surgical staging may have benefit in patients with incompletely staged endometrial carcinoma excluding Stage IA G1 cases, since the recurrence rate has rising and disease‐free survival estimate has decreasing tendencies in incompletely staged patients than that in complementary surgically staged ones. J. Surg. Oncol. 2006;93:373–378. © 2006 Wiley‐Liss, Inc.
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.20479